Impact of a specialist service in the Emergency Department on admission, length of stay and readmission of patients presenting with falls, syncope and dizziness
| Autor: | Conal Cunningham, Robert Briggs, K Jusmanova, Rose Anne Kenny, Ciara Rice, Robbie Bourke, C. G. McMahon, Amanda Lavan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
biology business.industry Syncope (genus) Retrospective cohort study General Medicine Emergency department Bed days 030204 cardiovascular system & hematology Front door biology.organism_classification Confidence interval 03 medical and health sciences 0302 clinical medicine Ambulatory care Emergency medicine Medicine 030212 general & internal medicine business Cohort study |
| Zdroj: | QJM: An International Journal of Medicine. 114:32-38 |
| ISSN: | 1460-2393 1460-2725 |
| DOI: | 10.1093/qjmed/hcaa261 |
| Popis: | Summary Background Up to half of patients presenting with falls, syncope or dizziness are admitted to hospital. Many are discharged without a clear diagnosis for their index episode, however, and therefore a relatively high risk of readmission. Aim To examine the impact of ED-FASS (Emergency Department Falls and Syncope Service) a dedicated specialist service embedded within an ED, seeing patients of all ages with falls, syncope and dizziness. Design Pre- and post-cohort study. Methods Admission rates, length of stay (LOS) and readmission at 3 months were examined for all patients presenting with a fall, syncope or dizziness from April to July 2018 (pre-ED-FASS) inclusive and compared to April to July 2019 inclusive (post-ED-FASS). Results There was a significantly lower admission rate for patients presenting in 2019 compared to 2018 [27% (453/1676) vs. 34% (548/1620); X2 = 18.0; P Conclusion This study highlights the significant potential benefits of embedding dedicated multidisciplinary services at the hospital front door in terms of early specialist assessment and directing appropriate patients to effective ambulatory care pathways. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|