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Irish Journal of Medical Science (1971 -)

, Volume 185, Issue 3, pp 655–661 | Cite as

Impact of season, weekends and bank holidays on emergency department transfers of nursing home residents

  • C. W. Fan
  • T. Keating
  • E. Brazil
  • D. Power
  • J. Duggan
Original Article

Abstract

Background

For urgent, unexpected clinical events, nursing home (NH) residents are transferred to the acute hospital emergency department (ED). A previous study showed that a third of transfers occurred during working hours.

Aims

Our aims were to profile a one-year NH transfers to the ED and to examine the re-presentation, patient-oriented outcome and the impact of season, weekends and bank holidays on NH transfers.

Methods

All NH transfers from a catchment to an ED over one year were identified using electronic patient record. Age, gender, reason for presentation, patient-oriented outcome and date and time of presentation were recorded. Representation and the interval between transfers were calculated. Number of transfers was calculated for season, weekdays/weekends and bank holidays. Student t test, Chi-square statistics and one-way ANOVA were used. Significance was set at 0.05.

Results

There were 802 transfers from 465 NH residents over a year; 501 (62.5 %) resulted in admissions, 189 (40.6 %) residents represent to the service and 80 episodes occurred within a fortnight of the last attendance. The highest transfers occurred in May (2.81 patients/day), during working hours and on Wednesdays and Thursdays (>2.5 transfers/day). ‘Unwell adult’ and ‘falls’ were the two commonest reasons for presentation.

Conclusions

Our study showed that NH transfers occurred mainly within working hours and during weekdays. Insights into the transfer pattern and the reasons for NH patients to utilise ED will facilitate improved design and operation of the department by creating care pathways for these patients.

Keywords

Nursing home Emergency department Acute care 

Supplementary material

11845_2015_1332_MOESM1_ESM.docx (12 kb)
Supplementary material 1 (DOCX 12 kb)

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Copyright information

© Royal Academy of Medicine in Ireland 2015

Authors and Affiliations

  • C. W. Fan
    • 1
  • T. Keating
    • 1
  • E. Brazil
    • 1
  • D. Power
    • 1
  • J. Duggan
    • 1
  1. 1.Mater Misericordiae University HospitalDublin 7Ireland

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