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© 1990 Oxford University Press

research-article

The Discharge of Elderly Patients from an Accident and Emergency Department: Functional Changes and Risk of Readmission

KATHRYN ROWLAND, A. K. MAITRA, D. A. RICHARDSON, K. HUDSON and K. W. WOODHOUSE

Department of Geriatric Medicine, University of Newcastle upon Tyne Newcastle NE1 7RU
Accident and Emergency Department, Royal Victoria Infirmary Newcastle upon Tyne
Social Work Department, Royal Victoria Infirmary Newcastle upon Tyne
Epidemiology/Community Medicine Department, Northern Regional Health Authority

Four hundred and fifty patients aged 75 years or older were followed up after discharge from an accident and emergency department. Forty-three per cent of all patients experienced some loss of functional independence. A small number, 5.6°o, were readmitted to hospital within 14 days. This group were significantly less able to perform certain activities of daily living than those not readmitted. Attention to functional assessment by casualty staff may help to prevent readmission to hospital of this frail elderly group of patients.

Revision received February 21, 1990.
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