Thesis

133 Teach-back of discharge instructions in the ED CHAPTER 6 Table 3 Associations between the use of teach-back (versus standard discharge care) and retention of discharge instructions by older participants per information domain Standard discharge* Teach-back* Full retention Partial to no retention Full retention Partial to no retention OR (95% CI) AOR (95% CI)† ED diagnosis and treatment, n (%) 42 (60.0) 28 (40.0) 50 (74.6) 17 (25.4) 1.96 (0.95-4.07) 2.19 (1.01-4.75) Medication, n (%) 22 (50.0) 22 (50.0) 45 (91.8) 4 (8.2) 11.25 (3.45-36.65) 14.89 (4.12-53.85) Post-ED care, n (%) 34 (69.4) 15 (30.6) 36 (75.0) 12 (25.0) 1.32 (0.54-3.23) 1.67 (0.63-4.50) Follow-up appointments, n (%) 27 (48.2) 29 (51.8) 27 (55.1) 22 (44.9) 3.56 (1.36-9.31) 3.68 (1.33-10.19) Return precautions, n (%) 37 (64.9) 20 (35.1) 46 (86.8) 7 (13.2) 1.32 (0.61-2.85) 1.38 (0.61-3.12) * Frequencies and percentages described for participants who received one or more instructions per information domain. † Adjusted for comorbidity level (Charlson Comorbidity Index) and cognitive impairment at the time of ED discharge (i.e., signs of early-stage dementia, post-stroke symptoms, disorientation, confusion). ED, Emergency Department; OR, Odds Ratio; CI, Confidence Interval; AOR, Adjusted Odds Ratio.

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