FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3095582585> ?p ?o ?g. }

• W3095582585 endingPage "209" @default.
• W3095582585 startingPage "201" @default.
• W3095582585 abstract "BACKGROUND/OBJECTIVES Older people living in residential aged care facilities (RACFs) experience acute deterioration requiring assessment and decision making. We evaluated the impact of a large‐scale regional Aged Care Emergency (ACE) program in reducing hospital admissions and emergency department (ED) transfers. DESIGN A stepped wedge nonrandomized cluster trial with 11 steps, implemented from May 2013 to August 2016. SETTING A large regional and rural area of northern and western New South Wales, Australia. PARTICIPANTS Nine hospital EDs and 81 RACFs participated in the evaluation. INTERVENTION The ACE program is an integrated nurse‐led intervention underpinned by a community of practice designed to improve the capability of RACFs managing acutely unwell residents. It includes telephone support, evidence‐based algorithms, defining goals of care for ED transfer, case management in the ED, and an education program. MEASUREMENTS ED transfers and subsequent hospital admissions were collected from administrative data including 13 months baseline and 9 months follow‐up. RESULTS A total of 18,837 eligible ED visits were analyzed. After accounting for clustering by RACFs and adjusting for time of the year as well as RACF characteristics, a statistically significant reduction in hospital admissions (adjusted incident rate ratio = .79; 95% confidence interval [CI] = .68–.92); P = .0025) was seen (i.e., residents were 21% less likely to be admitted to the hospital). This was also observed in ED visit rates (adjusted incidence rate ratio = .80; 95% CI = .69–.92; P = .0023) (i.e., residents were 20% less likely to be transferred to the ED). Seven‐day ED re‐presentation fell from 5.7% to 4.9%, and 30‐day hospital readmissions fell from 12% to 10%. CONCLUSION The stepped wedge design allowed rigorous evaluation of a real‐world large‐scale intervention. These results confirm that the ACE program can be scaled up to a large geographic area and can reduce ED visits and hospitalization of older people with complex healthcare needs living in RACFs." @default.
• W3095582585 created "2020-11-09" @default.
• W3095582585 creator A5009965814 @default.
• W3095582585 creator A5016630339 @default.
• W3095582585 creator A5047593283 @default.
• W3095582585 creator A5053331577 @default.
• W3095582585 creator A5063361859 @default.
• W3095582585 creator A5069193889 @default.
• W3095582585 creator A5071957678 @default.
• W3095582585 creator A5081872150 @default.
• W3095582585 date "2020-10-30" @default.
• W3095582585 modified "2023-09-30" @default.
• W3095582585 title "Reducing Hospital Transfers from Aged Care Facilities: A Large‐Scale Stepped Wedge Evaluation" @default.
• W3095582585 cites W1494148331 @default.
• W3095582585 cites W1502398069 @default.
• W3095582585 cites W1541317609 @default.
• W3095582585 cites W1798887649 @default.
• W3095582585 cites W1891876852 @default.
• W3095582585 cites W1906280060 @default.
• W3095582585 cites W1958587224 @default.
• W3095582585 cites W1967335089 @default.
• W3095582585 cites W2024341347 @default.
• W3095582585 cites W2041299714 @default.
• W3095582585 cites W2042988138 @default.
• W3095582585 cites W2045907505 @default.
• W3095582585 cites W2055690472 @default.
• W3095582585 cites W2095880617 @default.
• W3095582585 cites W2096642285 @default.
• W3095582585 cites W2101754128 @default.
• W3095582585 cites W2105322770 @default.
• W3095582585 cites W2113644292 @default.
• W3095582585 cites W2117238487 @default.
• W3095582585 cites W2120535706 @default.
• W3095582585 cites W2122737755 @default.
• W3095582585 cites W2126276080 @default.
• W3095582585 cites W2127135518 @default.
• W3095582585 cites W2128821342 @default.
• W3095582585 cites W2131283022 @default.
• W3095582585 cites W2152640337 @default.
• W3095582585 cites W2158293039 @default.
• W3095582585 cites W2164045946 @default.
• W3095582585 cites W2281036012 @default.
• W3095582585 cites W2282499342 @default.
• W3095582585 cites W2297386285 @default.
• W3095582585 cites W2363719834 @default.
• W3095582585 cites W2728377706 @default.
• W3095582585 cites W2738005809 @default.
• W3095582585 cites W2739725930 @default.
• W3095582585 cites W2776866776 @default.
• W3095582585 cites W2784017846 @default.
• W3095582585 cites W2787874652 @default.
• W3095582585 cites W2795681030 @default.
• W3095582585 cites W2808353110 @default.
• W3095582585 cites W2887743394 @default.
• W3095582585 cites W2970862519 @default.
• W3095582585 cites W3010185811 @default.
• W3095582585 cites W4211174791 @default.
• W3095582585 doi "https://doi.org/10.1111/jgs.16890" @default.
• W3095582585 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33124692" @default.
• W3095582585 hasPublicationYear "2020" @default.
• W3095582585 type Work @default.
• W3095582585 sameAs 3095582585 @default.
• W3095582585 citedByCount "12" @default.
• W3095582585 countsByYear W30955825852022 @default.
• W3095582585 countsByYear W30955825852023 @default.
• W3095582585 crossrefType "journal-article" @default.
• W3095582585 hasAuthorship W3095582585A5009965814 @default.
• W3095582585 hasAuthorship W3095582585A5016630339 @default.
• W3095582585 hasAuthorship W3095582585A5047593283 @default.
• W3095582585 hasAuthorship W3095582585A5053331577 @default.
• W3095582585 hasAuthorship W3095582585A5063361859 @default.
• W3095582585 hasAuthorship W3095582585A5069193889 @default.
• W3095582585 hasAuthorship W3095582585A5071957678 @default.
• W3095582585 hasAuthorship W3095582585A5081872150 @default.
• W3095582585 hasConcept C126322002 @default.
• W3095582585 hasConcept C159110408 @default.
• W3095582585 hasConcept C160735492 @default.
• W3095582585 hasConcept C162324750 @default.
• W3095582585 hasConcept C167704817 @default.
• W3095582585 hasConcept C194828623 @default.
• W3095582585 hasConcept C27415008 @default.
• W3095582585 hasConcept C2780724011 @default.
• W3095582585 hasConcept C2781385661 @default.
• W3095582585 hasConcept C2985357376 @default.
• W3095582585 hasConcept C44249647 @default.
• W3095582585 hasConcept C50522688 @default.
• W3095582585 hasConcept C71924100 @default.
• W3095582585 hasConcept C74909509 @default.
• W3095582585 hasConceptScore W3095582585C126322002 @default.
• W3095582585 hasConceptScore W3095582585C159110408 @default.
• W3095582585 hasConceptScore W3095582585C160735492 @default.
• W3095582585 hasConceptScore W3095582585C162324750 @default.
• W3095582585 hasConceptScore W3095582585C167704817 @default.
• W3095582585 hasConceptScore W3095582585C194828623 @default.
• W3095582585 hasConceptScore W3095582585C27415008 @default.
• W3095582585 hasConceptScore W3095582585C2780724011 @default.
• W3095582585 hasConceptScore W3095582585C2781385661 @default.
• W3095582585 hasConceptScore W3095582585C2985357376 @default.

• next