Nursing home residents at the Emergency Department: a 6-year retrospective analysis in a Swiss academic hospital.

Détails

ID Serval
serval:BIB_EAE382F6232D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Nursing home residents at the Emergency Department: a 6-year retrospective analysis in a Swiss academic hospital.
Périodique
Internal and emergency medicine
Auteur(s)
Carron P.N., Mabire C., Yersin B., Büla C.
ISSN
1970-9366 (Electronic)
ISSN-L
1828-0447
Statut éditorial
Publié
Date de publication
03/2017
Peer-reviewed
Oui
Volume
12
Numéro
2
Pages
229-237
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The increasing number of elderly persons produces an increase in emergency department (ED) visits by these patients, including nursing home (NH) residents. This trend implies a major challenge for the ED. This study sought to investigate ED visits by NH residents in an academic hospital. A retrospective monocentric analysis of all ED visits by NH residents between 2005 and 2010 in a Swiss urban academic hospital. All NH residents aged 65 years and over were included. Socio-demographic data, mode of transfer to ED, triage severity rating, main reason for visit, ED and hospital length of stay, discharge dispositions, readmission at 30 and 90 day were collected. Annual ED visits by NH residents increased by 50 % (from 465 to 698) over the study period, accounting for 1.5 to 1.9 % of all ED visits from 2005 to 2010, respectively. Over the period, yearly rates of ED visits increased steadily from 18.8 to 27.5 per 100 NH residents. Main reasons for ED visits were trauma, respiratory, cardiovascular, digestive, and neurological problems. 52 % were for urgent situations. Less than 2 % of NH residents died during their ED stay and 60 % were admitted to hospital wards. ED use by NH residents disproportionately increased over the period, likely reflecting changes in residents and caregivers' expectations, NH staff care delivery, as well as possible correction of prior ED underuse. These results highlight the need to improve ED process of care for these patients and to identify interventions to prevent potentially unnecessary ED transfers.

Pubmed
Web of science
Création de la notice
13/02/2017 16:15
Dernière modification de la notice
20/08/2019 16:13
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