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Centre for Policy on Ageing | |
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A controlled evaluation of comprehensive geriatric assessment in the emergency department
— the 'Emergency Frailty Unit' | | Author(s) | Simon Paul Conroy, Kharwar Ansari, Mark Williams |
| Journal title | Age and Ageing, vol 42, no 1, January 2014 |
| Publisher | Oxford University Press, January 2014 |
| Pages | pp 109-114 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Medical care ; Needs [elderly] ; Evaluation ; Accident & emergency depts ; Admission [hospitals] ; Midlands [England]. |
| Annotation | Little previous research has focused on the needs of older people attending emergency departments (EDs), and there have been no evaluations of comprehensive geriatric assessment (CGA) embedded within the ED setting. The authors describe a pre-post cohort study of the impact of embedding CGA within a large ED in the East Midlands. The primary outcome was admission avoidance from the ED, with readmissions, length of stay and bed-day use as secondary outcomes. The study found that. attendances to ED increased in older people over the study period, whereas the ED conversion rate fell from 69.6 to 61.2% in people aged 85+, and readmission rates in this group fell from 26.0% at 90 days to 19.9%. In-patient bed-day use increased slightly, as did the mean length of stay. It is possible to embed CGA within EDs, which is associated with improvements in operational outcomes. (RH) |
| Accession Number | CPA-150522291 A |
| Classmark | LK: IK: 4C: LD6: LD:QKH: 82X |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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