![](/images/graphics-bg.png)
Community Stepdown Care : A Safe Alternative for Selected Elderly Patients Attending Emergency Department?
Joint Authors
Seow, Eillyne
Foo, Chik Loon
Ooi, Chee Kheong
Vasu, Alicia
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-04
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
The Community Stepdown Care Initiative attempts to provide right siting of care for elderly emergency department attendees whose main need is rehabilitation.
Objectives.
The aim of this study was to compare reattendance and rehospitalisation rates, length of stay, medical complication rates, and discharge destination between the community hospital cohort and the acute hospital cohort.
Methods.
A retrospective cohort study was conducted from June 2007 to November 2008.
Results.
Two hundred and thirty patients were enrolled in the study.
68 patients were successfully transferred to stepdown care; 162 patients were admitted to acute hospital.
The odds ratio of reattendance was similar in both cohorts at 2 weeks, 6 months, and 12 months.
The odds ratio of rehospitalisation was similar in both cohorts at 2 weeks, 3 months, 6 months, and 12 months.
There was no statistical difference in the medical complication rates between the cohorts.
Patients were more likely to be discharged home from the community hospital compared to acute hospital (adjusted OR 4.11, P=0.03).
14% of patients from the acute hospital cohort was discharged to community hospital.
Conclusions.
For selective elderly emergency department attendees whose predominant need is rehabilitation, stepdown care is a safe alternative compared to usual acute hospital care.
American Psychological Association (APA)
Ooi, Chee Kheong& Foo, Chik Loon& Vasu, Alicia& Seow, Eillyne. 2012. Community Stepdown Care : A Safe Alternative for Selected Elderly Patients Attending Emergency Department?. ISRN Emergency Medicine،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-470006
Modern Language Association (MLA)
Ooi, Chee Kheong…[et al.]. Community Stepdown Care : A Safe Alternative for Selected Elderly Patients Attending Emergency Department?. ISRN Emergency Medicine No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-470006
American Medical Association (AMA)
Ooi, Chee Kheong& Foo, Chik Loon& Vasu, Alicia& Seow, Eillyne. Community Stepdown Care : A Safe Alternative for Selected Elderly Patients Attending Emergency Department?. ISRN Emergency Medicine. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-470006
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470006