Mobile emergency department care to nursing home residents : a novel outreach service
© The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissionsoup.com..
BACKGROUND: Every month, 6% of Danish nursing home residents are admitted to hospital. However, these admissions might have limited benefits and are associated with an increased risk of complications. We initiated a new mobile service comprising consultants performing emergency care in nursing homes.
OBJECTIVE: Describe the new service, the recipients of this service, hospital admission patterns and 90-day mortality.
DESIGN: A descriptive observational study.
MODEL: When an ambulance is requested to a nursing home, the emergency medical dispatch centre simultaneously dispatches a consultant from the emergency department who will provide an emergency evaluation and decisions regarding treatment at the scene in collaboration with municipal acute care nurses.
METHOD: We describe the characteristics of all nursing home contacts from 1st November 2020 to 31st December 2021. The outcome measures were hospital admissions and 90-day mortality. Data were extracted from the patients' electronic hospital records and prospectively registered data.
RESULTS: We identified 638 contacts (495 individuals). The new service had a median of two (interquartile range: 2-3) new contacts per day. The most frequent diagnoses were related to infections, unspecific symptoms, falls, trauma and neurologic disease. Seven out of eight residents remained at home following treatment, 20% had an unplanned hospital admission within 30 days and 90-day mortality was 36.4%.
CONCLUSION: Transitioning emergency care from hospitals to nursing homes could present an opportunity for providing optimised care to a vulnerable population and limiting unnecessary transfers and admissions to hospitals.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:52 |
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| Enthalten in: |
Age and ageing - 52(2023), 3 vom: 01. März |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Udesen, Stine Emilie Junker [VerfasserIn] |
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| Links: |
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| Themen: |
Acute care |
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| Anmerkungen: |
Date Completed 03.03.2023 Date Revised 05.05.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/ageing/afad025 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM353671541 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissionsoup.com. | ||
| 520 | |a BACKGROUND: Every month, 6% of Danish nursing home residents are admitted to hospital. However, these admissions might have limited benefits and are associated with an increased risk of complications. We initiated a new mobile service comprising consultants performing emergency care in nursing homes | ||
| 520 | |a OBJECTIVE: Describe the new service, the recipients of this service, hospital admission patterns and 90-day mortality | ||
| 520 | |a DESIGN: A descriptive observational study | ||
| 520 | |a MODEL: When an ambulance is requested to a nursing home, the emergency medical dispatch centre simultaneously dispatches a consultant from the emergency department who will provide an emergency evaluation and decisions regarding treatment at the scene in collaboration with municipal acute care nurses | ||
| 520 | |a METHOD: We describe the characteristics of all nursing home contacts from 1st November 2020 to 31st December 2021. The outcome measures were hospital admissions and 90-day mortality. Data were extracted from the patients' electronic hospital records and prospectively registered data | ||
| 520 | |a RESULTS: We identified 638 contacts (495 individuals). The new service had a median of two (interquartile range: 2-3) new contacts per day. The most frequent diagnoses were related to infections, unspecific symptoms, falls, trauma and neurologic disease. Seven out of eight residents remained at home following treatment, 20% had an unplanned hospital admission within 30 days and 90-day mortality was 36.4% | ||
| 520 | |a CONCLUSION: Transitioning emergency care from hospitals to nursing homes could present an opportunity for providing optimised care to a vulnerable population and limiting unnecessary transfers and admissions to hospitals | ||
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a acute care | |
| 650 | 4 | |a aged care facilities | |
| 650 | 4 | |a emergency care | |
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| 650 | 4 | |a nursing home residents | |
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| 650 | 4 | |a older people | |
| 650 | 4 | |a outreach service | |
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| 700 | 1 | |a Mikkelsen, Søren |e verfasserin |4 aut | |
| 700 | 1 | |a Andersen, Nina |e verfasserin |4 aut | |
| 700 | 1 | |a Brabrand, Mikkel |e verfasserin |4 aut | |
| 700 | 1 | |a Lassen, Annmarie Touborg |e verfasserin |4 aut | |
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