British Geriatrics Society

dependency, most commonly trauma-related, was found in 50% and in most proved transient. Commonest referrals were to community OT, district nursing and home help. Refusal rates were high. Intervention patients received more services and were significantly (p » 0.027) more independent in instrumental AOL's such as shopping and cooking at follow-up. HV assessment was seen as helpful. There were no important differences in re-admission rates. Study data was used to derive by means of multiple regression analysis an 8-point questionnaire to identify patients vulnerable on discharge from an AED. This study further defines the problems faced by elderly patients going home from an AED, demonstrates the value of HV intervention for the frailest and offers a means of identifying them prior to discharge.