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 Geriatrjournal_title
BMC geriatricsauthors
Devriendt E,Heeren P,Fieuws S,Wellens NIH,Deschodt M,Flamaing J,Sabbe M,Milisen Kdoi
10.1186/s12877-018-0933-xsubject
Has Abstractpub_date
2018-10-16 00:00:00pages
244issue
1issn
1471-2318pii
10.1186/s12877-018-0933-xjournal_volume
18pub_type
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