Experience of establishing an acute geriatric outreach service versus subacute service to nursing homes.
Daniel Kam Yin ChanFrank X LiuDeni IrwantoDavin PrasetyoGerard OzorioFeika LiMatthew SmithAnurag SharmaJack ChenPublished in: Internal medicine journal (2019)
To share our experience of establishing an acute outreach service to nursing homes and to evaluate the impact of such service on emergency department presentations, data were drawn from a pre-existing database from 2013 to 2017. Of the 986 acute patients treated in 12 nursing homes over a 23-month period, the acute geriatric outreach service was shown to be safe, with few adverse events (one allergic reaction) and 5.3% of patients required transfer to hospital. The acute service decreased emergency department presentation of nursing home patients by 10% compared to the subacute service (incidence rate ratio = 0.90; 95% confidence interval: 0.84-0.96; P = 0.001). Cost-benefit analysis showed for every $1 spent, a saving of $5 was realised.
Keyphrases
- mental health
- liver failure
- healthcare
- emergency department
- respiratory failure
- end stage renal disease
- drug induced
- aortic dissection
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- hepatitis b virus
- peritoneal dialysis
- adverse drug
- risk factors
- machine learning
- extracorporeal membrane oxygenation
- mechanical ventilation
- acute respiratory distress syndrome
- patient reported