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Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits
Long-term care residents with suspected fractures as a result of a fall typically transfer to the emergency department (ED) for diagnostic imaging and care. During the COVID-19 pandemic, transfer to the hospital increased the risk of COVID-19 exposure and resulted in extended isolation days for the...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AMDA - The Society for Post-Acute and Long-Term Care Medicine.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9974357/ https://www.ncbi.nlm.nih.gov/pubmed/36898412 http://dx.doi.org/10.1016/j.jamda.2023.01.024 |
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author | Ng, Genny Larouche, Jeremie Feldman, Sid Verduyn, Ashley Ward, Sarah Wong, Brian M. Mayo, Amanda |
author_facet | Ng, Genny Larouche, Jeremie Feldman, Sid Verduyn, Ashley Ward, Sarah Wong, Brian M. Mayo, Amanda |
author_sort | Ng, Genny |
collection | PubMed |
description | Long-term care residents with suspected fractures as a result of a fall typically transfer to the emergency department (ED) for diagnostic imaging and care. During the COVID-19 pandemic, transfer to the hospital increased the risk of COVID-19 exposure and resulted in extended isolation days for the resident. A fracture care pathway was developed and implemented to provide rapid diagnostic imaging results and stabilization in the care home, reducing transportation and exposure risk to COVID-19. Eligible residents with a stable fracture would receive a referral to a designated fracture clinic for consultation; fracture care is provided in the care home by long-term care staff. Evaluation of the pathway was completed and demonstrated that 100% of residents did not transfer to the ED and 47% of the residents did not transfer to a fracture clinic for additional care. |
format | Online Article Text |
id | pubmed-9974357 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | AMDA - The Society for Post-Acute and Long-Term Care Medicine. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99743572023-03-01 Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits Ng, Genny Larouche, Jeremie Feldman, Sid Verduyn, Ashley Ward, Sarah Wong, Brian M. Mayo, Amanda J Am Med Dir Assoc Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Long-term care residents with suspected fractures as a result of a fall typically transfer to the emergency department (ED) for diagnostic imaging and care. During the COVID-19 pandemic, transfer to the hospital increased the risk of COVID-19 exposure and resulted in extended isolation days for the resident. A fracture care pathway was developed and implemented to provide rapid diagnostic imaging results and stabilization in the care home, reducing transportation and exposure risk to COVID-19. Eligible residents with a stable fracture would receive a referral to a designated fracture clinic for consultation; fracture care is provided in the care home by long-term care staff. Evaluation of the pathway was completed and demonstrated that 100% of residents did not transfer to the ED and 47% of the residents did not transfer to a fracture clinic for additional care. AMDA - The Society for Post-Acute and Long-Term Care Medicine. 2023-05 2023-03-01 /pmc/articles/PMC9974357/ /pubmed/36898412 http://dx.doi.org/10.1016/j.jamda.2023.01.024 Text en © 2023 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Ng, Genny Larouche, Jeremie Feldman, Sid Verduyn, Ashley Ward, Sarah Wong, Brian M. Mayo, Amanda Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits |
title | Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits |
title_full | Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits |
title_fullStr | Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits |
title_full_unstemmed | Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits |
title_short | Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits |
title_sort | virtual fracture care in long-term care homes avoiding emergency department visits |
topic | Pragmatic Innovations in Post-Acute and Long-Term Care Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9974357/ https://www.ncbi.nlm.nih.gov/pubmed/36898412 http://dx.doi.org/10.1016/j.jamda.2023.01.024 |
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