Management of avoidable acute transfers from an intermediate care geriatric facility to acute hospitals: critical aspects of an intervention protocol

Daniel Colprim, Mónica Casco, Jennifer Malumbres, Ginés Rodríguez, Marco Inzitari

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

© 2016 SEGG Objective The unplanned transfers (UT) from post-acute intermediate care facilities, are associated with adverse outcomes for patients, and a significant cost to the system. We present a practical protocol and the design of an intervention study aimed at reducing avoidable UT from a geriatric post-acute rehabilitation setting to acute care hospitals. Patients and Methods A quasi-experimental non randomized study. The intervention consists in: 1) protocol for early detection of symptoms in order to conduct a pro-active management of decompensation; 2) an advanced care planning structured protocol for the acute decompensations. We will compare the intervention group with a parallel and a historical cohort for demographic, functional, cognitive, comorbidity and social variables. Outcome: number of UT to acute care hospitals. Discussion This is a quasi-experimental study, focused on everyday care practice that intends to assess the impact of multi-disciplinary and multi-factorial intervention to reduce UT from a post-acute rehabilitation unit. We expect that the project results will be useful for future randomized and controlled studies.
Original languageEnglish
Pages (from-to)75-79
JournalRevista Espanola de Geriatria y Gerontologia
Volume52
Issue number2
DOIs
Publication statusPublished - 1 Mar 2017

Keywords

  • Intermediate care facilities
  • Rehospitalizations
  • Unplanned transfers

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