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

Daniel K.Y. Chan, Frank X. Liu, Deni Irwanto, Davin Prasetyo, Gerard Ozorio, Feika Li, Matthew Smith, Anurag Sharma, Jack Chen

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1396-1399
Number of pages4
JournalInternal Medicine Journal
Volume48
Issue number11
DOIs
Publication statusPublished - 1 Nov 2018
Externally publishedYes

Keywords

  • acute service
  • ambulance
  • emergency admission
  • nursing home
  • safety

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