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Embedding comprehensive geriatric assessment in the emergency assessment unit: the impact of the COPE zone
We introduced a geographically embedded frailty unit, the comprehensive older person’s evaluation ‘COPE’ zone within our emergency assessment unit (EAU). We collated data for all medical patients over 75 years admitted non-electively for one month before and after this service change. Significantly...
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Published in: | Clinical medicine (London, England) England), 2016-02, Vol.16 (1), p.19-24 |
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creator | Taylor, Joanne K Gaillemin, Oliver S Pearl, Amy J Murphy, Sean Fox, Jennifer |
description | We introduced a geographically embedded frailty unit, the comprehensive older person’s evaluation ‘COPE’ zone within our emergency assessment unit (EAU). We collated data for all medical patients over 75 years admitted non-electively for one month before and after this service change. Significantly more patients were seen by a geriatrician on the EAU earlier in their admission in 2014 (33.4 vs 19.3%, p |
doi_str_mv | 10.7861/clinmedicine.16-1-19 |
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We collated data for all medical patients over 75 years admitted non-electively for one month before and after this service change. Significantly more patients were seen by a geriatrician on the EAU earlier in their admission in 2014 (33.4 vs 19.3%, p<0.001; 11 vs 20 h, p<0.001). More patients had documented comprehensive geriatric assessment and discussion in a geriatrician multidisciplinary team meeting (relative risk (RR) 3.3, 95% confidence interval (CI) 2.35–4.73, p<0.001; RR 3.6, 95% CI 2.26–5.57, p<0.001, respectively). More patients with markers of frailty were discharged directly from EAU (42.2 vs 29.0%, p = 0.006) without increasing readmissions. Mean length of stay was reduced (9.5 vs 6.8 days, p = 0.02). 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subjects | acute medicine comprehensive geriatric assessment Frailty unit older people Original Research readmissions |
title | Embedding comprehensive geriatric assessment in the emergency assessment unit: the impact of the COPE zone |
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