Nurse-led ED intervention cuts older adult admissions by 11.6%: 3 notes

A nurse-led intervention at San Francisco-based UCSF Health cut inpatient admissions of older adults by 11.6%, according to a study published Aug. 21 in the Annals of Emergency Medicine. 

The study analyzed 2,731 emergency department visits of older adult patients between May 1, 2021, and April 30, 2024.

Here are three notes from the study:

1. Patients eligible for the intervention — called a “modified comprehensive geriatric assessment” — were 65 years or older and had an emergency severity index between 2 and 5.
2. Of the 2,731 visits, 1,119 received the intervention, which was completed by a nurse practitioner with prior experience in outpatient care and geriatrics.

3. Though the intervention was associated with an 11.6% lower likelihood of inpatient admission, there was no association between the intervention and ED length of stay, ED revisits within 72 hours or ED revisits within 30 days of discharge.

Read the full study here. 

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