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Readmissions to hospital following a decision to eat and drink with acknowledged risk.
Soar, N; Birns, J; Sommerville, P; Fitzgerald, A; Archer, S.
Afiliación
  • Soar N; Speech and Language Therapy, Guy's and St Thomas' NHS Foundation Trust, London, UK. Electronic address: Naomi.Soar@gstt.nhs.uk.
  • Birns J; Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Sommerville P; Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Fitzgerald A; Adult Community Nursing, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Archer S; Speech and Language Therapy, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Geriatr Nurs ; 50: 90-93, 2023.
Article en En | MEDLINE | ID: mdl-36689850
People with a dysphagia may eat and drink with acknowledged risks (EDAR). The FORWARD care bundle (Feeding via the Oral Route With Acknowledged Risk of Deterioration) is used at our hospital to support patients who are EDAR. This two-year retrospective study of patients supported by FORWARD aimed to determine incidence of EDAR-related readmissions and effects of discharge location and documented preferred place of care in advance care plans. Of 316 patients supported by FORWARD, 200 were discharged alive. 63% (n=126) were not readmitted within six months. Of 74 patients readmitted, 49% had an EDAR-related readmission. Significantly fewer patients wishing to remain at home had EDAR-related readmissions (7%, n=4) than those without a documented preferred place of care (23%, n=30, p<0.01), suggesting advance care plans are effective. Significantly more (23%, n=29) patients discharged to private homes had EDAR-related readmissions than those in nursing/care homes (10%, n=6, p<0.05), which could suggest residential care provides more support.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Hospitales Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Geriatr Nurs Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Hospitales Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Geriatr Nurs Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos