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DC Field | Value | Language |
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dc.contributor.author | Kalo, Eric | - |
dc.contributor.author | Baig, Asma | - |
dc.contributor.author | Gregg, Emily | - |
dc.contributor.author | George, Jacob | - |
dc.contributor.author | Read, Scott A. | - |
dc.contributor.author | Ma, Wai-See | - |
dc.contributor.author | Ahlenstiel, Golo | - |
dc.date.accessioned | 2024-01-23T01:00:14Z | - |
dc.date.available | 2024-01-23T01:00:14Z | - |
dc.date.issued | 2023 | - |
dc.identifier.citation | BMC gastroenterology 23(1):356, 2023 | - |
dc.identifier.uri | https://wslhd.intersearch.com.au/wslhdjspui/handle/1/8361 | - |
dc.description.abstract | OBJECTIVE: Delivering effective secondary preventive and integrated care has the potential to break the revolving-door phenomenon of frequent readmissions in patients with advanced chronic liver disease. To address this, we launched the Care Coordination of Liver Disease (CCoLD) pilot, a novel nurse-led cirrhosis clinic in Western Sydney. METHODS AND ANALYSIS: Following an index presentation to Blacktown or Mount Druitt hospitals (BMDH), patients (n = 89, matched by age, sex, and MELD-NA) were consecutively either followed up by the CCoLD clinical nurse consultant (intervention cohort) or received standard care (control cohort). Controlled evaluation of the impact of the nurse-led clinic was carried out for a 3-month period including readmission rates, survival, and cost effectiveness. RESULTS: The inaugural nurse-led clinic led to improvement in patient-level outcomes including a reduction in unplanned liver-related readmissions (2.08% for intervention cohort vs 12.2% for control cohort, p < 0.01), and mortality at 30 days (0% for intervention cohort vs 7.3% for control cohort, p = 0.03). Similar trends were observed at 90 days from index discharge. No deaths were observed in the intervention cohort as compared to the control cohort at 90 days (0% versus 7.3%, p = 0.03), while unplanned liver-related readmissions were 10.41% for the intervention cohort vs 19.5% for the control cohort (p = 0.115). Moreover, time to readmission was significantly longer in the intervention cohort, resulting in an overall cost-effective intervention. CONCLUSION: These findings highlight the significant impact of optimised care-coordination. A nurse-led clinic can deliver patient-centred, goal-directed, and cost-effective secondary prevention and care. A multicentre randomised trial for wider evaluation of these findings is warranted. | - |
dc.subject | Nursing | - |
dc.subject | Hepatology | - |
dc.title | A novel, nurse-led 'one stop' clinic for patients with liver cirrhosis results in fewer liver-related unplanned readmissions and improved survival | - |
dc.type | Journal Article | - |
dc.identifier.doi | https://dx.doi.org/10.1186/s12876-023-02986-y | - |
dc.subject.keywords | Liver cirrhosis | - |
dc.subject.keywords | Patient discharge | - |
dc.subject.keywords | Nurse's role | - |
dc.identifier.journaltitle | BMC gastroenterology | - |
dc.identifier.department | Gastroenterology and Hepatology | - |
dc.identifier.department | Ambulatory Care | - |
dc.contributor.wslhd | Kalo, Eric | - |
dc.contributor.wslhd | Baig, Asma | - |
dc.contributor.wslhd | Gregg, Emily | - |
dc.contributor.wslhd | George, Jacob | - |
dc.contributor.wslhd | Read, Scott A. | - |
dc.contributor.wslhd | Ma, Wai-See | - |
dc.contributor.wslhd | Ahlenstiel, Golo | - |
dc.type.studyortrial | Cohort Analysis | - |
dc.type.studyortrial | Comparative Study | - |
dc.type.studyortrial | Controlled Study | - |
dc.type.studyortrial | Pilot Study | - |
dc.identifier.pmid | 37845625 | - |
dc.identifier.affiliation | Blacktown Clinical School and Research Centre, School of Medicine, Western Sydney University, Blacktown, NSW 2148, Australia | - |
dc.identifier.affiliation | Blacktown Hospital, Western Sydney Local Health District, Blacktown, NSW, Australia | - |
dc.identifier.affiliation | Storr Liver Centre, The Westmead Institute for Medical Research, University of Sydney, Westmead, NSW, Australia | - |
dc.identifier.affiliation | Westmead Hospital, Western Sydney Local Health District, Westmead, NSW, Australia | - |
dc.identifier.facility | Blacktown | - |
dc.identifier.facility | Westmead | - |
dc.identifier.facility | Auburn | - |
Appears in Collections: | Blacktown Mount Druitt Hospital |
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