Poster Presentation Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2025

Medium-Term Outcomes of Inpatient Geriatric Evaluation and Management (116648)

Edward Adi Pranoto 1 , Emily Schembri 2 , William Browne 1
  1. Eastern Health, Box Hill, VIC, Australia
  2. Monash University, Clayton

Background: There is an increasing need for rehabilitative services to facilitate recovery and safe discharge to the community as Australians continue to age. There is conflicting data on patient outcomes following discharge from an inpatient Geriatric Evaluation and Management (GEM) ward, particularly in the Australian context. Aims: To elucidate the medium-term outcomes of inpatient GEM discharges, Lawton’s Instrumental Activities of Daily Living Scale (IADL) was used for primary outcome; whilst falls, hospitalisation, entry to an Aged Care Facility (RACF), and death used as secondary outcomes. Methods: Patients and/or their next of kin were interviewed for IADL scores on discharge and again at three months. Corroborative information was obtained from electronic medical records. Results: Of the 50 enrolled patients, 10 were discharged with ambulatory GEM support. Median age was 86.5 yrs (IQR 82-91), median length of stay was 20 days (IQR 13-30). Only 34% of participants were able to maintain their independence at three months post discharge (mean IADL 4.54, SD: 2.1vs 2.87, SD: 0.38; p<0.001). 42% represented to hospital, 26.5% had at least one fall, 10% had entered a RACF, and 6% of participants had died within three months. No particular characteristics were predictive of both primary and secondary outcomes, and no differences in outcomes were found irrespective of whether ambulatory GEM was provided on discharge. Conclusions: Following discharge from a GEM ward, only a small proportion were able to maintain their independence and avoid falls, readmissions, entry to a RACF, or death at three months.