In-reach nursing services improve older patient outcomes and access to emergency care
Data(s) |
01/06/2015
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Resumo |
Aims: To identify the impact of in-reach services providing specialist nursing care on outcomes for older people presenting to the emergency department from residential aged care. Methods: Retrospective cohort study compared clinical outcomes of 2278 presentations from 2009 with 2051 presentations from 2011 before and after the implementation of in-reach services. Results: Median emergency department length of stay decreased by 24 minutes (7.0 vs 6.6 hours, P<0.001) and admission rates decreased by 23% (68 vs 45%, P<0.001). The proportion of people with repeat emergency department visits within six months decreased by 12% (27 vs 15%). The proportion of admitted patients who were discharged with an end of life palliative care plan increased by 13% (8 vs 21%, P=0.007). Conclusions: There was a significant reduction in the median length of stay, fewer hospital admissions and fewer repeat visits for people from residential aged care following implementation of in-reach services. |
Identificador | |
Idioma(s) |
eng |
Publicador |
Wiley-Blackwell Publishing |
Relação |
http://dro.deakin.edu.au/eserv/DU:30074053/t023011-street-inreachnursing-2015.pdf http://www.dx.doi.org/10.1111/ajag.12137 |
Direitos |
2015, Wiley-Blackwell Publishing |
Palavras-Chave | #Aged #Emergency medicine #Health services access #Health-care reform #Nursing home #Older person |
Tipo |
Journal Article |