title: [Management of avoidable acute transfers from an intermediate care geriatric facility to acute hospitals: critical aspects of an intervention protocol].
abstract: OBJECTIVE
  The unplanned transfers (UT) from post-acute intermediate care facilities, are associated with adverse outcomes for patients, and a significant cost to the system. We present a practical protocol and the design of an intervention study aimed at reducing avoidable UT from a geriatric post-acute rehabilitation setting to acute care hospitals.
  
  
  METHODS
  A quasi-experimental non randomized study. The intervention consists in: 1) protocol for early detection of symptoms in order to conduct a pro-active management of decompensation; 2) an advanced care planning structured protocol for the acute decompensations. We will compare the intervention group with a parallel and a historical cohort for demographic, functional, cognitive, comorbidity and social variables.
  
  
  RESULTS
  number of UT to acute care hospitals.
  
  
  CONCLUSIONS
  This is a quasi-experimental study, focused on everyday care practice that intends to assess the impact of multi-disciplinary and multi-factorial intervention to reduce UT from a post-acute rehabilitation unit. We expect that the project results will be useful for future randomized and controlled studies.
authors.affiliation: Parc Sanitari Pere Virgili, Barcelona, España; Universitat Autònoma de Barcelona, Barcelona, España; Unidad de Media Estancia Polivalente, Hospital Comarcal d'Amposta, Amposta, Tarragona, España. Electronic address: danicolprim@outlook.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: Colprim
authors.affiliation: Parc Sanitari Pere Virgili, Barcelona, España.
authors.forename: Mónica
authors.initials: M
authors.lastname: Casco
authors.affiliation: Parc Sanitari Pere Virgili, Barcelona, España.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Malumbres
authors.affiliation: Parc Sanitari Pere Virgili, Barcelona, España.
authors.forename: Ginés
authors.initials: G
authors.lastname: Rodríguez
authors.affiliation: Parc Sanitari Pere Virgili, Barcelona, España; Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Marco
authors.initials: M
authors.lastname: Inzitari
mesh_terms: D000368:Aged; D002985:Clinical Protocols; D042241:Early Diagnosis; D005853:Geriatrics; D006801:Humans; D007380:Intermediate Care Facilities; D010360:Patient Transfer / Q000458:organization & administration* / Q000592:standards* / Q000706:statistics & numerical data; D010865:Pilot Projects; D063189:Symptom Assessment
keywords: Atención intermedia; Intermediate care facilities; Rehospitalizaciones; Rehospitalizations; Traslados no planificados; Unplanned transfers