Predictors of nursing home conveyances
to emergency department
Dublin Core
Title
Predictors of nursing home conveyances
to emergency department
to emergency department
Subject
Conveyances, Emergency department, Nursing homes, Predictors, Transfers
Description
Abstract
Background With increasing rates of patient conveyances from nursing homes to emergency departments
worldwide, we aim to examine factors causing high rates of conveyances from nursing homes to the emergency
department (ED) of an acute tertiary hospital.
Methods This was a prospective study involving presentation of ED attendances from nursing home residents during
out-of-hours over a 23-month period from April 2020 to February 2022. Data was collected from a standardized
manual form used by the Emergency Department to document nursing home conveyances.
Results A total of 338 pre-conveyance forms were reviewed. The most common reasons for conveyances to ED were
neurological symptoms (16%), unstable hemodynamics (12%), fever (11%) and falls (10%). The peak conveyances
occurred between 1600 and 1900 h on weekends. Respiratory rate, oxygenation requirements and high National
Early Warning Score (NEWS) were significantly associated with increased conveyances to the emergency department.
When the components of NEWS were analyzed individually, decision for ambulance conveyance to emergency
department was significantly associated with respiratory rate (p<.001), oxygen saturation (p<.001), and the use of
oxygen supplementation (p<.005).
Conclusions Unstable hemodynamics and falls were among the leading factors for nursing home conveyances
to the emergency department, which highlights the need to implement better fall prevention strategies and
standardized parameters monitoring in nursing homes. Future research should focus on outcomes of conveyances
and the characteristics of nursing home with higher conveyance rates. This would aid to assess the appropriateness of
conveyances and to identify strategies to decrease preventable conveyances.
Keywords Conveyances, Emergency department, Nursing homes, Predictors, Transfers
Background With increasing rates of patient conveyances from nursing homes to emergency departments
worldwide, we aim to examine factors causing high rates of conveyances from nursing homes to the emergency
department (ED) of an acute tertiary hospital.
Methods This was a prospective study involving presentation of ED attendances from nursing home residents during
out-of-hours over a 23-month period from April 2020 to February 2022. Data was collected from a standardized
manual form used by the Emergency Department to document nursing home conveyances.
Results A total of 338 pre-conveyance forms were reviewed. The most common reasons for conveyances to ED were
neurological symptoms (16%), unstable hemodynamics (12%), fever (11%) and falls (10%). The peak conveyances
occurred between 1600 and 1900 h on weekends. Respiratory rate, oxygenation requirements and high National
Early Warning Score (NEWS) were significantly associated with increased conveyances to the emergency department.
When the components of NEWS were analyzed individually, decision for ambulance conveyance to emergency
department was significantly associated with respiratory rate (p<.001), oxygen saturation (p<.001), and the use of
oxygen supplementation (p<.005).
Conclusions Unstable hemodynamics and falls were among the leading factors for nursing home conveyances
to the emergency department, which highlights the need to implement better fall prevention strategies and
standardized parameters monitoring in nursing homes. Future research should focus on outcomes of conveyances
and the characteristics of nursing home with higher conveyance rates. This would aid to assess the appropriateness of
conveyances and to identify strategies to decrease preventable conveyances.
Keywords Conveyances, Emergency department, Nursing homes, Predictors, Transfers
Creator
Keerthana1*, Yee Har Liew1
, Mui Hua Jean Lee2,3 and Chong Yau Ong2
, Mui Hua Jean Lee2,3 and Chong Yau Ong2
Source
https://doi.org/10.1186/s12245-024-00697-z
Date
2024
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Keerthana1*, Yee Har Liew1
, Mui Hua Jean Lee2,3 and Chong Yau Ong2, “Predictors of nursing home conveyances
to emergency department,” Repository Horizon University Indonesia, accessed April 25, 2026, https://repository.horizon.ac.id/items/show/12416.
to emergency department,” Repository Horizon University Indonesia, accessed April 25, 2026, https://repository.horizon.ac.id/items/show/12416.