@article{ref1,
title="Effectiveness of a geriatrician in the emergency department in facilitating safe admission prevention of older patients",
journal="Clinical medicine (London, England)",
year="2013",
author="Jones, Sally and Wallis, Peter",
volume="13",
number="6",
pages="561-564",
abstract="The decision to admit a frail older patient is rarely made by a geriatrician and often falls to staff in the emergency department (ED), who may not have the training to balance the risks, benefits and alternatives. We based a consultant geriatrician in the ED with the primary aim of facilitating admission prevention for older patients and this was achieved for 64% (543/848) of patients. A secondary aim was to facilitate direct admission to elderly care wards when admission was necessary, and this was achieved for 57% of admitted patients (174/305). The geriatrician was able to facilitate discharge from the ED for over half of potential 30-day readmissions seen. The overall 7-day ED re-attendance rate was 10.1%, but only 3.4% of patients were admitted with the same problem, indicating true admission prevention rather than admission delay. In conclusion, the placement of a consultant geriatrician in the ED is effective in facilitating admission prevention for older patients.<p /> <p>Language: en</p>",
language="en",
issn="1470-2118",
doi="10.7861/clinmedicine.13-6-561",
url="http://dx.doi.org/10.7861/clinmedicine.13-6-561"
}