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Endocrine, Metabolic & Immune Disorders - Drug Targets

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ISSN (Print): 1871-5303
ISSN (Online): 2212-3873

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Short Communication

Admission Avoidance for Older Adults Facilitated by Telemedicine during the COVID-19 Pandemic

Author(s): Jemma Gregory*, Benjamin Noble, Donna Ward, Zoe Wyrko and Luca Laghi

Volume 23, Issue 8, 2023

Published on: 30 March, 2023

Page: [1014 - 1020] Pages: 7

DOI: 10.2174/1871530323666230201103920

Price: $65

Abstract

Introduction: The coronavirus pandemic has disproportionately affected older adults and has provided an incentive to find alternatives to emergency department attendance to avoid unnecessary exposure to the SARS-CoV-2 virus. To address this issue, a specialist geriatric multidisciplinary team at Queen Elizabeth Hospital set up a novel telemedicine approach to the ambulance service with the aim of reducing unnecessary emergency department attendance for older adults. This study provides a service evaluation in its first year of use.

Methods: Service evaluation in the first year of the ‘Ask OPAL’ (older person Assessment and liaison) hotline for ambulance paramedics, run by a multidisciplinary acute geriatrics team at the Queen Elizabeth Hospital, Birmingham. Data on the number, patient demographics, intervention, and outcome of the calls, were recorded.

Results: During the study period, 2552 ‘Ask OPAL’ calls were conducted. Of the 2552 calls carried out, 1755 patients (69%) remained at home. Of the patients who remained at home, 76% received verbal advice only, while 24% were referred to community services in addition to receiving verbal advice.

Conclusion: In conclusion, the use of an integrated multidisciplinary team communicating with paramedics via telemedicine appears to be successful in preventing avoidable hospital admissions in complex patients.

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Graphical Abstract

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