Key result
The URGENT care model is being evaluated in a prospective quasi-experimental study of 1502 older adults to determine its effectiveness in reducing unplanned emergency department readmissions.
Why the study?
Does the URGENT care model reduce unplanned ED readmissions in community-dwelling older adults presenting to the emergency department?
Does the URGENT care model reduce unplanned ED readmissions in community-dwelling older adults presenting to the emergency department?
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This study protocol outlines a quasi-experimental trial to evaluate whether a nurse-led comprehensive geriatric assessment and transitional care model in the emergency department reduces unplanned readmissions in older adults.
BACKGROUND: International guidelines recommend adapting the classic emergency department (ED) management model to the needs of older adults in order to ameliorate post-ED outcomes among this vulnerable group. To improve the care for older ED patients and especially prevent unplanned ED readmissions, the URGENT care model was developed. METHODS: The URGENT care model is a nurse-led, comprehensive geriatric assessment based care model in the ED with geriatric follow-up after ED discharge. A prospective single centre quasi-experimental study (sequential design with two cohorts) is used to evaluate its effectiveness on unplanned ED readmission compared to usual ED care. Secondary outcome measures are hospitalization rate, ED length of stay, in-hospital length of stay, higher level of care, functional decline and mortality. DISCUSSION: URGENT builds on previous research with adaptations tailored to the local context and addresses the needs of older patients in the ED with a special focus on transition of care. Although the selected approaches have been tested in other settings, evidence on this type of innovative care models in the ED setting is inconclusive. TRIAL REGISTRATION: The study protocol is registered retrospectively with ISRCTN ( ISRCTN91449949 ).
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Devriendt et al. (2018) studied Geriatric care needs in the emergency department (n=1,502). URGENT care model vs. Usual ED care was evaluated on Unplanned emergency department readmission. The URGENT care model is being evaluated in a prospective quasi-experimental study of 1502 older adults to determine its effectiveness in reducing unplanned emergency department readmissions.
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