Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use.

ABSTRACT:

Objectives

To examine the effect of an emergency department (ED)-based transitional care nurse (TCN) on hospital use.

Design

Prospective observational cohort.

Setting

Three U.S. (NY, IL, NJ) EDs from January 1, 2013, to June 30, 2015.

Participants

Individuals aged 65 and older in the ED (N = 57,287).

Intervention

The intervention was first TCN contact. Controls never saw a TCN during the study period.

Measurements

We examined sociodemographic and clinical characteristics associated with TCN use and outcomes. The primary outcome was inpatient admission during the index ED visit (admission on Day 0). Secondary outcomes included cumulative 30-day admission (any admission on Days 0-30) and 72-hour ED revisits.

Results

A TCN saw 5,930 (10%) indi

SUBMITTER: Hwang U 

PROVIDER: S-EPMC6764445 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature