A randomized controlled trial testing the effectiveness of a paramedic-delivered care transitions intervention to reduce emergency department revisits.

ABSTRACT: BACKGROUND:Approximately 20% of community-dwelling older adults discharged from the emergency department (ED) return to an ED within 30 days, an occurrence partially resulting from poor care transitions. Prior published interventions to improve the ED-to-home transition have either lacked feasibility or effectiveness. The Care Transitions Intervention (CTI) has been validated to decrease rehospitalization among patients transitioning from the hospital to the home but has never been tested for patients transitioning from the ED to the home. Paramedics, traditionally involved only in emergency care, are well-positioned to deliver the CTI, but have never been previously evaluated in this role. METHODS:This single-blinded randomized controlled trial tests whether the paramedic-delivered ED-to-

SUBMITTER: Mi R 

PROVIDER: S-EPMC5934842 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature