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dc.contributor.authorAlabaf Sabbaghi, Setareh
dc.contributor.authorDe Souza, Darryl
dc.contributor.authorSarikonda, Premchand
dc.contributor.authorKeevil, Victoria
dc.contributor.authorWallis, Stephen J
dc.contributor.authorRomero-Ortuno, Roman
dc.date.accessioned2018-09-20T12:05:13Z
dc.date.available2018-09-20T12:05:13Z
dc.date.issued2018-09
dc.identifier.issn2475-0360
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/280494
dc.description.abstractThe number of older patients admitted to acute hospitals has increased; however, their needs are heterogeneous and there is no gold-standard method of triaging them towards practicing comprehensive geriatric assessment (CGA). In our hospital, the SAFE (Specialist Advice for the Frail Elderly) team provide an initial geriatric assessment of all emergency admissions of patients aged ≥75 years (with some assessments also occurring in those aged 65 to 74 years) and recommend as to whether CGA in a dedicated Department of Medicine for the Elderly (DME) ward may be required. SAFE assessments include routine screening for geriatric syndromes using validated tools. Our aim was to compare the characteristics (age, gender, acute illness severity on admission as per modified early warning score (MEWS), Charlson Comorbidity Index, Clinical Frailty Scale (CFS), presence of dementia and delirium) and outcomes (length of stay, delayed discharge, inpatient mortality, discharge to usual place of residence, and new institutionalization) of patients listed to a DME ward, to those not listed. We analyzed all SAFE team assessments of patients admitted nonelectively between February 2015 and November 2016. Of 6192 admissions, 16% were listed for a DME ward. Those were older, had higher MEWS and CFS score, were more often affected by cognitive impairment, had longer hospital stay, higher inpatient mortality, and more often required new institutionalization. Higher CFS and presence of dementia and delirium were the strongest predictors of DME ward recommendation. Routine measurement of markers of geriatric complexity may help maximize access to finite inpatient CGA resources.
dc.format.mediumElectronic-eCollection
dc.languageeng
dc.publisherWiley
dc.titleAllocating patients to geriatric medicine wards in a tertiary university hospital in England: A service evaluation of the Specialist Advice for the Frail Elderly (SAFE) team.
dc.typeArticle
prism.endingPage124
prism.issueIdentifier2
prism.publicationDate2018
prism.publicationNameAging Med (Milton)
prism.startingPage120
prism.volume1
dc.identifier.doi10.17863/CAM.27864
dcterms.dateAccepted2018-06-19
rioxxterms.versionofrecord10.1002/agm2.12029
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2018-09
dc.contributor.orcidKeevil, Victoria [0000-0001-6148-0640]
dc.contributor.orcidRomero-Ortuno, Roman [0000-0002-3882-7447]
dc.identifier.eissn2475-0360
rioxxterms.typeJournal Article/Review
cam.issuedOnline2018-07-10
rioxxterms.freetoread.startdate2019-09-13


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