Evaluation of the Aged Care Emergency (ACE) Program
Not Applicable
Completed
- Conditions
- GeriatricsAcutely unwell residents of residential aged care facilitiesEmergency medicine - Other emergency carePublic Health - Health service research
- Registration Number
- ACTRN12619001620112
- Lead Sponsor
- Hunter New England Local Health District
- Brief Summary
There were 18837 patients presenting to the ED from RACFs. 64% were female with an average age of 87 years. 92% arrived via ambulance and 45% were admitted to hospital. The incident rate ratio of RACF admissions per month was 0.79 meaning that residents were 21% less likely to be admitted to hospial. 7 day ED reporesentations dropped from 5.7% to 4.9% and 30 day readmissions was similar at 12% in the control period and 10% in the intervention period.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 7253
Inclusion Criteria
All residents living in RACFs enrolled in ACE program
Exclusion Criteria
Patients not living in Residential Aged Care Facilities
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Admission to hospital. Hospital administrative data was used to identify ED transfer and hospital admission. [There was a 3 month transition period after the intervention was introduced to each RACF. Comparisons were made comparing admissions to hospital for each RACF before and after the intervention per one thousand RACF bed days per month. ]
- Secondary Outcome Measures
Name Time Method Transfer to the Emergency Department. Hospital administrative data was used to identify ED transfer and hospital admission. [There was a 3 month transition period after the intervention was introduced to each RACF. Comparisons were made comparing transfer to ED for each RACF before and after the intervention per one thousand RACF bed days per month. ]