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https://hdl.handle.net/2440/72680
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Type: | Journal article |
Title: | A physiotherapy service to an emergency extended care unit does not decrease admission rates to hospital: a randomised trial |
Author: | Jesudason, C. Stiller, K. McInnes, M. Sullivan, T. |
Citation: | Emergency Medicine Journal, 2012; 29(8):664-669 |
Publisher: | British Med Journal Publ Group |
Issue Date: | 2012 |
ISSN: | 1472-0205 1472-0213 |
Statement of Responsibility: | Christabel Jesudason, Kathy Stiller, Matthew McInnes and Thomas Sullivan |
Abstract: | BACKGROUND: One of the reasons physiotherapy services are provided to emergency departments (EDs) and emergency extended care units (EECUs) is to review patients’ mobility to ensure they are safe to be discharged home. AIM: To investigate whether a physiotherapy service to an EECU altered the rate of hospital admission, rate of re-presentation to the ED, visits to community healthcare practitioners, return to usual work/home/leisure activities and patient satisfaction. METHODS: A randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis was undertaken in an EECU. The sample comprised 186 patients (mean age 70 years, 123 (66%) female patients, 130 (70%) trauma) who were referred for physiotherapy assessment/intervention. Referral occurred at any stage of the patients’ EECU admission. All participants received medical/nursing care as required. The physiotherapy group also received physiotherapy assessment/intervention. RESULTS: The physiotherapy group had a 4% (95% CI _18% to 9%) lower rate of admission to hospital than the control group and a 4% (95% CI _6% to 13%) higher rate of re-presentation to the ED, which were statistically non-significant (p$0.45). Differences between groups for use of community healthcare resources, return to usual work/home/leisure activities and satisfaction with their EECU care were small and not significant. CONCLUSION: A physiotherapy service for EECU patients, as provided in this study, did not reduce the rate of hospital admission, rate of re-presentation to the ED, use of community healthcare resources, or improve the rate of return to usual work/home/leisure activities or patient satisfaction. |
Keywords: | Humans Hospitalization Patient Readmission Aged Aged, 80 and over Middle Aged Emergency Service, Hospital Skilled Nursing Facilities Community Health Services Patient Satisfaction Female Male Physical Therapy Modalities |
Rights: | Copyright © 2012 BMJ Publishing Group Ltd and the College of Emergency Medicine. All rights reserved. |
DOI: | 10.1136/emermed-2011-200157 |
Published version: | http://dx.doi.org/10.1136/emermed-2011-200157 |
Appears in Collections: | Aurora harvest Public Health publications |
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