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Emergency day hospital assessments

Elderly Medical Unit, Queen Marys Hospital, Sidcup, Kent

Objective: To describe the use of a geriatric day hospital for emergency multidisciplinary assessment as an alternative to immediate hospital admission for some groups of frail older people.

Design: Retrospective study of change in clinical practice.

Setting: District general hospital.

Intervention: Immediate multidisciplinary assessment of selected patients instead of requested emergency hospital admission.

Outcomes: (1) Data were collected on 67 consecutive referrals. In 63% the patient needs could be met without emergency hospital admission on the day of assessment. (2) Of the 42 patients originally not admitted only 29% were subsequently admitted within the next three months.

Conclusions: Emergency day hospital assessments can be used as an alternative to immediate hospital admission for some frail older people.

Clinical Rehabilitation, Vol. 11, No. 4, 344-346 (1997)
DOI: 10.1177/026921559701100413


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