Unplanned readmission prevention by a geriatric emergency network for transitional care (URGENT): a prospective before-after study

BMC Geriatrics
Pieter HeerenKoen Milisen

Abstract

URGENT is a comprehensive geriatric assessment (CGA) based nurse-led care model in the emergency department (ED) with geriatric follow-up after ED discharge aiming to prevent unplanned ED readmissions. A quasi-experimental study (sequential design with two cohorts) was conducted in the ED of University Hospitals Leuven (Belgium). Dutch-speaking, community-dwelling ED patients aged 70 years or older were eligible for enrolment. Patients in the control cohort received usual care. Patient in the intervention cohort received the URGENT care model. A geriatric emergency nurse conducted CGA and interdisciplinary care planning among older patients identified as at risk for adverse events (e.g. unplanned ED readmission, functional decline) with the interRAI ED Screener© and clinical judgement of ED staff. Case manager follow-up was offered to at risk patients without hospitalization after index ED visit. For inpatients, geriatric follow-up was guaranteed on an acute geriatric ward or by the inpatient geriatric consultation team on a non-geriatric ward if considered necessary. Primary outcome was unplanned 90-day ED readmission. Secondary outcomes were ED length of stay (LOS), hospitalization rate, in-hospital LOS, 90-day higher level o...Continue Reading

References

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Citations

Apr 22, 2020·Age and Ageing·Siobhan Harding
May 14, 2020·Journal of the American Geriatrics Society·Pieter HeerenKoen Milisen
Oct 16, 2020·International Journal of Clinical Practice·Yan XuYu-Hong Zhao
Oct 30, 2020·International Journal of Nursing Studies·Dietmar AusserhoferGianni Turcato

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Software Mentioned

URGENT
interRAI ED screener©
SAS

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