@article{TEXTUAL,
      recid = {5508},
      author = {Zhang, Amanda and Spiegel, Thomas and Bundy, Andrea and  Sullivan, Kate and Green, Geneatra and Chia, Stephanie and  Krishnamurthy, Rajlakshmi and Press, Valerie G.},
      title = {Evaluation of a transitions clinic to bridge emergency  department and primary care},
      journal = {Journal of Hospital Medicine},
      address = {2023-02-03},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Background: Suboptimal transitions from the emergency  department (ED) to ambulatory settings contribute to poor  clinical outcomes and unnecessary nonurgent ED utilization.  Care transition clinics (CTCs) are a potential solution by  providing ED follow-up and facilitating the bridge to  longer-term primary care.&lt;/p&gt; &lt;p&gt;Objective: The objective  was to evaluate the implementation of an ED transitions  clinic on 30-day ED revisits and hospital readmissions.&lt;/p&gt;  &lt;p&gt;Designs: Retrospective cross-sectional study.&lt;/p&gt;  &lt;p&gt;Settings and participants: This study included adults 18  years and older discharged from the ED and reeferred to the  CTC.&lt;/p&gt; &lt;p&gt;Main outcome and measures: Appointment  attendance, follow-up time, and frequencies of care type  provided were computed to assess clinic utilization. Rates  of 30-day ED revisit and hospital admission were compared  between completed and missed appointments using logistic  regression.&lt;/p&gt; &lt;p&gt;Results: Between March 2021 and March  2022, 373 patients were referred to the CTC totaling 405  appointments. Half (53%) of appointments were completed  with a median follow-up time of 4 days (IQR = [2, 7]). The  most common care types provided were wound care (44%) and  clinical problem management (33%), with wound care  appointments more likely to be completed compared with  clinical appointments (OR = 1.7, CI = [1.1, 2.8], p = .03).  Patients who completed their CTC appointment were 50% less  likely to return to the ED in 30 days compared with those  who did not complete their appointment (OR = 0.51, CI =  [0.27, 0.98], p &lt; .05). No effect was seen for CTC  appointment completion on hospital readmission. Transition  clinics are a viable method to provide timely access to  follow-up for patients discharged from the ED and may help  reduce excess ED use for ambulatory care needs.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/5508},
}