A randomized-controlled trial of a patient-centred intervention in high-risk discharged older patients.

Background: The risk of early reattendance after discharge has been proposed as a performance indicator for emergency departments (EDs), but is not uniform in all patients. Those individuals at the highest risk of reattendance may benefit from an intense intervention to reduce this risk, and our objective was to test this hypothesis in a clinical trial.

Methods: A randomized-controlled trial was conducted in the EDs of two hospitals.

Use of a risk nomogram to predict emergency department reattendance in older people after discharge: a validation study.

In older people, revisit to the emergency department (ED) in the short period after discharge is not entirely avoidable, but in a proportion of cases is preventable, and should ideally be minimised. We have previously derived a risk probability nomogram to predict the likelihood of revisit. In this study, we sought to validate the nomogram for use as a general risk stratification tool for use in older people being discharged from ED.