May 16, 2017BMC Health Services ResearchOpen Access

What is the evidence for the management of patients along the pathway from the emergency department to acute admission to reduce unplanned attendance and admission? An evidence synthesis

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Why the study?

Do interventions along the patient journey from ED arrival to 72 hours after admission reduce unplanned ED attendance and admissions in patients with an acute exacerbation of a medical condition?

Population

Patients with an acute exacerbation of a medical condition in the Emergency Department or acute care…

Comparison

Interventions conducted during the patient's… vs Usual care or standard care.

Design

Systematic_review

Authors

SCSarah CredéUniversity of Sheffield COColin O’KeeffeFundación Juan March SMSuzanne MasonUniversity of Sheffield

Discussion

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Implication

Current interventions lack proven efficacy for preventing acute readmissions; leaves open the need for targeted prospective trials.

Structured PICO

Do interventions along the patient journey from ED arrival to 72 hours after admission reduce unplanned ED attendance and admissions in patients with an acute exacerbation of a medical condition?

Population

Patients with an acute exacerbation of a medical condition in the Emergency Department (ED) or acute care setting. The review included 30 studies (19 intervention studies including 14 RCTs, and 11 controlled observational studies).

Intervention

Interventions conducted during the patient's journey through the ED or acute care setting (from ED arrival to 72 hours after admission) to manage people with an exacerbation of a medical condition.

Comparator

Usual care or standard care.

Outcome

Unplanned emergency hospital attendance and admissions (ED re-attendance or readmission).

There is currently insufficient evidence to support specific interventions from ED arrival to 72 hours post-admission for reducing unplanned re-attendances or readmissions, highlighting a need for targeted research in high-risk populations such as the elderly.

Cite This Study

Credé et al. (2017) studied this question.

synapsesocial.com/papers/6a7e2beab4bc8cde2bf70f4c https://doi.org/10.1186/s12913-017-2299-8

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What is the evidence for the management of patients along the pathway from the emergency department to acute admission to reduce unplanned attendance and admission? An evidence synthesis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

What is the evidence for the management of patients along the pathway from the emergency department to acute admission to reduce unplanned attendance and admission? An evidence synthesis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider