Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions
Abstract Introduction Residential aged care facility (RACF) residents frequently present to the emergency department (ED) and are often admitted to hospital. Some presentations and admissions may be avoidable. In 2013, Bankstown‐Lidcombe Hospital introduced a subacute geriatric outreach service (SGO...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-09-01
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| Series: | Aging Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/agm2.12176 |
| _version_ | 1818732508770992128 |
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| author | Jun Dai Frank Liu Deni Irwanto Manoj Kumar Nabaraj Tiwari Jack Chen Yinghua Xu Matthew Smith Daniel KY Chan |
| author_facet | Jun Dai Frank Liu Deni Irwanto Manoj Kumar Nabaraj Tiwari Jack Chen Yinghua Xu Matthew Smith Daniel KY Chan |
| author_sort | Jun Dai |
| collection | DOAJ |
| description | Abstract Introduction Residential aged care facility (RACF) residents frequently present to the emergency department (ED) and are often admitted to hospital. Some presentations and admissions may be avoidable. In 2013, Bankstown‐Lidcombe Hospital introduced a subacute geriatric outreach service (SGOS), which had little impact on reducing ED presentations. In 2015, Bankstown‐Lidcombe Hospital introduced an acute geriatric outreach service (AGOS), a geriatrician‐led team that assesses and treats acutely unwell patients in RACFs. We aim to determine whether the AGOS reduces the risk of hospital admission for RACF residents. Methods Hospital admissions data from 2010 to 2019 were used to conduct an interrupted time series (ITS) analysis. AGOS activity data were also summarized. Results The average number of admissions from RACF per month declined from 42.8 during the SGOS period to 27.1 during the AGOS period. The difference of 15.7 admissions from RACF per month was statistically significant (95% CI 12.1–19.2; P < .001). After the introduction of the AGOS, the risk of admission to our geriatric department from RACFs was reduced by 36.1% (incidence rate ratio =0.64; 95% CI: 0.58–0.71; P < .001) compared to the SGOS period, adjusting for seasonality. Discussion The AGOS probably reduced the risk of hospital admission for RACF residents. |
| first_indexed | 2024-12-17T23:34:42Z |
| format | Article |
| id | doaj.art-5cc7c2bbfe1c439891ab02e5fc8c6454 |
| institution | Directory Open Access Journal |
| issn | 2475-0360 |
| language | English |
| last_indexed | 2024-12-17T23:34:42Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Aging Medicine |
| spelling | doaj.art-5cc7c2bbfe1c439891ab02e5fc8c64542022-12-21T21:28:35ZengWileyAging Medicine2475-03602021-09-014316917410.1002/agm2.12176Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissionsJun Dai0Frank Liu1Deni Irwanto2Manoj Kumar3Nabaraj Tiwari4Jack Chen5Yinghua Xu6Matthew Smith7Daniel KY Chan8Aged Care and Rehabilitation Department Bankstown‐Lidcombe Hospital Bankstown NSW AustraliaAged Care and Rehabilitation Department Bankstown‐Lidcombe Hospital Bankstown NSW AustraliaAged Care and Rehabilitation Department Bankstown‐Lidcombe Hospital Bankstown NSW AustraliaAged Care and Rehabilitation Department Bankstown‐Lidcombe Hospital Bankstown NSW AustraliaAged Care and Rehabilitation Department Bankstown‐Lidcombe Hospital Bankstown NSW AustraliaIngham Institute & Simpson Centre for Health Services Research SWS Clinical School/UNSW Sydney NSW AustraliaAged Care and Rehabilitation Department Bankstown‐Lidcombe Hospital Bankstown NSW AustraliaAged Care and Rehabilitation Department Bankstown‐Lidcombe Hospital Bankstown NSW AustraliaAged Care and Rehabilitation Department Bankstown‐Lidcombe Hospital Bankstown NSW AustraliaAbstract Introduction Residential aged care facility (RACF) residents frequently present to the emergency department (ED) and are often admitted to hospital. Some presentations and admissions may be avoidable. In 2013, Bankstown‐Lidcombe Hospital introduced a subacute geriatric outreach service (SGOS), which had little impact on reducing ED presentations. In 2015, Bankstown‐Lidcombe Hospital introduced an acute geriatric outreach service (AGOS), a geriatrician‐led team that assesses and treats acutely unwell patients in RACFs. We aim to determine whether the AGOS reduces the risk of hospital admission for RACF residents. Methods Hospital admissions data from 2010 to 2019 were used to conduct an interrupted time series (ITS) analysis. AGOS activity data were also summarized. Results The average number of admissions from RACF per month declined from 42.8 during the SGOS period to 27.1 during the AGOS period. The difference of 15.7 admissions from RACF per month was statistically significant (95% CI 12.1–19.2; P < .001). After the introduction of the AGOS, the risk of admission to our geriatric department from RACFs was reduced by 36.1% (incidence rate ratio =0.64; 95% CI: 0.58–0.71; P < .001) compared to the SGOS period, adjusting for seasonality. Discussion The AGOS probably reduced the risk of hospital admission for RACF residents.https://doi.org/10.1002/agm2.12176Geriatrichealth service evaluationhealth services for the agedhospital avoidancehospital in the nursing homeresidential facilities, hospital avoidance |
| spellingShingle | Jun Dai Frank Liu Deni Irwanto Manoj Kumar Nabaraj Tiwari Jack Chen Yinghua Xu Matthew Smith Daniel KY Chan Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions Aging Medicine Geriatric health service evaluation health services for the aged hospital avoidance hospital in the nursing home residential facilities, hospital avoidance |
| title | Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions |
| title_full | Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions |
| title_fullStr | Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions |
| title_full_unstemmed | Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions |
| title_short | Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions |
| title_sort | impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions |
| topic | Geriatric health service evaluation health services for the aged hospital avoidance hospital in the nursing home residential facilities, hospital avoidance |
| url | https://doi.org/10.1002/agm2.12176 |
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