Hospitalized nursing home residents have more chronic conditions, higher levels of
care needs, and more unplanned admissions compared to non–nursing home residents.
1
,2
Unplanned admissions are admissions at out-of-hours care—thus, in the evening and
night hours, and on weekends and holidays. However, evidence suggests that some of
these unplanned admissions are potentially avoidable.
3
,4
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References
- Redesigning after-hours primary care.Ann Intern Med. 2011; 155: 131-132
- Out of hours care in Germany—High utilization by adult patients with minor ailments?.BMC Fam Pract. 2017; 18: 42
- Nursing home residents attending the emergency department: Clinical characteristics and outcomes.QJM. 2013; 106: 803-808
- Designing services for frequent attenders to the emergency department: A characterisation of this population to inform service design.Clin Med. 2016; 16: 325-329
- Reducing inpatient hospital and emergency room utilization among nursing home residents.J Aging Health. 2017; 29: 510-530
- Potentially avoidable hospitalizations of nursing home residents: Frequency, causes, and costs: [see editorial comments by Drs. Jean F. Wyman and William R. Hazzard, pp 760-761].J Am Geriatr Soc. 2010; 58: 627-635
- Strategies for reducing potentially avoidable hospitalizations for ambulatory care-sensitive conditions.Ann Fam Med. 2013; 11: 363-370
- Potentially avoidable hospitalisations of German nursing home patients? A cross-sectional study on utilisation patterns and potential consequences for healthcare.BMJ Open. 2019; 9: e025269
- Identifying potentially avoidable hospital admissions from Canadian long-term care facilities.Med Care. 2009; 47: 250-254
- Predictors of serious consequences of falls in residential aged care: Analysis of more than 70,000 falls from residents of Bavarian nursing homes.J Am Med Dir Assoc. 2014; 15: 559-563
Article info
Publication history
Published online: November 07, 2019
Footnotes
The data usage grant from the “AOK Baden-Wuerttemberg” for this study is greatly acknowledged.
The authors declare no conflicts of interest.
Identification
Copyright
© 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
