Case management for emergency department frequent users: a randomized controlled trial

Détails

ID Serval
serval:BIB_357FD91D8507
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Institution
Titre
Case management for emergency department frequent users: a randomized controlled trial
Titre de la conférence
Praxis
Auteur(s)
Bodenmann P. (co-premier), Velonaki V.-S., Baggio S., Iglesias K., Moschetti K., Ruggeri O., Hugli O., Burnand B., Wasserfallen J.-B., Daeppen J.-B. (co-dernier)
Organisation
83. Jahresversammlung der Schweizerischen Gesellschaft für Allgemeine Innere Medizin (SGIM)/83e assemblée annuelle de la Société Suisse de Médecine Interne Générale (SSMI), 20.-22. Mai 2015 Congress Center Basel
Statut éditorial
Publié
Date de publication
2015
Volume
104
Pages
17-18
Langue
anglais
Notes
Communications libres, FM 256
Résumé
Background: Emergency department frequent users (EDFUs) account for a disproportionally high number of emergency department (ED) visits, contributing to overcrowding and high health-care costs. At the Lausanne University Hospital, EDFUs account for only 4.4% of ED patients, but 12.1% of all ED visits. Our study tested the hypothesis that an interdisciplinary case management intervention red.
Methods: In this randomized controlled trial, we allocated adult EDFUs (5 or more visits in the previous 12 months) who visited the ED of the University Hospital of Lausanne, Switzerland between May 2012 and July 2013 either to an intervention (N=125) or a standard emergency care (N=125) group and monitored them for 12 months. Randomization was computer generated and concealed, and patients and research staff were blinded to the allocation. Participants in the intervention group, in addition to standard emergency care, received case management from an interdisciplinary team at baseline, and at 1, 3, and 5 months, in the hospital, in the ambulatory care setting, or at their homes. A generalized, linear, mixed-effects model for count data (Poisson distribution) was applied to compare participants' numbers of visits to the ED during the 12 months (Period 1, P1) preceding recruitment to the numbers of visits during the 12 months monitored
(Period 2, P2).
Création de la notice
01/09/2015 9:30
Dernière modification de la notice
21/07/2021 6:39
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