title: A physiotherapy service to an emergency extended care unit does not decrease admission rates to hospital: a randomised trial.
abstract: BACKGROUND
  One of the reasons physiotherapy services are provided to emergency departments (EDs) and emergency extended care units (EECUs) is to review patients' mobility to ensure they are safe to be discharged home.
  
  
  OBJECTIVE
  To investigate whether a physiotherapy service to an EECU altered the rate of hospital admission, rate of re-presentation to the ED, visits to community healthcare practitioners, return to usual work/home/leisure activities and patient satisfaction.
  
  
  METHODS
  A randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis was undertaken in an EECU. The sample comprised 186 patients (mean age 70 years, 123 (66%) female patients, 130 (70%) trauma) who were referred for physiotherapy assessment/intervention. Referral occurred at any stage of the patients' EECU admission. All participants received medical/nursing care as required. The physiotherapy group also received physiotherapy assessment/intervention.
  
  
  RESULTS
  The physiotherapy group had a 4% (95% CI -18% to 9%) lower rate of admission to hospital than the control group and a 4% (95% CI -6% to 13%) higher rate of re-presentation to the ED, which were statistically non-significant (p≥0.45). Differences between groups for use of community healthcare resources, return to usual work/home/leisure activities and satisfaction with their EECU care were small and not significant.
  
  
  CONCLUSIONS
  A physiotherapy service for EECU patients, as provided in this study, did not reduce the rate of hospital admission, rate of re-presentation to the ED, use of community healthcare resources, or improve the rate of return to usual work/home/leisure activities or patient satisfaction. Trial registration number ANZCTRN12609000106235.
authors: Physiotherapy Department, Royal Adelaide Hospital, North Terrace, Adelaide, 5000 SA, Australia.
authors: Christabel
authors: C
authors: Jesudason
authors: Kathy
authors: K
authors: Stiller
authors: Matthew
authors: M
authors: McInnes
authors: Thomas
authors: T
authors: Sullivan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000706:statistics & numerical data; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities / Q000458:organization & administration; D012866:Skilled Nursing Facilities / Q000458:organization & administration*