Service provision for Frailty in European Emergency Departments (FEED): a survey of operational characteristics: a survey of operational characteristics
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| Názov: | Service provision for Frailty in European Emergency Departments (FEED): a survey of operational characteristics: a survey of operational characteristics |
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| Autori: | Christophe A. Fehlmann, Kara Mc Loughlin, Emma Jane Cosgriff, John Francis Ferrick, James David van Oppen, Timothy Coats, Simon Conroy, Bas de Groot, Pieter Heeren, Stephen Lim, Jacinta Lucke, Simon Mooijaart, Christian H. Nickel, Rose Penfold, Katrin Singler, Françoise Steenebruggen, Valerie Sterckx, Ivan Brdar, Pavla Libicherová, Frédéric Balen, Céline Bianco, Xavier Dubucs, Jérémy Guenezan, Stefanie Apfelbacher, Othon Fraidakis, Varvara Fyntanidou, Szabolcs Gaál, Anna Björg Jónsdóttir, Maria Cremin, Mary Kelly, Claire McAteer, Elizabeth Moloney, Ciara Sankey, Lisa Sibthorpe, Maria Beatrice Zazzara, Rene Alexander Camilleri, Paul Zammit, Sophie M. Coffeng, Rosalinde Smits, Miguel Alberto Rizzi Bordigoni, Santiago Castejón-Hernández, Lupe del Rocio Coronel Chumbi, Sira Aguiló Mir, Eduardo Enrique Padilla, Wojciech Rojewski-Rojas, Davide Fadini, Natalie Sabrina Jegerlehner, Enrico Zucconi, Hüseyin Avni Demir, Zerrin Defne Dundar, Ramazan Güven, Mehmet Akif Karamercan, Fulya Kose, Özgür Söğüt, Ismail Tayfur, Lucy Abbott, James Adams, Janice Bernardo, Leanne Brown, Joel Burton, Renate Claassen, Jamie Cooper, Ruth Heyes, Calvin Lightbody, Jane Masoli, David Mawhinney, Stephen McKenzie, Nicola Moultrie, Angeline Price, Rajendra Raman, Apirthan Rajasingam, Lauren Rothwell, Ravishankar Prabhakar Shashikala, Erica Smith, Vittoria Sorice, James van Oppen, James Wallace, Tom Young, Effie Polyzogopoulou, Lluís Llauger |
| Prispievatelia: | Fehlmann, Christophe A.§0000-0002-4163-0338, ULRR |
| Zdroj: | Scand J Trauma Resusc Emerg Med Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 32, Iss 1, Pp 1-6 (2024) |
| Informácie o vydavateľovi: | Springer Science and Business Media LLC, 2024. |
| Rok vydania: | 2024 |
| Predmety: | Male, emergency care, Frail Elderly/statistics & numerical data, Frail Elderly, 1110 Nursing, frailty, FOS: Health sciences, 03 medical and health sciences, delirium, 0302 clinical medicine, Geriatric Assessment/methods, Surveys and Questionnaires, 80 and over, Humans, health services, European Taskforce for Geriatric Emergency Medicine, Geriatric Assessment, Original Research, Aged, Aged, 80 and over, Emergency Service, Science & Technology, Frailty, Hospital/statistics & numerical data, RC86-88.9, 3202 Clinical sciences, Health sciences, Delirium, 1103 Clinical Sciences, Medical emergencies. Critical care. Intensive care. First aid, Health services, 3. Good health, Europe, Frailty/diagnosis, Cross-Sectional Studies, Emergency Medicine, Female, Emergency care, Emergency Service, Hospital, Life Sciences & Biomedicine |
| Popis: | Background The observational Frailty in European Emergency Departments (FEED) study found 40% of older people attending for care to be living with frailty. Older people with frailty have poorer outcomes from emergency care. Current best practice calls for early identification of frailty and holistic multidisciplinary assessment. This survey of FEED sites explores variations in frailty-attuned service definitions and provision. Methods This cross-sectional survey included study sites across Europe identified through snowball recruitment. Site co-ordinators (healthcare professionals in emergency and geriatric care) were surveyed online using Microsoft Forms. Items covered department and hospital capacity, frailty and delirium identification methods, staffing, and frailty-focused healthcare services in the ED. Descriptive statistics were reported. Results A total of 68 sites from 17 countries participated. Emergency departments had median 30 (IQR 21–53) trolley spaces. Most defined "older people" by age 65+ (64%) or 75+ (25%). Frailty screening was used at 69% of sites and mandated at 38%. Night-time staffing was lower compared to day-time for nursing (10 [IQR 8–14] vs. 14 [IQR 10–18]) and physicians (5 [IQR 3–8] vs. 10 [IQR 7–15]). Most sites had provision for ED frailty specialist services by day, but these services were rarely available at night. Sites mostly had accessible facilities; however, hot meals were rarely available at night (18%). Conclusion This survey demonstrated variability in case definitions, screening practices, and frailty-attuned service provision. There is no unanimous definition for older age, and while the Clinical Frailty Scale was commonly used, this was rarely mandated or captured in electronic records. Frailty services were often unavailable overnight. Appreciation of the variation in frailty service models could inform operational configuration and workforce development. |
| Druh dokumentu: | Article Other literature type |
| Popis súboru: | application/pdf; text |
| Jazyk: | English |
| ISSN: | 1757-7241 |
| DOI: | 10.1186/s13049-024-01234-w |
| DOI: | 10.48620/88140 |
| DOI: | 10.34961/researchrepository-ul.26644579 |
| DOI: | 10.34961/researchrepository-ul.26644579.v1 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/39075591 https://doaj.org/article/e529ca0c0e2a4627bc235276a81ec67b https://research.rug.nl/en/publications/989285a2-eb5e-4784-87f9-3dced259e16a https://doi.org/10.1186/s13049-024-01234-w https://hdl.handle.net/11370/989285a2-eb5e-4784-87f9-3dced259e16a https://hdl.handle.net/10344/13688 https://doi.org/10.34961/researchrepository-ul.26644579 |
| Rights: | CC BY CC BY NC SA URL: http://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (http://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| Prístupové číslo: | edsair.doi.dedup.....f5fa5c0514c057e7fdbea26a8a37c685 |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Background The observational Frailty in European Emergency Departments (FEED) study found 40% of older people attending for care to be living with frailty. Older people with frailty have poorer outcomes from emergency care. Current best practice calls for early identification of frailty and holistic multidisciplinary assessment. This survey of FEED sites explores variations in frailty-attuned service definitions and provision. Methods This cross-sectional survey included study sites across Europe identified through snowball recruitment. Site co-ordinators (healthcare professionals in emergency and geriatric care) were surveyed online using Microsoft Forms. Items covered department and hospital capacity, frailty and delirium identification methods, staffing, and frailty-focused healthcare services in the ED. Descriptive statistics were reported. Results A total of 68 sites from 17 countries participated. Emergency departments had median 30 (IQR 21–53) trolley spaces. Most defined "older people" by age 65+ (64%) or 75+ (25%). Frailty screening was used at 69% of sites and mandated at 38%. Night-time staffing was lower compared to day-time for nursing (10 [IQR 8–14] vs. 14 [IQR 10–18]) and physicians (5 [IQR 3–8] vs. 10 [IQR 7–15]). Most sites had provision for ED frailty specialist services by day, but these services were rarely available at night. Sites mostly had accessible facilities; however, hot meals were rarely available at night (18%). Conclusion This survey demonstrated variability in case definitions, screening practices, and frailty-attuned service provision. There is no unanimous definition for older age, and while the Clinical Frailty Scale was commonly used, this was rarely mandated or captured in electronic records. Frailty services were often unavailable overnight. Appreciation of the variation in frailty service models could inform operational configuration and workforce development. |
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| ISSN: | 17577241 |
| DOI: | 10.1186/s13049-024-01234-w |