A nurse led model of care for older people in the Emergency Department (ED). An evaluation of the Aged Care Emergency (ACE) Program

Not Applicable

Completed

• Conditions: Emergency Care; Transitions of care; Public Health - Health service research; Older person care; Nursing home care

• Registration Number: ACTRN12616000588493
• Lead Sponsor: Hunter New England Local Health District

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2016-05-06
• Study Completion: 2018-05-01
• Last Update Posted: 18 October 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1257

Inclusion Criteria

The intervention groups were four residential aged care facilities (RACFs) who frequently referred patients to the Emergency Department. All resident transfers were reviewed in the hospital information system.

The 4 intervention RACFs were purposefully chosen as they frequently transferred patients to the ED, more commonly than other RACFs. They had previously participated in focus groups that identified barriers and facilitators to quality management of acutely unwell residents as RACFs that frequently transferred patients to the ED.

Exclusion Criteria

Only residents from the 4 residential aged care facilities were included. All other Residential aged Care Facilities were excluded.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Hospital admission following Emergency Department presentation using the hospital information system. [At time of ED presentation]

Secondary Outcome Measures

Name	Time	Method
umber of ED presentation per aged care facility using the hospital information system. [Throughout the 9 month period, numbers of ED presentations were monitored from both the intervention and control Residential Aged Care Facilities. This was also compared with the same time periods for the 2 years prior.];ED length of stay (LOS) in minutes from time of presentation to discharge from ED using the hospital information system. [From ED arrival to ED discharge in minutes. ];Hospital length of stay using the hospital information system[Days from ED presentation to hospital discharge in days. ];28 day readmission using the hospital information system[28 days post discharge from a hospital admission.]