Understanding the distribution of A&E attendances and hospital admissions for the case managed population: A single case cross sectional study

Eloise Phillips, Sarahjane Jones, Jessica Runacres, Maxine Lintern, Mark Radford

Research output: Contribution to journalArticle

Abstract

Aim To describe the characteristics of case-managed patients presenting at accident and emergency (A & E) and to explore the distribution of their attendances and admissions. Background Recently, the UK Government announced extended-hours primary care provision in an effort to reduce the growing utilization of A & E. No evidence is available to understand the use of acute services by this high-risk patient group. Method A cross-sectional design utilising routinely collected anonymsed A & E attendance and hospital admission data from 2010 to 2015. Results The case-managed population is typically 70 years and older and most often arrive at A & E via emergency services and during the night (00:00–08:59). A large proportion are subsequently admitted having a statistically significant A & E conversion rate. No variables were predictive of admission. Conclusion The high level of A&E conversion could indicate case-managed patients are presenting appropriately with acute clinical need. However, inadequate provision in primary-care could drive decisions for admitting vulnerable patients.
Original languageEnglish
Pages (from-to)24-29
JournalApplied Nursing Research
Volume33
Early online date7 Oct 2016
DOIs
Publication statusPublished - 1 Feb 2017

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Cross-Sectional Studies
Population
Primary Health Care
Emergencies
Accidents

Bibliographical note

© 2017, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

Keywords

  • Case Management
  • long-term conditions
  • Chronic Disease

Cite this

Phillips, Eloise ; Jones, Sarahjane ; Runacres, Jessica ; Lintern, Maxine ; Radford, Mark. / Understanding the distribution of A&E attendances and hospital admissions for the case managed population: A single case cross sectional study. In: Applied Nursing Research. 2017 ; Vol. 33. pp. 24-29.
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Understanding the distribution of A&E attendances and hospital admissions for the case managed population: A single case cross sectional study. / Phillips, Eloise; Jones, Sarahjane; Runacres, Jessica; Lintern, Maxine; Radford, Mark.

In: Applied Nursing Research, Vol. 33, 01.02.2017, p. 24-29.

Research output: Contribution to journalArticle

TY - JOUR

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AU - Phillips, Eloise

AU - Jones, Sarahjane

AU - Runacres, Jessica

AU - Lintern, Maxine

AU - Radford, Mark

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Y1 - 2017/2/1

N2 - Aim To describe the characteristics of case-managed patients presenting at accident and emergency (A & E) and to explore the distribution of their attendances and admissions. Background Recently, the UK Government announced extended-hours primary care provision in an effort to reduce the growing utilization of A & E. No evidence is available to understand the use of acute services by this high-risk patient group. Method A cross-sectional design utilising routinely collected anonymsed A & E attendance and hospital admission data from 2010 to 2015. Results The case-managed population is typically 70 years and older and most often arrive at A & E via emergency services and during the night (00:00–08:59). A large proportion are subsequently admitted having a statistically significant A & E conversion rate. No variables were predictive of admission. Conclusion The high level of A&E conversion could indicate case-managed patients are presenting appropriately with acute clinical need. However, inadequate provision in primary-care could drive decisions for admitting vulnerable patients.

AB - Aim To describe the characteristics of case-managed patients presenting at accident and emergency (A & E) and to explore the distribution of their attendances and admissions. Background Recently, the UK Government announced extended-hours primary care provision in an effort to reduce the growing utilization of A & E. No evidence is available to understand the use of acute services by this high-risk patient group. Method A cross-sectional design utilising routinely collected anonymsed A & E attendance and hospital admission data from 2010 to 2015. Results The case-managed population is typically 70 years and older and most often arrive at A & E via emergency services and during the night (00:00–08:59). A large proportion are subsequently admitted having a statistically significant A & E conversion rate. No variables were predictive of admission. Conclusion The high level of A&E conversion could indicate case-managed patients are presenting appropriately with acute clinical need. However, inadequate provision in primary-care could drive decisions for admitting vulnerable patients.

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