Patterns of referral to interprofessional services among frail older adults presenting to emergency departments in Canada

作者：Amanda Nova, George Heckman, Navjot Gill‐Chawla, Amy Miles, Andrew P. Costa, Samir K. Sinha, Micaela Jantzi, John P. Hirdes, Paul C. Hébert · 发表于：Journal of the American Geriatrics Society · 年份：2024 · DOI：10.1111/jgs.19253 · 被引用次数：6 · 研究领域：Frailty in Older Adults、Geriatric Care and Nursing Homes、Emergency and Acute Care Studies

BACKGROUND: Geriatric Emergency Department (ED) Guidelines recommend optimizing transitions of care for older patients with complex needs. In this study, we investigated referral patterns to interprofessional services, including occupational therapy, physiotherapy, dietician, social work, home care, and specialized geriatric services, among older adults presenting to the ED with high-risk characteristics. METHODS: We recruited community-dwelling older adults presenting to 10 EDs across Ontario, Quebec, and Newfoundland, Canada, from April 2017 to July 2018. To observe processes of care in the ED, we deployed a two-stage high-risk case-finding and focused comprehensive assessment process based on the interRAI ED-Screener and ED Contact Assessment to identify and characterize older adults at high risk. We analyzed the secondary data using descriptive statistics and logistic regression. RESULTS: We screened 5265 individuals with the ED Screener, further assessed 1479 with the ED Contact Assessment, and analyzed data from a subset of 1055 community-dwelling older adults assessed with the ED Contact Assessment. Participants in our study sample had a mean age of 83 years, 58% were female, and many had a complex burden of cognitive and functional impairment and social needs. Over half of this high-needs sample were referred to general home care services (62.7%), occupational therapy (59.3%), and physiotherapy services (55.2%), while 16% were referred to specialized geriatric service...