Observational studyAge and ageing2023
Mobile emergency department care to nursing home residents: a novel outreach service.
Observational study in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- The Systemic Lottery - A Field Observational Study on the Detection and Management of Acute Events in Care Homes.Scandinavian journal of caring sciences · 2026Observational
- Bringing the Hospital to the Adult Patient: A Qualitative Study of Patients' and Relatives' Experiences of Mobile Emergency Care at Home.Scandinavian journal of caring sciences · 2026Article
- 30-day hospital admission among older adults initially managed at home by a mobile emergency unit: a retrospective cohort study.BMC emergency medicine · 2026Article
- Hospitalizations, emergency medical care utilization, and contacts with the regional on-call medical services among nursing home residents in Germany: a cross-sectional study in 44 nursing homes.BMC health services research · 2025Article
- Outreach acute care for nursing homes: an observational study on the quality and cost-effectiveness of the Mobile Hospital.Age and ageing · 2025Observational
- Managing falls onsite in residential aged care homes reduced hospitalisation: Mixed methods results from the Falls Outreach and Residential Mobile Assessment Team (FORMAT) pilot study.Australasian journal on ageing · 2024Article
- Emergency department visits by nursing home residents. A retrospective Italian study of administrative databases from 2015 to 2019.BMC geriatrics · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvery month, 6% of Danish nursing home residents are admitted to hospital. However, these admissions might have limited benefits and are associated with an increased risk of complications. We initiated a new mobile service comprising consultants performing emergency care in nursing homes.
objectiveDescribe the new service, the recipients of this service, hospital admission patterns and 90-day mortality.
designA descriptive observational study. MODEL: When an ambulance is requested to a nursing home, the emergency medical dispatch centre simultaneously dispatches a consultant from the emergency department who will provide an emergency evaluation and decisions regarding treatment at the scene in collaboration with municipal acute care nurses.
methodWe describe the characteristics of all nursing home contacts from 1st November 2020 to 31st December 2021. The outcome measures were hospital admissions and 90-day mortality. Data were extracted from the patients' electronic hospital records and prospectively registered data.
resultsWe identified 638 contacts (495 individuals). The new service had a median of two (interquartile range: 2-3) new contacts per day. The most frequent diagnoses were related to infections, unspecific symptoms, falls, trauma and neurologic disease. Seven out of eight residents remained at home following treatment, 20% had an unplanned hospital admission within 30 days and 90-day mortality was 36.4%.
conclusionTransitioning emergency care from hospitals to nursing homes could present an opportunity for providing optimised care to a vulnerable population and limiting unnecessary transfers and admissions to hospitals.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.