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Age Ageing. 2016 April; 45(Suppl 1): i2–i3.
Published online 2016 April 4. doi:  10.1093/ageing/afw024.09
PMCID: PMC4890367

9
SURVEY OF REFERRALS FROM A DISTRICT GENERAL HOSPITAL TO ACUTE HOSPITAL LIAISON TEAM- WHERE COULD WE IMPROVE?

Aims To study the profile of patients with mental health needs who are admitted to a district general hospital.

To study how they progress through their hospital admission.

It is very well known that patients who are admitted with confusion have a longer stay at hospital when compared to other patients.

We wanted to study their stay in more detail to understand the precise reasons. This might be different for each district hospital depending upon the resources available.

We hoped that this will enable us to address those reasons with a view to reducing length of stay and even hospital admissions, wherever possible.

Method We took a consectuive sample of 45 patients above the age of 65 who were admitted to the District general hospital. We studied the date of admission, the date of referral to acute hospital liaison, age and sex profile, physical co morbidities, abbreviated mental test score at admission, recurrent admissions and input from social services.

Results and conclusions

  • There was an average delay of 9 days between the day of admission to the district hospital and the day of referral to hospital liaison team.
  • Abbreviated mental test score was recorded for 8 out of 45 patients.
  • 1 out of 45 admissions came from a surgical ward.
  • 17 out of 45 admissions had confusion listed as one of the reasons for admission.
  • 9 out of 45 admissions had a previous hospital admission within the previous 4 months.
  • 8 out of 9 re-admissions were for patients aged 80 or over.

The above data suggest the need for the liaison team to work more closely with the medical teams at the district hospital in identifying patients with confusion and referring them to the liaison team as soon as possible. The liaison team will also have to roll out education sessions on early detection of patients with confusion. A more detailed education and discussion session need to happen on the surgical wards.


Articles from Age and Ageing are provided here courtesy of Oxford University Press