Breaking News
March 23, 2018 - Obesity kills taste buds and dulls taste sensation finds study
March 23, 2018 - Medical students get less formal education in radiation oncology, study finds
March 23, 2018 - Researchers find investigational compound to treat triple negative breast cancer after brain metastasis
March 23, 2018 - A Different Opioid Crisis | Medpage Today
March 23, 2018 - PTSD an ongoing fight for generation of Iraq War vets
March 23, 2018 - Researchers uncover specific gene region in hypertension
March 23, 2018 - Specific immune cells may help slow progression of ALS, research shows
March 23, 2018 - Biosense Webster launches new ‘Power to Heal’ campaign to alleviate AF burden
March 23, 2018 - FDA could curb or ban tobacco in menthol or fruit flavoured cigarettes soon
March 23, 2018 - Mom’s Pre-Pregnancy Waist Size Tied to Autism Risk
March 23, 2018 - AMD Treat-and-Extend Regimens OK: Ophthalmology Times
March 23, 2018 - Safe-sleep recommendations for infants have not reduced sudden deaths in newborns
March 23, 2018 - Survey finds inappropriate prescribing of antibiotics for hospitalized children
March 23, 2018 - Researchers propose alternative treatment to target lymphoma signaling at its root
March 22, 2018 - Compound found in beet extract could help slow progression of Alzheimer’s disease
March 22, 2018 - Lower temperatures can trigger the body’s ‘good’ fat formation at cellular level
March 22, 2018 - Sentinel lymph node biopsies could be safely avoided for some breast cancer patients
March 22, 2018 - Combined Preeclampsia Test Superior to U.K. Standards
March 22, 2018 - Exclusive breastfeeding in hospital associated with longer breastfeeding duration
March 22, 2018 - Researchers prove link between common childhood cancer and inflammation
March 22, 2018 - Targeting aberrantly active telomerase to treat therapy-resistant melanoma
March 22, 2018 - California’s tax on millionaires yields big benefits for people with mental illness, study finds
March 22, 2018 - Weight-loss surgery reduces risk for severe chronic kidney disease and kidney failure
March 22, 2018 - Study identifies two genes associated with extreme nausea and vomiting during pregnancy
March 22, 2018 - Biohaven Enrolls First Patient In Phase 3 Clinical Trial To Evaluate Rimegepant Zydis® ODT In The Acute Treatment Of Migraine
March 22, 2018 - ‘Bionic Pancreas’ OK for Very Young T1D Patients
March 22, 2018 - Parkinson’s gene initiates disease outside of the brain
March 22, 2018 - NMSU researchers publish findings on effective measures to remedy stress among adolescents
March 22, 2018 - Immunotherapy combination increases overall survival in people with kidney cancer, study shows
March 22, 2018 - Increased rate of accidental injuries associated with poorer hearing ability
March 22, 2018 - Gut microbiome may promote pancreatic cancer by inducing immune suppression
March 22, 2018 - New ocular inserts allow patient’s cornea to absorb more antibiotics
March 22, 2018 - FDA Alert: NeuroBlate Probe by Monteris Medical: Letter to Health Care Providers, Class I Recall
March 22, 2018 - Cessation of exercise can result in increased depressive symptoms
March 22, 2018 - Morning Break: Booze Study Brouhaha; Stem Cells for MS; Big Debt Problem
March 22, 2018 - New wearable tech from Western may hold big benefits for people with Parkinson’s
March 22, 2018 - Immune cells can repopulate in the retina after elimination, mice study shows
March 22, 2018 - States extend Medicaid for birth control, cutting costs — and future enrollment
March 22, 2018 - Research provides better understanding of how cancerous cells behave in low oxygen
March 22, 2018 - Menopausal hormone therapy taken soon after menopause may benefit the brain
March 22, 2018 - Booze Boosts Your Heart Rate
March 22, 2018 - Skeptical Cardiologist: Classifying Heart Failure
March 22, 2018 - Instead of nagging your spouse to lose weight, try going on a diet yourself
March 22, 2018 - Neem Biotech to share findings on cystic fibrosis biofilm disruption at ECFS Basic Science Conference
March 22, 2018 - Study uncovers new genetic cause of posterior polymorphous corneal dystrophy
March 22, 2018 - ENDO: Big Breakfast May Help in Diabetics
March 22, 2018 - I’m not overweight, so why do I need to eat healthy foods?
March 22, 2018 - UCLA-led study suggests unexpected reason for reduction in cardiovascular health disparities
March 22, 2018 - Study suggests detailed neuropsychological assessment for brief cardiac arrest survivors
March 22, 2018 - Anticoagulant drugs found safe to use in patients undergoing surgery for irregular heartbeat
March 22, 2018 - SP Industries appoints Brian Larkin as new President and CEO
March 22, 2018 - GTx Announced New Data Demonstrating Enobosarm’s Potential to Treat Stress Urinary Incontinence
March 22, 2018 - Higher Risk of Brain Deficits in Older Alcoholics
March 22, 2018 - Top US health official resigns in conflict of interest
March 22, 2018 - Study shows benefits of hair loss drug in improving cognitive function and vascular health
March 22, 2018 - Researchers explain link between 2 key Alzheimer’s proteins
March 22, 2018 - Patients on replacement therapy with thyroid hormone may have more comorbidities
March 22, 2018 - Higher online patient ratings linked to urologists who saw fewer Medicare patients
March 22, 2018 - FDA Approves Ilumya (tildrakizumab-asmn) for the Treatment of Moderate-to-Severe Plaque Psoriasis
March 22, 2018 - Beer Raises Heart Rate; KardiaBand Hyperkalemia Test; CHD Clinics
March 22, 2018 - A retinal implant that is more effective against blindness
March 22, 2018 - New system based on artificial intelligence provides reliable detection of breast cancer
March 22, 2018 - Research offers new understanding about cause of Parkinson’s disease
March 22, 2018 - HORIBA’s Microsemi CRP analyzer improves quality of care in emergency pediatric units, study shows
March 22, 2018 - Neuroscientists move closer to developing tools for deciphering brain function
March 22, 2018 - New test methods with less fear
March 22, 2018 - Range of Vaginal Dryness Products Can Help Postmenopausal Women: Study
March 22, 2018 - Higher Dose Tx Deemed Safe in Pulmonary TB
March 22, 2018 - Discovery of new ALS gene points to cytoskeleton as potential target for drug development
March 22, 2018 - Diet soda associated with higher odds of diabetic retinopathy
March 22, 2018 - LSD reduces ‘sense of self’
March 22, 2018 - Vitamin D deficiency linked to metabolic syndrome in postmenopausal women
March 22, 2018 - Changes in the intestines may be responsible for reversal of diabetes after bariatric surgery
March 22, 2018 - iPads and Cancer; Clot Retrieval and Stroke: It’s PodMed Double T!
March 22, 2018 - Premature births linked to changes in mother’s bacteria
March 22, 2018 - Brain SPECT scans predict treatment outcomes in patients with depression
March 21, 2018 - Researchers succeed in integrating artificial organelles into cells of living organism
March 21, 2018 - Researchers discover ‘missing mutation’ in severe infant epilepsy
March 21, 2018 - Researchers develop statistics-based computational scheme to zoom in on brain function
March 21, 2018 - Verge joins Genomics England’s Discovery Forum industry partnership
Emergency department program reduces unnecessary admission of older patients by 33%

Emergency department program reduces unnecessary admission of older patients by 33%

image_pdfDownload PDFimage_print

Roughly one third of all older patients age 65 and older visiting emergency departments nationwide are admitted to the hospital. But an emergency department program focused on geriatric transitional care has reduced the risk of unnecessary admission of older patients at Northwestern Medicine by 33 percent, according to a new study from Northwestern Univeristy, Mount Sinai Medical Center and St. Joseph’s Regional Medical Center.

It’s important to reduce hospitalization of older patients because hospital admissions can increase their risk of delirium, infection and falls, the study authors said. During and after hospitalization, many older adults experience a loss of independence and a decline in functional ability and quality of life.

“With this program, we have created an otherwise non-existent safety net for this vulnerable population,” said Dr. Scott Dresden, co-author on the paper and assistant professor of emergency medicine at Northwestern University Feinberg School of Medicine. “We wanted to ensure that we weren’t just discharging older patients from the emergency department only to be hospitalized again relatively quickly after something preventable like a fall.”

In the study, nurses who were focused specifically on geriatric care determined if emergency department patients aged 65 and older were experiencing mental or physical decline, if they were having trouble caring for themselves at home and if they had medical complexities common in older adults.

Sometimes these patients would be moved out of the busy emergency department to a less active floor that had quieter rooms with doors, TVs and natural lighting that were more comfortable for older patients. The patients received follow-up calls after being discharged and were offered appointments with social workers, if necessary.

Patients visiting the emergency department who received specialized care were admitted to the hospital 36 percent of the time whereas patients who did not receive the specialized care were admitted 53 percent of the time. The study was published Jan. 10 in the Journal of the American Geriatrics Society.

The research was the result of the Geriatric Emergency Department Innovations (GEDI) program introduced at the three hospitals in 2013. The goal of the program was to reduce the need to hospitalize older patients after an emergency department visit and to prevent revisits and readmissions.

The program has allowed all three institutions to learn more about this older population and how to address their needs without needing to admit them to the hospital, said Dresden, director of the GEDI department at Northwestern Medicine.

Northwestern’s program staffs one or two GEDI nurses, one pharmacist and a social worker every weekday between 9 a.m. and 10 p.m. The nurses assess older patients who come into the emergency department to determine if they are candidates for the GEDI program. If a patient qualifies, he or she receives a one-on-one visit from the GEDI nurse to discuss everything from their medical state and if they’ve visited the emergency department in the last 30 days to their support system at home and how they get their groceries.

GEDI nurses ask a series of questions, such as “Who is the current president of the United States?” and “What was your mother’s maiden name?,” to determine the patient’s cognitive state. As part of the program, patients will receive follow-up calls after being discharged from the emergency department and might receive counseling from a social worker. They will sometimes get transferred directly to a nursing home if the GEDI nurse determines it is the best course of action.

Northwestern’s GEDI program has space outside the emergency department where GEDI patients sometimes get transferred. Rooms on this floor have non-glare, non-slip floors, doors instead of curtains, and TVs and windows, which the emergency room does not have. But Dresden said the most unique and beneficial part of the program is the dedicated GEDI team, not the physical space.

“This program is a model that other hospitals can easily adopt because they don’t have to build a separate space,” Dresden said.

The authors hope many other hospitals will see the benefit of creating a geriatric-specific program in their own space.


Tagged with:

About author

Related Articles