"CODICE ARGENTO": dedicated care pathway for the frail elderly in the emergency department of cristo re hospital
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Ospedale cristo re Italy
Controllo di Gestione Ospedale Cristo Re Roma - Gruppo Giomi Italy
UOC Medicina Ospedale Cristo Re Roma - Gruppo Giomi Italy
Pronto Soccorso Ospedale Cristo Re Roma - Gruppo Giomi Italy
Direzione Sanitaria Ospedale Cristo Re Roma -Gruppo Giomi Italy
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A86
Background and Objective:
The Emergency Department (ED) of Cristo Re Hospital in Rome, to provide the best care for the elderly patient (>75), from January 2021, a multidisciplinary team has been implemented and the _Codice Argento_ has been introduced in the ED for a dedicated pathway for these patients. With this code, such users can be identified very early through a score of a few questions to define a set of defined and validated parameters. In 2022, we implemented the outcomes already identified to increase the quality and safety of care of this target group of patients.

We evaluated data of ED accesses for >75 years old (first 9 months of 2021 vs first 9 months of 2022).

In 2021, accesses were 2077, for a total of 21% admissions. In the same period of 2022, accesses were 2200, for a total of 17% hospitalizations. Analysis of the data showed: * increase: * of accesses in patients ć75 years old; * of % total accesses vs % accesses ć75 yr old (13.39% in 2021 vs 13.70% in 2022); * of home discharges (74% in 2021 vs 76% in 2022); * reduction: * of the % of hospitalizations (21% in 2021 vs 17% in 2022); * of the length of stay in the PS for orange, blue and green codes; * of admission days (faster and more correct clinical framing in the ED); * of the behavioral disorders that often accompany hospitalization.

The shared, facilitated and multidisciplinary approach to the frail elderly patient, has improved the outcomes considered by facilitating hospital pathways. We aim to continue monitoring of outcomes, to continue assistance to the frail elderly with the support of telemedicine and teleconsultation by collaborating with the the GPs (e.g. schedule meeting) and to increase the prescription of specialist follow-up.

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