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New research · Emergency Medicine
The American journal of emergency medicine · 1d
Cohort studyThe American journal of emergency medicine · 2026

Evaluation of an emergency department-initiated community care team transitional care programme on healthcare utilisation and mortality: A retrospective cohort study.

Wesley Teo, Rakhi Vashishtha, Linus Chua … Colin Eng Choon Ong
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Emergency MedicineCohort study

Emergency Department-initiated Community Care Team Transitional Care Programme was associated with lower 90-day mortality in older adults.

Evaluation of an emergency department-initiated community care team transitional care programme on healthcare utilisation and mortality: A retrospective cohort study.

Wesley Teo et al. · The American journal of emergency medicine · 2026
Background

Older adults frequently face fragmented transitions after leaving the Emergency Department (ED), driving up acute care usage.

Purpose

This study evaluated the effectiveness of an ED-initiated Community Care Team Transitional Care Programme (CCT-TCP) on post-discharge healthcare utilisation and all-cause mortality among older adults.

Methods

A quasi-experimental retrospective cohort study utilized 1:1 propensity score matching to pair older patients (≥65 years) in CCT-TCP with non-eligible controls (n = 678 per group) between January 2023 and June 2024 at a Singapore acute hospital.

n = 678
Results

Community Care Team Transitional Care Programme was associated with a lower 90-day death rate

IRR by subgroup · 95% CI
null = 1
rates of inpatient bed days at 30 days
0.50
90 days
0.70
180 days
0.83
at 90 days
0.21
180 days
0.26
More results

CCT-TCP participation was associated with significantly lower rates of inpatient bed days at 30 days (IRR 0.50; 95% CI 0.39-0.62; p < 0.001), 90 days (IRR 0.70; 95% CI 0.62-0.80; p < 0.001), and 180 days (IRR 0.83; 95% CI 0.75-0.92; p < 0.001).

No significant differences were observed in ED reattendance or hospital admission rates.

More results

However, a subgroup receiving home visits (n = 122) demonstrated significantly lower ED reattendance at 90 days (IRR 0.59; 95% CI 0.37-0.93; p = 0.024) and 180 days (IRR 0.66; 95% CI 0.45-0.96; p = 0.029).

DISCUSSION: An ED-initiated CCT-TCP was associated with reduced hospital bed utilisation and improved survival among older adults.

“
Conclusion

ED-initiated TCPs represent a promising strategy to support safe discharge and alleviate acute care pressures.

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