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However, there is little research on what diagnostic and therapeutic measures are performed during visits.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aims<\/jats:title>\n                <jats:p>We analyzed underlying diagnoses, characteristics and performed medical procedures of unplanned outpatient ED visits by NHR.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted a multi-center study of 14 nursing homes (NHs) in northwestern Germany in 03\/2018\u201307\/2019. Hospital transfers were documented by nursing staff using a standardized questionnaire for 12\u00a0months. In addition, discharge letters were used to collect information about the respective transfer, its reasons and the extend of the medical services performed in the ED.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 161 unplanned ED visits were included (mean age: 84.2\u00a0years; 68.3% females). The main transfer reasons were trauma (59.0%), urinary catheter and nutritional probe problems (overall 10.6%; male NHR 25.5%) and altered mental state (9.9%). 32.9% where discharged without imaging or blood test prior. 67.4% of injured NHR (<jats:italic>n<\/jats:italic>\u2009=\u200995) required no or only basic wound care. Catheter-related problems (<jats:italic>n<\/jats:italic>\u2009=\u200917) were mainly treated by changing an existing suprapubic catheter (35.3%) and by flushing the pre-existing catheter (29.4%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>Our data suggest that the diagnostic and therapeutic interventions performed in ED, often do not exceed general practitioner (GP) care and many ED visits seem to be unnecessary.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Better coordination and consultation with GPs as well as better training of nursing staff in handling catheter problems could help to reduce the number of ED visits.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s40520-021-01863-6","type":"journal-article","created":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T18:34:48Z","timestamp":1620066888000},"page":"3343-3351","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Characteristics of outpatient emergency department visits of nursing home residents: an analysis of discharge letters"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2143-1016","authenticated-orcid":false,"given":"Stephanie","family":"Heinold","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander Maximilian","family":"Fassmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Schmiemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Falk","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,3]]},"reference":[{"key":"1863_CR1","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1007\/s12603-014-0030-6","volume":"18","author":"BP de Souto","year":"2014","unstructured":"de Souto BP, Lapeyre-Mestre M, Vellas B et al (2014) Multimorbidity type, hospitalizations and emergency department visits among nursing home residents: a preliminary study. 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