Incidence and Risk Factors for Unplanned Transfers to Acute General Hospitals From an Intermediate Care and Rehabilitation Geriatric Facility

Colprim, Daniel; Inzitari, Marco

doi:10.1016/j.jamda.2014.06.004

Cited by 7 publications

(20 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For instance, Chung et al examined RTAC in severe stroke (USA Case‐Mix Group 0110 of Medicare reimbursement classification) and reported a RTAC rate that was three times higher than studies that examined all stroke . Additionally, RTAC rates ranged between 7.8% and 16% for RTAC below 30 days and between 3.5% and 38.6% for studies that imposed no time restriction for when RTAC occurred . It was reported in several studies that patients had 2 to 3 RTAC during their rehabilitation stay.…”

Section: Resultsmentioning

confidence: 99%

“…A notable proportion of RTAC occurring close to rehabilitation admission was reported in several studies. Faulk et al report 22% of RTAC occurred within 3 days of admission; Burke et al identified 13% and 28% of RTAC occurring within 4 and 7 days of admission, respectively; Robinson et al identified a mean of 7 days with 73% occurring within the first 10 days of admission; and Colprim and Inzitari identified 50% occurred within 9 days of rehabilitation admission.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies reported on reasons for RTAC . Forty‐two individual reasons (categories) for RTAC were used in these studies.…”

Section: Resultsmentioning

confidence: 99%

“…The relevance of some predictors of RTAC may be dependent on rehabilitation setting or impairment group. For instance, older patient age was not associated with RTAC in a study conducted in a geriatric setting . However, age was associated in some studies conducted in traumatic brain injury, spinal cord injury, burns, and mixed rehabilitation settings where there may be large variations in patient age.…”

Section: Discussionmentioning

confidence: 98%

“…However, age was associated in some studies conducted in traumatic brain injury, spinal cord injury, burns, and mixed rehabilitation settings where there may be large variations in patient age. Regarding impairment group, craniotomy, and craniectomy were associated with RTAC in traumatic brain injury and polypharmacy (≥8 medications) in a geriatric setting, which are likely to be mainly relevant to these individual impairment groups.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Predictors of Readmission to Acute Care from Inpatient Rehabilitation: An Integrative Review

McKechnie

Pryor

McKechnie

et al. 2019

PM&R

View full text Add to dashboard Cite

Readmission to acute care (RTAC) from inpatient rehabilitation can have negative consequences for individuals and associated financial costs are increasing. Consequently, preventing avoidable RTAC represents a target for improvement in quality of care. The aim of this integrative review was to identify predictors of RTAC from inpatient rehabilitation. A systematic search of MEDLINE, EMBASE, ProQuest, and CINAHL databases was used. Thematic analysis was used to examine extracted data. Strong evidence indicating that the principal predictors of RTAC are lower functional status on admission to rehabilitation, a more severe injury and a higher number of comorbidities was identified in this review. This is despite the heterogeneous nature of impairment groups and factors/measures examined. However, the relevance of some predictors of RTAC (such as patient demographics, invasive devices and primary diagnoses) may be dependent on rehabilitation setting, impairment group or time between rehabilitation admission and RTAC (eg, below 3 vs 30 days). Consequently, findings of this integrative review highlight that RTAC is a complex, multifactorial patient issue with a complex interplay between the predictors and reasons for RTAC.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Ten studies reported on reasons for RTAC . Forty‐two individual reasons (categories) for RTAC were used in these studies.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Predictors of Readmission to Acute Care from Inpatient Rehabilitation: An Integrative Review

McKechnie

Pryor

McKechnie

et al. 2019

PM&R

View full text Add to dashboard Cite

show abstract

The development and validation of a conceptual definition of avoidable transitions from long‐term care to the emergency department: A mixed methods study

Cummings,

Tate,

Spiers

et al. 2024

Health Science Reports

View full text Add to dashboard Cite

Background/ObjectivesTransitions to and from Emergency Departments (EDs) can be detrimental to long‐term care (LTC) residents and burden the healthcare system. While reducing avoidable transfers is imperative, various terms are used interchangeably including inappropriate, preventable, or unnecessary transitions. Our study objectives were to develop a conceptual definition of avoidable LTC‐ED transitions and to verify the level of stakeholder agreement with this definition.MethodsThe EXamining Aged Care Transitions study adopted an exploratory sequential mixed‐method design. The study was conducted in 2015–2016 in 16 LTC facilities, 1 ED, and 1 Emergency Medical Service (EMS) in a major urban center in western Canada. Phase 1 included 80 participants, (healthcare aides, licensed practical nurses, registered nurses, LTC managers, family members of residents, and EMS staff). We conducted semistructured interviews (n = 25) and focus groups (n = 19). In Phase 2, 327 ED staff, EMS staff, LTC staff, and medical directors responded to a survey based on the qualitative findings.ResultsAvoidable transitions were attributed to limited resources in LTC, insufficient preventive care, and resident or family wishes. The definition generated was: A transition of an LTC resident to the ED is considered avoidable if: (a) Diagnostic testing, medical assessment, and treatment can be accessed in a timely manner by other means; (b) the reasons for a transfer are unclear and the transition would increase the disorientation, pain, or discomfort of a resident, outweighing a clear benefit of a transfer; and (c) the transition is against the wishes expressed by the resident over time, including through informal and undocumented conversations. There was a high level of agreement with the definition across the four participant groups.Conclusions and ImplicationsTo effectively reduce LTC resident avoidable transitions, stakeholders must share a common definition. Our conceptual definition may significantly contribute to improved care for LTC residents.

show abstract

Gestión de traslados potencialmente evitables a los hospitales de agudos desde unidades de rehabilitación geriátrica: aspectos críticos de un protocolo de intervención

Colprim

Casco

Malumbres

et al. 2017

Revista Española de Geriatría y Gerontología

View full text Add to dashboard Cite

Incidence and Risk Factors for Unplanned Transfers to Acute General Hospitals From an Intermediate Care and Rehabilitation Geriatric Facility

Cited by 7 publications

References 28 publications

Predictors of Readmission to Acute Care from Inpatient Rehabilitation: An Integrative Review

Predictors of Readmission to Acute Care from Inpatient Rehabilitation: An Integrative Review

The development and validation of a conceptual definition of avoidable transitions from long‐term care to the emergency department: A mixed methods study

Gestión de traslados potencialmente evitables a los hospitales de agudos desde unidades de rehabilitación geriátrica: aspectos críticos de un protocolo de intervención

Contact Info

Product

Resources

About