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Geriatrician-led care model in frail cardiology patients reduces re-admissions

James Wm Henderson1, Mark Sweeney2, Melanie Dani2

  • 1Imperial College Healthcare NHS Trust, London, UK.

Future Healthcare Journal
|July 21, 2021
PubMed

Insights

A new geriatrician-led care model for frail elderly cardiology patients reduced 30-day re-admissions. This approach improved patient outcomes and was positively received by staff.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Healthcare Management

Background:

  • The aging population presents increasing frailty in cardiology patients.
  • Current post-procedural care models may not adequately address the needs of frail elderly patients.

Purpose of the Study:

  • To evaluate the effectiveness of a geriatrician-led post-procedural care model for frail elderly cardiology patients.
  • To assess the impact of this model on 30-day re-admission rates.

Main Methods:

  • A retrospective study comparing patients aged 65+ admitted in 2016 and 2019.
  • Data collected from electronic patient records and an anonymised staff survey.
  • Establishment of a dedicated geriatrician-led ward for post-treatment transfer.

Main Results:

  • Patients discharged from the geriatrician-led ward showed significantly fewer re-admissions compared to cardiology-led wards in 2019 (p=0.02).
  • Overall re-admissions were also reduced in 2016 (p=0.037).
  • Staff survey indicated a positive perception of the geriatrician input's usefulness.

Conclusions:

  • Geriatrician-led post-procedural care effectively reduces 30-day re-admissions in elderly cardiology patients.
  • This model offers a beneficial alternative for managing frail elderly patients post-cardiac procedures.
Abstract

Keywords:
cardiologycare modelgeriatricsre-admissions

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