AI Article Synopsis
- The study aimed to evaluate the impact of a Disability Liaison Officer (DLO) service in the Emergency Department (ED) on adults with various disabilities, focusing on their length of stay (LOS).
- Conducted in a major referral ED in Melbourne, the research compared standard care patients with those supported by the DLO, analyzing their outcomes over a one-year period.
- Results suggested that the DLO service significantly reduced LOS for patients with disabilities, particularly those discharged directly from the ED, indicating the need for further studies on the service’s effectiveness and cost-efficiency.
Article Abstract
Objectives: To identify the influence of a Disability Liaison Officer (DLO) service in the ED setting on people with disability (PWD). For this project, PWD included adults with communication disability, intellectual disability or autism spectrum disorder.
Methods: This was a single-centre retrospective cohort study, at an adult major referral ED in Melbourne, Australia. Patients were eligible for inclusion if they were ≥18 years of age, presented to the ED between 1 April 2022 and 30 April 2023, and had a disability alert in their electronic medical record. Eligible patients were divided into two cohorts: (i) patients managed using standard ED care and (ii) patients managed using DLO model. ED length of stay (LOS) was the main outcome measure.
Results: After adjusting for baseline differences in age, initial GCS and disability type, the DLO service was associated with earlier disposition from the ED (adjusted hazard ratio [aHR] 1.44; 95% confidence interval [CI]: 1.23-1.69; P < 0.001). For the subgroup of patients discharged directly from the ED, the association of DLO service and earlier disposition remained statistically significant (aHR 2.47; 95% CI: 1.83-3.33; P < 0.001). Among patients admitted to the emergency short stay unit (aHR 1.67; 95% CI: 0.99-2.80; P = 0.06), and those admitted to inpatient wards (aHR 0.89; 95% CI: 0.65-1.23; P = 0.50), there was no significant association of the DLO service with time to disposition.
Conclusions: The DLO service was associated with a reduction in ED LOS for PWD. Further assessment of the service using patient- and carer-reported outcome measures and cost-effectiveness studies are indicated.
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| http://dx.doi.org/10.1111/1742-6723.14513 | DOI Listing |
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