admission avoidance

The ‘Unwell’ clinical presentation– an opportunity for admission avoidance?

Original Articles, Volume 21, Issue 1, Pages 1-64 (2022)

Background: An ‘unwell’ patient is a common presentation.
Methods: We studied all ED ‘unwell’ admissions over 6 years, assessing factors influencing mortality with logistic regression.
Results: From 49,965 admissions, the ED diagnosis was ‘unwell’ in 3650 (7.3%). ‘Unwell’ presentations were older and had longer length of stay. Mortality was not different 4.2% vs 4.6 % (p=0.28). Respiratory patients and those >=70 years had increased mortality, 8.3% (95%CI: 5.9%, 10.6%) and 7.1% (5.7%, 8.4%) respectively. Being unwell predicted a better outcome - univariate OR 0.35 (95%CI: 0.24, 0.52), multivariable OR 0.68 (95%CI: 0.44, 1.03).

Please subscribe to see more.
Subscribe
Already a member? Log in here

The ‘Unwell’ clinical presentation– an opportunity for admission avoidance? Read More

Measuring impact of telephone triage in Acute Medicine

Research Audit and Clinical Practice, Volume 16, Issue 3, Pages 101 – 152 (2017)

Abstract

The Society for Acute Medicine’s Benchmarking Audit (SAMBA) was undertaken for the 5th time in June 2016. For the first time, data on telephone triage calls prior to admission to Acute Medical Units were collected: 1238 patients were referred from Emergency Departments, 925 from General Practitioners (GPs), 52 from clinics and 147 from other sources.

Calls from Emergency Departments rarely resulted in admission avoidance.

Calls from Primary Care resulted in avoidance of an admission in 115 (12%) patients; the percentage of avoided admissions was highest if the call was taken by a Consultant.

Consultant triage might result in admission avoidance but the impact of local context on the effectiveness is not clear.

Please subscribe to see more.
Subscribe
Already a member? Log in here

Measuring impact of telephone triage in Acute Medicine Read More

Shopping Basket
Scroll to Top

Start typing and press enter to search

Start typing and press enter to search