Unplanned Readmission prevention by Geriatric Emergency Network for Transitional care (URGENT): protocol of a prospective single centre quasi-experimental study.

Abstract:

BACKGROUND:International guidelines recommend adapting the classic emergency department (ED) management model to the needs of older adults in order to ameliorate post-ED outcomes among this vulnerable group. To improve the care for older ED patients and especially prevent unplanned ED readmissions, the URGENT care model was developed. METHODS:The URGENT care model is a nurse-led, comprehensive geriatric assessment based care model in the ED with geriatric follow-up after ED discharge. A prospective single centre quasi-experimental study (sequential design with two cohorts) is used to evaluate its effectiveness on unplanned ED readmission compared to usual ED care. Secondary outcome measures are hospitalization rate, ED length of stay, in-hospital length of stay, higher level of care, functional decline and mortality. DISCUSSION:URGENT builds on previous research with adaptations tailored to the local context and addresses the needs of older patients in the ED with a special focus on transition of care. Although the selected approaches have been tested in other settings, evidence on this type of innovative care models in the ED setting is inconclusive. TRIAL REGISTRATION:The study protocol is registered retrospectively with ISRCTN ( ISRCTN91449949 ).

journal_name

BMC Geriatr

journal_title

BMC geriatrics

authors

Devriendt E,Heeren P,Fieuws S,Wellens NIH,Deschodt M,Flamaing J,Sabbe M,Milisen K

doi

10.1186/s12877-018-0933-x

subject

Has Abstract

pub_date

2018-10-16 00:00:00

pages

244

issue

1

issn

1471-2318

pii

10.1186/s12877-018-0933-x

journal_volume

18

pub_type

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