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• W4280491940 abstract "<b><i>Introduction:</i></b> Older people with major neurocognitive disorders (MNCDs) visiting the emergency department (ED) are at high risk of hospital admissions. The “Emergency Room Evaluation and Recommendations” (ER²) tool decreases the length of stay (LOS) in the hospital when older people visiting ED are hospitalized after an index ED visit, regardless of their cognitive status. Its effect on hospital admissions has not yet been examined in older people with MNCD visiting ED. This study aimed to examine whether ER² recommendations were associated with incident hospital admissions and LOS in ED in older people with MNCD visiting ED. <b><i>Methods:</i></b> A total of 356 older people with MNCD visiting ED of the Jewish General Hospital (Montreal, Quebec, Canada) were recruited in this non-randomized, pre-post-intervention, single arm, prospective and longitudinal open label trial. ED staff and patients were blinded of the ER² score, and patients received usual ED care during the observation period, whereas ED staff were informed about the ER² score, and patients had ER² tailor-made recommendations in addition to usual care during the intervention period. Hospital admissions and the LOS in ED were the outcomes. <b><i>Results:</i></b> There were less incident hospital admissions (odds ratio ≤ 0.61 with <i>p</i> ≤ 0.022) and longer LOS in ED (coefficient beta ≥4.28 with <i>p</i> ≤ 0.008) during the intervention period compared to the observation period. <b><i>Discussion/Conclusion:</i></b> ER² recommendations have mixed effects in people with MNCD visiting ED. They were associated with reduced incident hospital admissions and increased LOS in ED, suggesting that they may have benefits in addition to usual ED care." @default.
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• W4280491940 date "2022-01-01" @default.
• W4280491940 modified "2023-10-14" @default.
• W4280491940 title "“Emergency Room Evaluation and Recommendations” and Incident Hospital Admissions in Older People with Major Neurocognitive Disorders Visiting Emergency Department: Results of an Experimental Study" @default.
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• W4280491940 doi "https://doi.org/10.1159/000524533" @default.
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