The GerED-21 Study in Sant’Orsola-Malpighi Hospital in Bologna: Preliminary Report (78961)
Tuesday, 26 March 2024 15:30
Session: Poster Session 2
Room: Orion Hall (5F)
Presentation Type: Poster Presentation
Elderly patients admitted to the Emergency Department (ED) deal with adverse outcomes, including avoidable hospitalization. The GerED-21 study is a multicentric randomised study involving three Italian EDs hospitals (IRCCS AOUBO, Maggiore Hospital, Bologna) (Maggiore Hospital, Parma ). This project aimed to reduce unnecessary hospitalization of older adults addressing their needs promptly and appropriately. A multidisciplinary geriatric team (a geriatrician, a trained nurse, and a social worker) co-operate with ED staff. Since admission, older patients received a Comprehensive Geriatric Assessment, providing person-centered solutions (intervention) beyond the acute disease, with a timely care planning. We performed a subgroup analyses from IRCCS-AOUBO as this center respected the timeline for expected deliverable. This study entails a block randomization of weeks of admission. Inclusion criteria: aged≥ 75 ys, Triage Risk Screening Tool score≥ 2, able to provide aninformant consent or from their legal representative. Exclusion criteria: severe injured patients or acute disease worthy to be hospitalized (i.e stroke, ). Statistical analyses performed with SAS software (version 8,1, USA). From May to August 2023, we recruited 72 patients. 31 in the intervention group and 41 in the control group. Demographic, functionals, comorbidities, and social variables were collected resulting homogeneous amongst of the two groups. 87% of subjects in the intervention group vs 56% in the control group was discharged from the ED (p= 0.005). These preliminary results move towards the strategic role of a multidimensional geriatric intervention in the ED encouraging further diffusion of this comprehensive model of care for elderly.
Authors:
Maria Lia Lunardelli, IRCCS Azienda Ospedaliero Universitaria di Bologna, Italy
Anastasia Temchenko, IRCCS Azienda Ospedaliero Universitaria di Bologna, Italy
Vincenza Frisardi, IRCCS Azienda Ospedaliero Universitaria di Bologna, Italy
Alessandro De Marchi, IRCCS Azienda Ospedaliero Universitaria di Bologna, Italy
Chiara Bendini, IRCCS Azienda Ospedaliero Universitaria di Bologna, Italy
Paola Forti, University of Bologna, Italy
About the Presenter(s)
Dr Vincenza Frisardi is is currently working at IRCCS AOUBO in Italy
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