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BMC Geriatrics
Published in: BMC Geriatrics 1/2018

Open Access 01-12-2018 | Study protocol

Unplanned Readmission prevention by Geriatric Emergency Network for Transitional care (URGENT): protocol of a prospective single centre quasi-experimental study

Authors: Els Devriendt, Pieter Heeren, Steffen Fieuws, Nathalie I. H. Wellens, Mieke Deschodt, Johan Flamaing, Marc Sabbe, Koen Milisen

Published in: BMC Geriatrics | Issue 1/2018

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Abstract

Background

International guidelines recommend adapting the classic emergency department (ED) management model to the needs of older adults in order to ameliorate post-ED outcomes among this vulnerable group. To improve the care for older ED patients and especially prevent unplanned ED readmissions, the URGENT care model was developed.

Methods

The URGENT care model is a nurse-led, comprehensive geriatric assessment based care model in the ED with geriatric follow-up after ED discharge. A prospective single centre quasi-experimental study (sequential design with two cohorts) is used to evaluate its effectiveness on unplanned ED readmission compared to usual ED care. Secondary outcome measures are hospitalization rate, ED length of stay, in-hospital length of stay, higher level of care, functional decline and mortality.

Discussion

URGENT builds on previous research with adaptations tailored to the local context and addresses the needs of older patients in the ED with a special focus on transition of care. Although the selected approaches have been tested in other settings, evidence on this type of innovative care models in the ED setting is inconclusive.

Trial registration

The study protocol is registered retrospectively with ISRCTN (ISRCTN91449949).
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Metadata
Title
Unplanned Readmission prevention by Geriatric Emergency Network for Transitional care (URGENT): protocol of a prospective single centre quasi-experimental study
Authors
Els Devriendt
Pieter Heeren
Steffen Fieuws
Nathalie I. H. Wellens
Mieke Deschodt
Johan Flamaing
Marc Sabbe
Koen Milisen
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2018
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-018-0933-x

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