Abstract

Long-term care residents worldwide frequently require emergency medical care due to multimorbidity, frailty, and functional impairment. After returning to long-term care facilities, many experience rapid health changes, leading to preventable adverse events, reduced care quality, and safety concerns. Identifying predictors of such events is essential to inform risk stratification and proactive nursing surveillance in long-term care settings. This study aimed to examine predictors of adverse events after emergency transfers, using Taiwan as a population-level case context.

A secondary data analysis was conducted using medical records from 19 long-term care facilities in northern Taiwan between October 2022 and September 2023. A total of 874 residents were included (mean age 84.84 years; 94.4 percent had two or more chronic conditions). Adverse events occurred in 38.67 percent of cases, including 24.49 percent care quality-related and 19.22 percent patient safety-related events. Multivariate logistic regression showed that deterioration in consciousness after return, increased wound numbers, and lower staff-to-resident ratios during day and night shifts were significant predictors (Cox and Snell R2 = 0.075; Nagelkerke R2 = 0.102). Predictors of care quality-related events included fall-related transfers, respiratory and cardiovascular symptoms, worsening activities of daily living and cognition, increased pressure injuries, and inadequate night staffing (Cox and Snell R2 = 0.084; Nagelkerke R2 = 0.126). Predictors of patient safety-related events included fall-related transfers, worsening activities of daily living, increased tube use, facility characteristics, and insufficient day-shift staffing (Cox and Snell R2 = 0.099; Nagelkerke R2 = 0.158).

Findings indicate that functional decline and insufficient staffing are key contributors to post-transfer adverse events. Early detection, particularly monitoring changes in consciousness, and optimization of staffing may reduce preventable harm and strengthen safety practices in long-term care settings internationally.

Notes

References:

Simon, E., Deshmukh, A., Marcus, C., Wolfe, J., & Krizo, J. (2024). Optimizing care pathways: A study of the urgent dispatch program and its impact on emergency department visits. The American journal of emergency medicine, 85, 186-189. https://doi.org/10.1016/j.ajem.2024.09.017

Wu, L., Chen, X., Khalemsky, A., Li, D., Zoubeidi, T., Lauque, D., Alsabri, M., Boudi, Z., Kumar, V. A., Paxton, J., Tsilimingras, D., Kurland, L., Schwartz, D., Hachimi-Idrissi, S., Camargo, C. A., Jr., Liu, S. W., Savioli, G., Intas, G., Soni, K. D., . . . Bellou, A. (2023). The Association between Emergency Department Length of Stay and In-Hospital Mortality in Older Patients Using Machine Learning: An Observational Cohort Study. Journal Clinical Medicine, 12(14). https://doi.org/10.3390/jcm12144750

Cetin-Sahin, D., Karanofsky, M., Cummings, G. G., Vedel, I., & Wilchesky, M. (2023). Measuring Potentially Avoidable Acute Care Transfers From Long-Term Care Homes in Quebec: a Cross Sectional Study. Canadian Geriatrics Journal 26(3), 339-349. https://doi.org/10.5770/cgj.26.620

Kristensen, G. S., Søndergaard, J., Andersen-Ranberg, K., & Mogensen, C. B. (2025). Acute readmissions among care home residents aged over 65years: a register-based study. European Geriatric Medicine. https://doi.org/10.1007/s41999-025-01162-7

Description

This secondary analysis identified predictors of adverse events among long-term care residents after emergency transfers. Functional decline, changes in consciousness, increased wound burden, and inadequate staffing were key contributors. Early monitoring and staffing optimization may reduce preventable harm and improve safety in long-term care.

Author Details

Yu-Chi Chen, PhD; Yi-Ru Liao, MS

Sigma Membership

Lambda Beta at-Large

Type

Poster

Format Type

Text-based Document

Study Design/Type

Secondary Analysis

Research Approach

Quantitative Research

Keywords:

Long-Term Care, Public and Community Health, Sub-Acute Care, Emergency Medical Services, Adverse Health Care Events, Long-Term Health Care

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-08-06

Click on the above link to access the poster.

Share

COinS
 

Predictors of Adverse Events After Emergency Transfers in Long-Term Care: A Secondary Analysis

Toronto, Ontario, Canada

Long-term care residents worldwide frequently require emergency medical care due to multimorbidity, frailty, and functional impairment. After returning to long-term care facilities, many experience rapid health changes, leading to preventable adverse events, reduced care quality, and safety concerns. Identifying predictors of such events is essential to inform risk stratification and proactive nursing surveillance in long-term care settings. This study aimed to examine predictors of adverse events after emergency transfers, using Taiwan as a population-level case context.

A secondary data analysis was conducted using medical records from 19 long-term care facilities in northern Taiwan between October 2022 and September 2023. A total of 874 residents were included (mean age 84.84 years; 94.4 percent had two or more chronic conditions). Adverse events occurred in 38.67 percent of cases, including 24.49 percent care quality-related and 19.22 percent patient safety-related events. Multivariate logistic regression showed that deterioration in consciousness after return, increased wound numbers, and lower staff-to-resident ratios during day and night shifts were significant predictors (Cox and Snell R2 = 0.075; Nagelkerke R2 = 0.102). Predictors of care quality-related events included fall-related transfers, respiratory and cardiovascular symptoms, worsening activities of daily living and cognition, increased pressure injuries, and inadequate night staffing (Cox and Snell R2 = 0.084; Nagelkerke R2 = 0.126). Predictors of patient safety-related events included fall-related transfers, worsening activities of daily living, increased tube use, facility characteristics, and insufficient day-shift staffing (Cox and Snell R2 = 0.099; Nagelkerke R2 = 0.158).

Findings indicate that functional decline and insufficient staffing are key contributors to post-transfer adverse events. Early detection, particularly monitoring changes in consciousness, and optimization of staffing may reduce preventable harm and strengthen safety practices in long-term care settings internationally.