Characteristics and outcomes of older patients attending an acute medical assessment unit

Hdl Handle:
http://hdl.handle.net/10147/575010
Title:
Characteristics and outcomes of older patients attending an acute medical assessment unit
Authors:
Fallon, A; Armstrong, J; Coughlan, T; Collins, DR; O Neill, D; Kennelly, SP
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Jul-2015
URI:
http://hdl.handle.net/10147/575010
Abstract:
The care of older persons accounts for an increasing proportion of the unscheduled care workload for acute hospitals. The recent development of acute medical assessment units (AMAU) has provided an alternative model for acute unscheduled care for all medical patients. Screening instruments have been developed to capture the higher levels of clinical complexity and medical comorbidities that older patients present with. The aim of this study was to report on the characteristics and outcomes for older patients reviewed in the AMAU of a tertiary referral university teaching hospital. Data on 3071 patients attending the unit over one year was prospectively collected and information on characteristics and outcomes for older patients retrieved. Older patients represented over one third (1066/3071, 35%) of those attending AMAU, and had an admission rate of nearly twice that of younger patients (60.5% vs 32%), highlighting the increased complexity of this group. Gerontologically attuned AMAUs have great potential to enhance care for frail older patients from the time of their acute presentation to hospital.
Item Type:
Article
Language:
en
Keywords:
OLDER PEOPLE; ACUTE CARE; MEDICAL ASSESSMENT

Full metadata record

DC FieldValue Language
dc.contributor.authorFallon, Aen
dc.contributor.authorArmstrong, Jen
dc.contributor.authorCoughlan, Ten
dc.contributor.authorCollins, DRen
dc.contributor.authorO Neill, Den
dc.contributor.authorKennelly, SPen
dc.date.accessioned2015-08-18T11:08:48Zen
dc.date.available2015-08-18T11:08:48Zen
dc.date.issued2015-07en
dc.identifier.urihttp://hdl.handle.net/10147/575010en
dc.description.abstractThe care of older persons accounts for an increasing proportion of the unscheduled care workload for acute hospitals. The recent development of acute medical assessment units (AMAU) has provided an alternative model for acute unscheduled care for all medical patients. Screening instruments have been developed to capture the higher levels of clinical complexity and medical comorbidities that older patients present with. The aim of this study was to report on the characteristics and outcomes for older patients reviewed in the AMAU of a tertiary referral university teaching hospital. Data on 3071 patients attending the unit over one year was prospectively collected and information on characteristics and outcomes for older patients retrieved. Older patients represented over one third (1066/3071, 35%) of those attending AMAU, and had an admission rate of nearly twice that of younger patients (60.5% vs 32%), highlighting the increased complexity of this group. Gerontologically attuned AMAUs have great potential to enhance care for frail older patients from the time of their acute presentation to hospital.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectOLDER PEOPLEen
dc.subjectACUTE CAREen
dc.subjectMEDICAL ASSESSMENTen
dc.titleCharacteristics and outcomes of older patients attending an acute medical assessment uniten
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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