How effective are acute geriatric wards at admitting geriatric patients?

Kafetz, Kalman

doi:10.7861/clinmedicine.10-4-420a

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…A systematic review has shown that dedicated ward-based Comprehensive Geriatric Assessment (CGA) and multidisciplinary intervention can improve the health outcomes of older people admitted to hospital (Ellis et al, 2011). In spite of having a strong evidence base, dedicated wardbased acute Geriatric Medicine Units are still not a universal practice (Kafetz, 2010).…”

Section: Introductionmentioning

confidence: 99%

Frailty and adverse outcomes: impact of multiple bed moves for older inpatients

Ranasinghe

Fleury

Peel

et al. 2016

Int. Psychogeriatr.

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Section: Introductionmentioning

confidence: 99%

Frailty and adverse outcomes: impact of multiple bed moves for older inpatients

Ranasinghe

Fleury

Peel

et al. 2016

Int. Psychogeriatr.

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“…Whether it has been research performed on medication reconciliation (Baker, Lindquist, Liss, & Noskin, 2010;Stone, Boehme, Mundorff, Maloney, & Sriastava, 2010;Unroe, Pfeiffenberger, Riegelhaupt, Jastrzembski, Lokhnygina, & Colón-Emeric, 2010), effects on the admission unit when patients with a particular sickness, disease, or a particular age are admitted (Kafetz, 2010;Flanagan, Ellis, Baggott, Grimsehl, & English, 2010;Simon, et al, 2010), or admission process improvement (Johnson, et al, 2012;Huang, Thind, Dreyer, & Zaric, 2010), it is recognized as the beginning of the treatment process and, if performed efficiently, the first critical step towards improved patient outcomes. Hence, the need for improvement is always present.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a children's hospital's direct admission process to improve outcomes and efficiency of care.

Hoover

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Allocating patients to geriatric medicine wards in a tertiary university hospital in England: A service evaluation of the Specialist Advice for the Frail Elderly (SAFE) team

et al. 2018

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The number of older patients admitted to acute hospitals has increased; however, their needs are heterogeneous and there is no gold‐standard method of triaging them towards practicing comprehensive geriatric assessment (CGA). In our hospital, the SAFE (Specialist Advice for the Frail Elderly) team provide an initial geriatric assessment of all emergency admissions of patients aged ≥75 years (with some assessments also occurring in those aged 65 to 74 years) and recommend as to whether CGA in a dedicated Department of Medicine for the Elderly (DME) ward may be required. SAFE assessments include routine screening for geriatric syndromes using validated tools. Our aim was to compare the characteristics (age, gender, acute illness severity on admission as per modified early warning score (MEWS), Charlson Comorbidity Index, Clinical Frailty Scale (CFS), presence of dementia and delirium) and outcomes (length of stay, delayed discharge, inpatient mortality, discharge to usual place of residence, and new institutionalization) of patients listed to a DME ward, to those not listed. We analyzed all SAFE team assessments of patients admitted nonelectively between February 2015 and November 2016. Of 6192 admissions, 16% were listed for a DME ward. Those were older, had higher MEWS and CFS score, were more often affected by cognitive impairment, had longer hospital stay, higher inpatient mortality, and more often required new institutionalization. Higher CFS and presence of dementia and delirium were the strongest predictors of DME ward recommendation. Routine measurement of markers of geriatric complexity may help maximize access to finite inpatient CGA resources.

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How effective are acute geriatric wards at admitting geriatric patients?

Cited by 3 publications

References 5 publications

Frailty and adverse outcomes: impact of multiple bed moves for older inpatients

Frailty and adverse outcomes: impact of multiple bed moves for older inpatients

Evaluation of a children's hospital's direct admission process to improve outcomes and efficiency of care.

Allocating patients to geriatric medicine wards in a tertiary university hospital in England: A service evaluation of the Specialist Advice for the Frail Elderly (SAFE) team

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