ArticleAging clinical and experimental research2021
Unplanned hospital transfers from nursing homes: who is involved in the transfer decision? Results from the HOMERN study.
Article in Aging clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Implementation of a complex intervention to reduce hospitalizations from nursing homes: a mixed-method evaluation of implementation processes and outcomes.BMC geriatrics · 2022Trial
- Outcomes of a state-wide virtual emergency department in Victoria, Australia: a linked data analysis of emergency department utilisation and hospital use.The Lancet regional health. Western Pacific · 2026Article
- Avoidable emergency department admissions among nursing home residents - insights from a retrospective study.European geriatric medicine · 2026Article
- Article
- Impact of regular televisits on unplanned hospital admissions of nursing home residents in rural Germany: a pre-post intervention study.BMC geriatrics · 2025Article
- Evaluation of emergency medical responses to nursing homes in a local area of Germany.BMC emergency medicine · 2025Article
- Patients near death receiving specialized palliative home care being transferred to inpatient care - a registry study.BMC palliative care · 2024Article
- Differences in emergency department visits and hospitalization between German and Dutch nursing home residents: a cross-national survey.European geriatric medicine · 2024Article
- Emergency department visits by nursing home residents. A retrospective Italian study of administrative databases from 2015 to 2019.BMC geriatrics · 2024Article
- Emergency physicians' and nurses' perception on the adequacy of emergency calls for nursing home residents: a non-interventional prospective study.Frontiers in medicine · 2024Article
- A pilot observational study of gait changes over time before and after an unplanned hospital visit in long-term care residents with dementia.BMC geriatrics · 2023Observational
- [Emergency department visits by nursing home residents: analysis of routine data from an urban hospital].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- Measuring Potentially Avoidable Acute Care Transfers From Long-Term Care Homes in Quebec: a Cross Sectional Study.Canadian geriatrics journal : CGJ · 2023Article
- Associations between care home residents' characteristics and acute hospital admissions - a retrospective, register-based cross-sectional study.BMC geriatrics · 2023Article
- A typology of nurses' interaction with relatives in emergency situations.Nursing ethics · 2023Article
- [Nursing home-sensitive conditions and approaches to reduce hospitalization of nursing home residents].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Article
- Nursing Home Residents' Use of Radiography in New Brunswick: A Case for Mobile Radiography?Healthcare policy = Politiques de sante · 2023Article
- What influences decisions to transfer older care-home residents to the emergency department? A synthesis of qualitative reviews.Age and ageing · 2022Article
- Healthcare professionals' experience with emergency department-based acute care performed within nursing homes.Age and ageing · 2022Article
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3 authors.
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Abstract
backgroundEmergency department visits and hospital admissions are common among nursing home residents (NHRs) and seem to be higher in Germany than in other countries. Yet, research on characteristics of transfers and involved persons in the transfer decision is scarce.
aimsThe aim of this study was to analyze the characteristics of hospital transfers from nursing homes (NHs) focused on contacts to physicians, family members and legal guardians prior to a transfer.
methodsWe conducted a multi-center study in 14 NHs in the regions Bremen and Lower Saxony (Northwestern Germany) between March 2018 and July 2019. Hospital transfers were documented for 12 months by nursing staff using a standardized questionnaire. Data were derived from care records and perspectives of nursing staff and were analyzed descriptively.
resultsAmong 802 included NHRs, n = 535 unplanned hospital transfers occurred of which 63.1% resulted in an admission. Main reasons were deterioration of health status (e.g. fever, infections, dyspnea and exsiccosis) (35.1%) and falls/accidents/injuries (33.5%). Within 48 h prior to transfer, contact to at least one general practitioner (GP)/specialist/out-of-hour-care physician was 46.2% and varied between the NHs (range: 32.3-83.3%). GPs were involved in only 34.8% of transfer decisions. Relatives and legal guardians were more often informed about transfer (62.3% and 66.8%) than involved in the decision (21.8% and 15.1%). DISCUSSION: Contacts to physicians and involvement of the GP were low prior to unplanned transfers. The ranges between the NHs may be explained by organizational differences.
conclusionImprovements in communication between nursing staff, physicians and others are required to reduce potentially avoidable transfers.
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