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- W2091711265 abstract "Approximately 17% of patients residing in an extended‐care facility—which provides close physician‐patient contact and strong affiliation with an acute‐care hospital, although does not have the capacity for intravenous therapy—required admission to an acute‐care hospital during a one‐year period. The most common medical problem necessitating transfer to the acute‐care hospital was an infectious process. Most infections were correctly diagnosed in the extended‐care facility, but due to the inability to administer intravenous therapy, transfer was thought mandatory. The acute‐care hospital stay was short, which is thought to reflect partially the close affiliation between the extended‐care facility and acute‐care hospital. Complications occurred while patients were in the acute‐care hospital with 30% demonstrating new pressure sores upon their return to the extended‐care facility. Repeated acute‐care hospital admissions were not uncommon, usually occurring within a short period after the patient's return to the extended‐care facility, and commonly related to the same medical disorder that caused the initial admission. Prognosis was poor in patients who required admission to the acute‐care hospital and mortality rate increased to approximately 50% in patients requiring multiple admissions. It is concluded that an extended‐care facility that provides a high level of physician‐patient contact and a close affiliation with an acute‐care hospital is advantageous in providing efficient and continual care for the elderly. Provisions for the administration of intravenous therapy might even increase the efficiency of such a facility. J Am Geriatr Soc 33:819, 1985" @default.
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- W2091711265 date "1985-12-01" @default.
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- W2091711265 title "Relationship of Long‐Term and Acute‐Care Facilities: The Problem of Patient Transfer and Continuity of Care" @default.
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- W2091711265 doi "https://doi.org/10.1111/j.1532-5415.1985.tb05433.x" @default.
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