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Title: A controlled evaluation of comprehensive geriatric assessment in the emergency department: the 'Emergency Frailty Unit'.
Authors: Conroy, Simon Paul
Ansari, Kharwar
Williams, Mark
Laithwaite, Emily
Teasdale, Ben
Dawson, J.
Mason, S.
Banerjee, Jay
First Published: 23-Jul-2013
Publisher: Oxford University Press (OUP) for British Geriatrics Society
Citation: Age and Ageing, 2014, 43 (1), pp. 109-114
Abstract: BACKGROUND: the ageing demographic means that increasing numbers of older people will be attending emergency departments (EDs). Little previous research has focused on the needs of older people in ED and there have been no evaluations of comprehensive geriatric assessment (CGA) embedded within the ED setting. METHODS: a pre-post cohort study of the impact of embedding CGA within a large ED in the East Midlands, UK. The primary outcome was admission avoidance from the ED, with readmissions, length of stay and bed-day use as secondary outcomes. RESULTS: attendances to ED increased in older people over the study period, whereas the ED conversion rate fell from 69.6 to 61.2% in people aged 85+, and readmission rates in this group fell from 26.0% at 90 days to 19.9%. In-patient bed-day use increased slightly, as did the mean length of stay. DISCUSSION: it is possible to embed CGA within EDs, which is associated with improvements in operational outcomes.
DOI Link: 10.1093/ageing/aft087
ISSN: 0002-0729
eISSN: 1468-2834
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: © The Author 2013. Published by Oxford University Press on behalf of the British Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Description: Supplementary data mentioned in the text are available to subscribers in Age and Ageing online.
Appears in Collections:Published Articles, Dept. of Health Sciences

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