Proactive Geriatric Comanagement of Nursing Home Patients by a New Hospital-Based Liaison Geriatric Unit: A New Model for the Future.
Jesús Mateos-Nozal, Nuria Pérez-Panizo, Carlota Manuela Zárate-Sáez and 6 others
PMID 34958745WHAT IT FOUND
A hospital geriatric liaison unit with advanced nurses assessed 521 nursing home residents in 3 months, changed treatment in 57% of outpatient cases, and staff reported high satisfaction; the paper reports activity and staff views.
Key findings
01During 3 months, the unit made 1252 assessments and joint consultations in 521 residents from 30 different nursing homes.
02Among outpatient assessments, 98% were made by phone or e-mail, and treatment changes were prompted in 57% of cases, with nonpharmacological recommendations in 30% and deprescription in 29%.
03The unit estimated that at least 27 urgent and 22 scheduled transfers to hospital were prevented, and hospital admissions were prevented in 20% of ED assessments.
STILL TO COME
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What it does not show
The report describes one hospital-based unit and a 3-month activity record, so it does not show how the model performs in other settings or over time. The prevented transfer and admission numbers are authors' estimates based on objective criteria, not outcomes measured against usual care. Staff satisfaction was based on 44 answers from 29 of 31 nursing homes, so it reflects a small sample of health care workers' views. The reported results are activity counts, treatment changes, estimated prevented transfers, and staff satisfaction, not patient outcome data.
The easy way to misread this
Do not read the 4.7 of 5.0 satisfaction score or estimated prevented transfers as proof that the unit improves patient outcomes. The paper reports activity and staff views from one unit over 3 months.