دورية أكاديمية
أعرض في EDS

Care in the Community: A COVID-19 initiative to reduce hospital re-presentations among community-dwelling people.

التفاصيل البيبلوغرافية
العنوان: Care in the Community: A COVID-19 initiative to reduce hospital re-presentations among community-dwelling people.
المؤلفون: Ling T; Department of Geriatric Medicine, Liverpool Hospital, Sydney, New South Wales, Australia., Basic D; Department of Geriatric Medicine, Liverpool Hospital, Sydney, New South Wales, Australia., Tcharkhedian E; Department of Physiotherapy, Liverpool Hospital, Sydney, New South Wales, Australia., Campisi J; Department of Occupational Therapy, Liverpool Hospital, Sydney, New South Wales, Australia., Pringle B; Aged Care Services Emergency Team, Liverpool Hospital, Sydney, New South Wales, Australia., Khoo A; Department of Geriatric Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
المصدر: Australasian journal on ageing [Australas J Ageing] 2024 Jul 15. Date of Electronic Publication: 2024 Jul 15.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: published on behalf of ACOTA by Wiley-Blackwell Publishing Asia Country of Publication: Australia NLM ID: 9808874 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1741-6612 (Electronic) Linking ISSN: 14406381 NLM ISO Abbreviation: Australas J Ageing Subsets: MEDLINE
أسماء مطبوعة: Publication: Melbourne : published on behalf of ACOTA by Wiley-Blackwell Publishing Asia
Original Publication: Melbourne, Vic. : Council on the Ageing (Australia), [1998-
مستخلص: Objective: The COVID-19 pandemic has had a substantial impact on the utilisation of hospital and emergency department (ED) services. We examined the effect of a rapid response service on hospital re-presentations among people discharged from the ED and short-stay wards at a tertiary referral hospital.
Methods: This retrospective cohort study compared 112 patients who completed the Care in the Community program with 112 randomly selected controls. Both cases and controls were discharged from hospital between September 2020 and June 2021. Intervention patients were evaluated by a multidisciplinary team, who implemented a goal-directed program of up to 4-weeks duration. Logistic regression, negative binomial regression and Cox proportional hazards regression were used to evaluate outcomes at 28 days and at 6 months.
Results: The median time between referral and the first home visit was 3.9 days. In adjusted analyses, the intervention reduced hospital re-presentations at 28 days (odds ratio: .40, 95% confidence interval (CI): .17-.94) and lengthened the time to the first hospital re-presentation (hazard ratio: .59, 95% CI: .38-.92). Although the intervention did not reduce the total number of hospital re-presentations at 6 months (adjusted incidence rate ratio: .73, 95% CI: .49-1.08), it reduced total time spent in hospital by 303 days (582 vs. 885).
Conclusions: This study is among the first to investigate the effect of a community-based intervention on hospital re-presentations during the COVID-19 pandemic. It provides evidence that a sustainable 4-week intervention is associated with reduced hospital re-presentations and time spent in hospital.
(© 2024 AJA Inc’.)
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فهرسة مساهمة: Keywords: COVID‐19; multidisciplinary research; rapid response team; rehospitalization
تواريخ الأحداث: Date Created: 20240715 Latest Revision: 20240715
رمز التحديث: 20240715
DOI: 10.1111/ajag.13356
PMID: 39007519
قاعدة البيانات: MEDLINE
الوصف
تدمد:1741-6612
DOI:10.1111/ajag.13356