Experience of establishing an acute geriatric outreach service versus subacute service to nursing homes.

Abstract:

: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.

journal_name

Intern Med J

authors

Chan DKY,Liu FX,Irwanto D,Prasetyo D,Ozorio G,Li F,Smith M,Sharma A,Chen J

doi

10.1111/imj.14104

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1396-1399

issue

11

eissn

1444-0903

issn

1445-5994

journal_volume

48

pub_type

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