Impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation
Background. Prior to May 2015, our hospital provided only non-urgent geriatric services for nursing home residents. Thereafter, the Connecting Care Programme was introduced to provide acute geriatric services, including administration of intravenous antibiotics and fluids and a variety of other proc...
Gespeichert in:
Veröffentlicht in: | Asian journal of gerontology and geriatrics 2018-12, Vol.13 (2), p.68-73 |
---|---|
Hauptverfasser: | , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 73 |
---|---|
container_issue | 2 |
container_start_page | 68 |
container_title | Asian journal of gerontology and geriatrics |
container_volume | 13 |
creator | Ling, Seo Lung Cheng, Chia-Ti Liu, Frank Irwanto, Deni Kohler, Friedbert Smith, Matthew J Chan, Daniel K Y |
description | Background. Prior to May 2015, our hospital provided only non-urgent geriatric services for nursing home residents. Thereafter, the Connecting Care Programme was introduced to provide acute geriatric services, including administration of intravenous antibiotics and fluids and a variety of other procedures. This audit aimed to investigate the impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation. Methods. Medical records of nursing home residents who presented to the Bankstown-Lidcombe Hospital before (from May to August 2014) and after (from May to August 2015) the Connecting Care Programme were retrospectively reviewed. The two groups were compared in terms of emergency department presentation and discharge rates. Results. Respectively for the group before and after the programme, of all presentations to the emergency department, 276 and 318 involved nursing home residents (6.1% vs 7.1%, p=0.056). Of these, 106 and 167 were discharged from the emergency department (38.4% vs 52.5%, odds ratio=1.76, 95% confidence interval=1.2-2.4, p=0.0008). The Connecting Care Programme increased the discharge rate in those with a diagnosis of fall without fracture (70% vs 88%, p=0.021), respiratory (11% vs 31%, p=0.020), gastrointestinal (34% vs 50%, p=0.025), or cardiovascular (24% vs 60%, p=0.010) complaints. Conclusion. The Connecting Care Programme resulted in an increased discharge rate and decreased hospital admission rate for nursing home residents who presented with fall without fracture, respiratory, gastrointestinal, or cardiovascular complaints. The programme may enable better utilisation of healthcare resources. |
doi_str_mv | 10.12809/ajgg-2017-276-oa |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2558966909</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2558966909</sourcerecordid><originalsourceid>FETCH-LOGICAL-c183a-a75bed680ef329ae0b8019bea2d0a4c902dd860fbf6ed057d2f612b8003eb0713</originalsourceid><addsrcrecordid>eNpNkE1PwzAMQCMEEhPsB3CLxLngpDRtj2jiY9IkLnCO3MYpmdamJO2k_XuyjQO-2LKfbekxdifgQcgK6kfcdl0mQZSZLFXm8YItRCXqTBSluvxXX7NljFtIoUBCLhZsv-5HbCfuLcd2noh3FBxOwbU8Uti7liK3PvBhDtENHf_2PfFA0Rkapsj9wKmn0NHQHrihEcPUpwEfE5IyTi4ROJi0F0c34c7FU--WXVncRVr-5Rv29fryuXrPNh9v69XzJmtFlWOGZdGQURWQzWWNBE0Fom4IpQF8amuQxlQKbGMVGShKI60SMkGQUwOlyG_Y_fnuGPzPTHHSWz-HIb3UsiiqWqka6kSJM9UGH2Mgq8fgegwHLUCfDOujYX00rJNh7TH_BQOkczw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2558966909</pqid></control><display><type>article</type><title>Impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation</title><source>EZB-FREE-00999 freely available EZB journals</source><creator>Ling, Seo Lung ; Cheng, Chia-Ti ; Liu, Frank ; Irwanto, Deni ; Kohler, Friedbert ; Smith, Matthew J ; Chan, Daniel K Y</creator><creatorcontrib>Ling, Seo Lung ; Cheng, Chia-Ti ; Liu, Frank ; Irwanto, Deni ; Kohler, Friedbert ; Smith, Matthew J ; Chan, Daniel K Y</creatorcontrib><description>Background. Prior to May 2015, our hospital provided only non-urgent geriatric services for nursing home residents. Thereafter, the Connecting Care Programme was introduced to provide acute geriatric services, including administration of intravenous antibiotics and fluids and a variety of other procedures. This audit aimed to investigate the impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation. Methods. Medical records of nursing home residents who presented to the Bankstown-Lidcombe Hospital before (from May to August 2014) and after (from May to August 2015) the Connecting Care Programme were retrospectively reviewed. The two groups were compared in terms of emergency department presentation and discharge rates. Results. Respectively for the group before and after the programme, of all presentations to the emergency department, 276 and 318 involved nursing home residents (6.1% vs 7.1%, p=0.056). Of these, 106 and 167 were discharged from the emergency department (38.4% vs 52.5%, odds ratio=1.76, 95% confidence interval=1.2-2.4, p=0.0008). The Connecting Care Programme increased the discharge rate in those with a diagnosis of fall without fracture (70% vs 88%, p=0.021), respiratory (11% vs 31%, p=0.020), gastrointestinal (34% vs 50%, p=0.025), or cardiovascular (24% vs 60%, p=0.010) complaints. Conclusion. The Connecting Care Programme resulted in an increased discharge rate and decreased hospital admission rate for nursing home residents who presented with fall without fracture, respiratory, gastrointestinal, or cardiovascular complaints. The programme may enable better utilisation of healthcare resources.</description><identifier>ISSN: 1819-1576</identifier><identifier>EISSN: 1819-1576</identifier><identifier>DOI: 10.12809/ajgg-2017-276-oa</identifier><language>eng</language><publisher>Hong Kong: Hong Kong Academy of Medicine</publisher><subject>Antibiotics ; Confidence intervals ; Dementia ; Geriatrics ; Hospitalization ; Hospitals ; Illnesses ; Medical records ; Medical referrals ; Nursing homes ; Older people ; Patient satisfaction</subject><ispartof>Asian journal of gerontology and geriatrics, 2018-12, Vol.13 (2), p.68-73</ispartof><rights>2018. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Ling, Seo Lung</creatorcontrib><creatorcontrib>Cheng, Chia-Ti</creatorcontrib><creatorcontrib>Liu, Frank</creatorcontrib><creatorcontrib>Irwanto, Deni</creatorcontrib><creatorcontrib>Kohler, Friedbert</creatorcontrib><creatorcontrib>Smith, Matthew J</creatorcontrib><creatorcontrib>Chan, Daniel K Y</creatorcontrib><title>Impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation</title><title>Asian journal of gerontology and geriatrics</title><description>Background. Prior to May 2015, our hospital provided only non-urgent geriatric services for nursing home residents. Thereafter, the Connecting Care Programme was introduced to provide acute geriatric services, including administration of intravenous antibiotics and fluids and a variety of other procedures. This audit aimed to investigate the impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation. Methods. Medical records of nursing home residents who presented to the Bankstown-Lidcombe Hospital before (from May to August 2014) and after (from May to August 2015) the Connecting Care Programme were retrospectively reviewed. The two groups were compared in terms of emergency department presentation and discharge rates. Results. Respectively for the group before and after the programme, of all presentations to the emergency department, 276 and 318 involved nursing home residents (6.1% vs 7.1%, p=0.056). Of these, 106 and 167 were discharged from the emergency department (38.4% vs 52.5%, odds ratio=1.76, 95% confidence interval=1.2-2.4, p=0.0008). The Connecting Care Programme increased the discharge rate in those with a diagnosis of fall without fracture (70% vs 88%, p=0.021), respiratory (11% vs 31%, p=0.020), gastrointestinal (34% vs 50%, p=0.025), or cardiovascular (24% vs 60%, p=0.010) complaints. Conclusion. The Connecting Care Programme resulted in an increased discharge rate and decreased hospital admission rate for nursing home residents who presented with fall without fracture, respiratory, gastrointestinal, or cardiovascular complaints. The programme may enable better utilisation of healthcare resources.</description><subject>Antibiotics</subject><subject>Confidence intervals</subject><subject>Dementia</subject><subject>Geriatrics</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Illnesses</subject><subject>Medical records</subject><subject>Medical referrals</subject><subject>Nursing homes</subject><subject>Older people</subject><subject>Patient satisfaction</subject><issn>1819-1576</issn><issn>1819-1576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpNkE1PwzAMQCMEEhPsB3CLxLngpDRtj2jiY9IkLnCO3MYpmdamJO2k_XuyjQO-2LKfbekxdifgQcgK6kfcdl0mQZSZLFXm8YItRCXqTBSluvxXX7NljFtIoUBCLhZsv-5HbCfuLcd2noh3FBxOwbU8Uti7liK3PvBhDtENHf_2PfFA0Rkapsj9wKmn0NHQHrihEcPUpwEfE5IyTi4ROJi0F0c34c7FU--WXVncRVr-5Rv29fryuXrPNh9v69XzJmtFlWOGZdGQURWQzWWNBE0Fom4IpQF8amuQxlQKbGMVGShKI60SMkGQUwOlyG_Y_fnuGPzPTHHSWz-HIb3UsiiqWqka6kSJM9UGH2Mgq8fgegwHLUCfDOujYX00rJNh7TH_BQOkczw</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Ling, Seo Lung</creator><creator>Cheng, Chia-Ti</creator><creator>Liu, Frank</creator><creator>Irwanto, Deni</creator><creator>Kohler, Friedbert</creator><creator>Smith, Matthew J</creator><creator>Chan, Daniel K Y</creator><general>Hong Kong Academy of Medicine</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20181201</creationdate><title>Impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation</title><author>Ling, Seo Lung ; Cheng, Chia-Ti ; Liu, Frank ; Irwanto, Deni ; Kohler, Friedbert ; Smith, Matthew J ; Chan, Daniel K Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c183a-a75bed680ef329ae0b8019bea2d0a4c902dd860fbf6ed057d2f612b8003eb0713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Antibiotics</topic><topic>Confidence intervals</topic><topic>Dementia</topic><topic>Geriatrics</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Illnesses</topic><topic>Medical records</topic><topic>Medical referrals</topic><topic>Nursing homes</topic><topic>Older people</topic><topic>Patient satisfaction</topic><toplevel>online_resources</toplevel><creatorcontrib>Ling, Seo Lung</creatorcontrib><creatorcontrib>Cheng, Chia-Ti</creatorcontrib><creatorcontrib>Liu, Frank</creatorcontrib><creatorcontrib>Irwanto, Deni</creatorcontrib><creatorcontrib>Kohler, Friedbert</creatorcontrib><creatorcontrib>Smith, Matthew J</creatorcontrib><creatorcontrib>Chan, Daniel K Y</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Asian journal of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ling, Seo Lung</au><au>Cheng, Chia-Ti</au><au>Liu, Frank</au><au>Irwanto, Deni</au><au>Kohler, Friedbert</au><au>Smith, Matthew J</au><au>Chan, Daniel K Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation</atitle><jtitle>Asian journal of gerontology and geriatrics</jtitle><date>2018-12-01</date><risdate>2018</risdate><volume>13</volume><issue>2</issue><spage>68</spage><epage>73</epage><pages>68-73</pages><issn>1819-1576</issn><eissn>1819-1576</eissn><abstract>Background. Prior to May 2015, our hospital provided only non-urgent geriatric services for nursing home residents. Thereafter, the Connecting Care Programme was introduced to provide acute geriatric services, including administration of intravenous antibiotics and fluids and a variety of other procedures. This audit aimed to investigate the impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation. Methods. Medical records of nursing home residents who presented to the Bankstown-Lidcombe Hospital before (from May to August 2014) and after (from May to August 2015) the Connecting Care Programme were retrospectively reviewed. The two groups were compared in terms of emergency department presentation and discharge rates. Results. Respectively for the group before and after the programme, of all presentations to the emergency department, 276 and 318 involved nursing home residents (6.1% vs 7.1%, p=0.056). Of these, 106 and 167 were discharged from the emergency department (38.4% vs 52.5%, odds ratio=1.76, 95% confidence interval=1.2-2.4, p=0.0008). The Connecting Care Programme increased the discharge rate in those with a diagnosis of fall without fracture (70% vs 88%, p=0.021), respiratory (11% vs 31%, p=0.020), gastrointestinal (34% vs 50%, p=0.025), or cardiovascular (24% vs 60%, p=0.010) complaints. Conclusion. The Connecting Care Programme resulted in an increased discharge rate and decreased hospital admission rate for nursing home residents who presented with fall without fracture, respiratory, gastrointestinal, or cardiovascular complaints. The programme may enable better utilisation of healthcare resources.</abstract><cop>Hong Kong</cop><pub>Hong Kong Academy of Medicine</pub><doi>10.12809/ajgg-2017-276-oa</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1819-1576 |
ispartof | Asian journal of gerontology and geriatrics, 2018-12, Vol.13 (2), p.68-73 |
issn | 1819-1576 1819-1576 |
language | eng |
recordid | cdi_proquest_journals_2558966909 |
source | EZB-FREE-00999 freely available EZB journals |
subjects | Antibiotics Confidence intervals Dementia Geriatrics Hospitalization Hospitals Illnesses Medical records Medical referrals Nursing homes Older people Patient satisfaction |
title | Impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T20%3A15%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20acute%20geriatric%20services%20for%20nursing%20home%20residents%20on%20emergency%20department%20presentation%20and%20hospitalisation&rft.jtitle=Asian%20journal%20of%20gerontology%20and%20geriatrics&rft.au=Ling,%20Seo%20Lung&rft.date=2018-12-01&rft.volume=13&rft.issue=2&rft.spage=68&rft.epage=73&rft.pages=68-73&rft.issn=1819-1576&rft.eissn=1819-1576&rft_id=info:doi/10.12809/ajgg-2017-276-oa&rft_dat=%3Cproquest_cross%3E2558966909%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2558966909&rft_id=info:pmid/&rfr_iscdi=true |