January 22, 2009BMC GeriatricsOpen Access

Delayed transfer of care from NHS secondary care to primary care in England: its determinants, effect on hospital bed days, prevalence of acute medical conditions and deaths during delay, in older adults aged 65 years and over

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Population

158 adults aged ≥65 years admitted to two care of the elderly wards in a district general hospital in…

Design

Cohort

Follow-up

until discharge or death

Authors

KJKrishantha H JasinarachchiNorfolk and Norwich University Hospital IIIbrahim R IbrahimNorfolk and Norwich University Hospital BKBreffni C KeeganNeuroNascent (United States)

Discussion

Member takes

Implication

Delayed transfers burden beds and link to deaths in older adults; observational data leaves open whether expediting care improves outcomes.

Structured PICO

Population

158 adults aged ≥65 years (median age 82.5, 50% male) admitted to two care of the elderly wards in a district general hospital in England during February 2007.

Outcome

Determinants and outcomes of delayed transfer of care (including extra bed days, acute medical conditions, and deaths during delay)

Delayed transfer of care in older adults is common and associated with significant hospital bed day losses, incident medical complications, and mortality.

Limitations

Medically fit status was a subjective judgment and inter-observer agreement was not tested
Conducted in the middle of winter, which might overestimate the impact
Did not follow up timely discharges for comparison of morbidity/mortality
Single center study, influenced by local factors like community bed availability
Lack of data on prior home help and social support

Cite This Study

Jasinarachchi et al. (2009) studied this question.

synapsesocial.com/papers/6a8048ac2cf87dafd7c880d6 https://doi.org/10.1186/1471-2318-9-4

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Implication

Delayed transfers burden beds and link to deaths in older adults; observational data leaves open whether expediting care improves outcomes.

Delayed transfer of care from NHS secondary care to primary care in England: its determinants, effect on hospital bed days, prevalence of acute medical conditions and deaths during delay, in older adults aged 65 years and over

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Delayed transfer of care from NHS secondary care to primary care in England: its determinants, effect on hospital bed days, prevalence of acute medical conditions and deaths during delay, in older adults aged 65 years and over

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider