Predictors of emergency commitment for nursing home residents: the role of resident and facility characteristics

Becker, Mary; Boaz, Timothy L.; DeMuth, Anne; Andel, Ross

doi:10.1002/gps.2817

Cited by 4 publications

(2 citation statements)

References 46 publications

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“…For example, our data indicates that geriatric psychiatry expertise may be needed on inpatient psychiatry units. In addition, expertise in management of behavioral sequelae of cognitive impairment is also needed on an outpatient basis to prevent readmission, since patients with dementia living in nursing homes are at higher risk of emergency commitment than those without dementia (Becker, Boaz, DeMuth, & Andel, 2012). …”

Section: Discussionmentioning

confidence: 99%

Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital

Cheng

Shumway

Leary

et al. 2016

Community Ment Health J

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This case-control study identified patient-specific factors associated with the longest psychiatric inpatient lengths of stay (LOS) at a large urban county hospital. Subjects with LOS ≥ 60 days comprised the extended LOS (ELOS) case cohort. An equally-sized control cohort consisted of a random sample of inpatients with LOS ≤ 30 days. T-tests and chi-square tests were conducted to determine differences between groups. Factors associated with ELOS included older age, cognitive impairment, higher number of medical conditions requiring medication, and violence during hospital stay. Initiatives focused on community placement of patients with these characteristics may reduce prolonged LOS at safety-net hospitals.

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Section: Discussionmentioning

confidence: 99%

Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital

Cheng

Shumway

Leary

et al. 2016

Community Ment Health J

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“… 8 , 9 , 10 NPS also frequently result in inappropriate use of emergency facility networks 11 despite the negative impact on patients’ functional autonomy and quality of life. 12 , 13 , 14 The older population living in LTCFs is particularly exposed to the risk of decompensation in the event of stressful situations such as transportation to emergencies. While the situation is not new, the recent viral pandemic is a dramatic reminder of this fact.…”

Section: Introductionmentioning

confidence: 99%

Health workers perception on telemedicine in management of neuropsychiatric symptoms in long-term care facilities: Two years follow-up

et al. 2020

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Highlights We conducted a large multicenter trial focusing on the perception of telemedicine over a two-year period in the real world. Health professionals confirmed their positive perception of telemedicine after two years of use. We pointed out the importance of involving staff members in a participatory approach to ensure generalized adherence to telemedicine as a service. The results establish lines of action for a large-scale deployment of such solution.

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Telemedicine for the management of neuropsychiatric symptoms in long-term care facilities: the DETECT study, methods of a cluster randomised controlled trial to assess feasibility

et al. 2018

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IntroductionNeuropsychiatric symptoms (NPSs) in elderly patients with dementia are frequent in long-term care facilities (LTCFs) and are associated with adverse events. Telemedicine is an emerging way to provide consultation and care to dependent LTCF residents who may not have easy access to specialty services. Several studies have evaluated telemedicine for dementia care but to date, no study has evaluated its impact in the management of NPS in patients with dementia living in LTCF.Methods and analysisThe Dementia in long-term care facilities: Telemedicine for the management of neuropsychiatric symptoms (DETECT) study is a 24-month multicentre prospective cluster randomised controlled study with two arms: a control arm (usual care) and an intervention arm (telemedicine consultation) for NPSs management. DETECT enrolled 20 LTCFs. The primary outcome is based on the acceptability of the telemedicine among the LTCF staff which will be assessed in the intervention group by quantitative and qualitative indicators. The rate of unscheduled hospitalisations and/or consultations due to disruptive NPSs, psychotropic drug use and health costs will be described in both groups. Approximately, 200 patients are expected to be recruited.Ethics and disseminationThe study protocol was approved and sponsored by the French Ministry of Health. The study received ethical approval from the Toulouse University Hospital Institutional Review Board. We will communicate the final results to the public via conferences and results will also be submitted for publication in international peer-reviewed scientific journals.Trial registration numberNCT02472015.

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Predictors of emergency commitment for nursing home residents: the role of resident and facility characteristics

Cited by 4 publications

References 46 publications

Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital

Patient Factors Associated with Extended Length of Stay in the Psychiatric Inpatient Units of a Large Urban County Hospital

Health workers perception on telemedicine in management of neuropsychiatric symptoms in long-term care facilities: Two years follow-up

Telemedicine for the management of neuropsychiatric symptoms in long-term care facilities: the DETECT study, methods of a cluster randomised controlled trial to assess feasibility

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