Optimiser la planification du congé des personnes âgées hospitalisées à la suite d'une chute: une synthèse réaliste

 

Véronique Provencher

Centre de recherche sur le vieillissement de l'IUGS

 

Domaine :  services de santé

Programme Consortium pour le développement de la recherche en traumatologie - Volet 4

Concours 2017-2018

For the elderly hospitalized after a fall, nearly one in four patients will be re-admitted to the hospital shortly after discharge, often due to another fall or to the loss of autonomy. Interventions such as a home visit or follow-up phone calls may be used to prevent these hospitalizations, but their effects appear to be variable. This study uses an innovative knowledge synthesis method to better understand WHY and HOW these interventions produce (or don't) their expected effects.

To do this, researchers, stakeholders and clinicians will jointly answer the following questions: Which interventions are currently being used to optimize discharge planning for elderly patients hospitalized after a fall? Are they effective? To whom (eg., patients with or without cognitive impairment)? Why? In what context? This knowledge will provide useful recommendations to guide decision-makers and clinicians in the implementation of best practices. Integrating the results into practice will help provide the most appropriate intervention, to the "right" person, in the "right" context. Improved discharge planning for elderly patients hospitalized as a result of a fall will promote a safe return home, in particular by helping to prevent further hospitalization.

This study fits directly into the program's main themes, focusing on "the effectiveness of care and services delivered in the various phases of the continuum of trauma services" (Theme 3), "adapting practices and interventions to new realities, such as population aging (Theme 4)" and "the effectiveness of the continuum of trauma services (Theme 5)".