Open AccessAbstracts SGIM Jahresversammlung 2015 / Assemblée annuelle SSMI 2015
Author(s) -
Martin F. Reiner,
Simona Stivala,
Andreas Limacher,
Sara Gobbato,
Marie Méan,
Nicolas Rodondi,
Drahomir Aujesky,
Clemens von Schacky,
Thomas F. Lüscher,
Giovanni G. Camici,
Jürg H. Beer,
Tobias Tritschler,
Monica Escher,
Stéphane Cullati,
Mathieu Nendaz,
Bara Ricou,
Patricia Hudelson,
Thomas Perneger,
P. Dayer,
Iljas Rosenberg,
Burkhard Gierer,
Renata Flury,
Peter E. Ballmer
Publication year - 2015
Publication title -
praxis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 16
eISSN - 1661-8165
pISSN - 1661-8157
DOI - 10.1024/1661-8157/a001994
Subject(s) - history
Background: Emergency department frequent users (EDFUs) account for a disproportionally high number of emergency department (ED) visits, contributing to overcrowding and high health-care costs. At the Lausanne University Hospital, EDFUs account for only 4.4% of ED patients, but 12.1% of all ED visits. Our study tested the hypothesis that an interdisciplinary case management intervention red.Methods: In this randomized controlled trial, we allocated adult EDFUs (5 or more visits in the previous 12 months) who visited the ED of the University Hospital of Lausanne, Switzerland between May 2012 and July 2013 either to an intervention (N=125) or a standard emergency care (N=125) group and monitored them for 12 months. Randomization was computer generated and concealed, and patients and research staff were blinded to the allocation. Participants in the intervention group, in addition to standard emergency care, received case management from an interdisciplinary team at baseline, and at 1, 3, and 5 months, in the hospital, in the ambulatory care setting, or at their homes. A generalized, linear, mixed-effects model for count data (Poisson distribution) was applied to compare participants' numbers of visits to the ED during the 12 months (Period 1, P1) preceding recruitment to the numbers of visits during the 12 months monitored(Period 2, P2)