What is the evidence for the management of patients along the pathway from the emergency department to acute admission to reduce unplanned attendance and admission? An evidence synthesis

BMC Health Services Research
Sarah H CredéMike Whiteside

Abstract

Globally, the rate of emergency hospital admissions is increasing. However, little evidence exists to inform the development of interventions to reduce unplanned Emergency Department (ED) attendances and hospital admissions. The objective of this evidence synthesis was to review the evidence for interventions, conducted during the patient's journey through the ED or acute care setting, to manage people with an exacerbation of a medical condition to reduce unplanned emergency hospital attendance and admissions. A rapid evidence synthesis, using a systematic literature search, was undertaken in the electronic data bases of MEDLINE, EMBASE, CINAHL, the Cochrane Library and Web of Science, for the years 2000-2014. Evidence included in this review was restricted to Randomised Controlled Trials (RCTs) and observational studies (with a control arm) reported in peer-reviewed journals. Studies evaluating interventions for patients with an acute exacerbation of a medical condition in the ED or acute care setting which reported at least one outcome related to ED attendance or unplanned admission were included. Thirty papers met our inclusion criteria: 19 intervention studies (14 RCTs) and 11 controlled observational studies. Sixteen studi...Continue Reading

References

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Citations

Oct 2, 2019·International Journal of Environmental Research and Public Health·Rónán O'CaoimhJohn O'Donnell
Jun 27, 2021·Journal of the American Geriatrics Society·Merel van Loon-van GaalenRoos C van der Mast
Jul 31, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Cameron J GettelSusan N Hastings

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