343 RIGHT CARE, RIGHT PLACE, RIGHT TIME? WHAT PROPORTION OF ACUTELY-UNWELL OLDER PATIENTS UNDERGO EVIDENCE-BASED COMPREHENSIVE GERIATRIC ASSESSMENT?
نویسندگان
چکیده
Abstract Background There is robust evidence that Comprehensive Geriatric Assessment (CGA) improves outcomes for acutely unwell older people. Relatively little research has examined how this translates to real life clinical settings, however. The aim of study therefore was ascertain many people admitted hospital underwent CGA and impacted on readmission rates. Methods site a large teaching with 150 specialist geriatric medicine beds ‘specialty-take’ frail, by the service. Data pertaining contact service were collected 400 consecutive ED presentations patients aged ≥70 years from 1/1/21, as well Clinical Frailty Scale (CFS) within 30 days. Results Over one-third (139/400, mean CFS 3.7) discharged home directly ED, remainder (261/400, 4.5) hospital. Almost-half overall (122/261, 4.7) 58% those ≥80 years, under care geriatrician, 73% (89/122) cared ward. Of not 10% (13/139) subsequently consultation basis. In total, 48% (126/261, including CFS≥5 (36/99), completed their admission without undergoing CGA. who did receive CGA, days 24% compared 13% Conclusion Patients older, higher levels frailty. However, ≥5 undergo early in cohort. acute setting finite resource it imperative delivered require most.
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ژورنال
عنوان ژورنال: Age and Ageing
سال: 2022
ISSN: ['1468-2834', '0002-0729']
DOI: https://doi.org/10.1093/ageing/afac218.300