Emergency department use among patients from residential aged care facilities under a Hospital in the Nursing Home scheme in public hospitals in Queensland Australia

Lukin, Bill and Fan, Li-jun and Zhao, Jing-zhou and Sun, Jian-dong and Dingle, Kaeleen and Purtill, Rhonda and Tapp, Sam and Hou, Xiang-Yu (2016) Emergency department use among patients from residential aged care facilities under a Hospital in the Nursing Home scheme in public hospitals in Queensland Australia. World Journal of Emergency Medicine, 7 (3). pp. 183-190. ISSN 1920-8642


Abstract

BACKGROUND: Hospital emergency department (ED) use by patients from residential aged care facilities (RACFs) is not always appropriate, and this calls for interventions to avoid some unnecessary uses. This study aims to compare patterns of ED use by RACF patients with and without a Hospital in the Nursing Home (HiNH) program. METHODS: RACF patients presenting to EDs of a hospital with and a hospital without this program during pre- and post-intervention periods were included. Data on patient demographics and ED presentation characteristics were obtained from the Emergency Department Information System database, and were analysed by descriptive and comparative statistics. RESULTS: In both hospitals, most RACF residents presenting to EDs were aged between 75–94 years, female, triaged at scale 3 to 5, and transferred on weekdays and during working hours. Almost half of them were subsequently admitted to hospitals. In accordance with the ICD-10- AM diagnostic coding system, diagnoses that consistently ranked among the top three reasons for visiting the two hospitals before and after intervention included Chapter XIX: injury and poisoning and Chapter X: respiratory diseases. Associated with the intervention, significant decreases in the numbers of presentations per 1 000 RACF beds were identified among patients diagnosed with Chapter XI: digestive diseases [rate ratio (95%CI): 0.09 (0.04, 0.22); P<0.0001] and Chapter XXI: factors influencing health status and contact with health services [rate ratio (95%CI): 0.22 (0.07, 0.66); P=0.007]. CONCLUSION: The HiNH program may reduce the incidence of RACF residents visiting EDs for diagnoses of Chapter XI and Chapter XXI.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 17 Jun 2021 01:59
Last Modified: 23 Aug 2021 01:30
Uncontrolled Keywords: Emergency Department, Aged Care Residents, Australia
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111702 Aged Health Care
11 Medical and Health Sciences > 1103 Clinical Sciences > 110305 Emergency Medicine
Fields of Research (2020): 42 HEALTH SCIENCES > 4203 Health services and systems > 420312 Implementation science and evaluation
42 HEALTH SCIENCES > 4203 Health services and systems > 420306 Health care administration
42 HEALTH SCIENCES > 4203 Health services and systems > 420305 Health and community services
Socio-Economic Objectives (2008): C Society > 92 Health > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes
C Society > 92 Health > 9202 Health and Support Services > 920208 Health Policy Evaluation
C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920412 Preventive Medicine
Socio-Economic Objectives (2020): 20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs)
20 HEALTH > 2002 Evaluation of health and support services > 200202 Evaluation of health outcomes
20 HEALTH > 2002 Evaluation of health and support services > 200205 Health policy evaluation
Identification Number or DOI: https://doi.org/10.5847/wjem.j.1920-8642.2016.03.004
URI: http://eprints.usq.edu.au/id/eprint/42235

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