Professional Team Research Articles

Randomized Controlled Trial of Interventions Used by Midwives to Treat Fear of Childbirth.

Fear of childbirth affects women worldwide and can have adverse consequences. Midwives have implemented a number of interventions, autonomously or as part of a professional team. However, midwives have been unable to identify the most appropriate intervention for ensuring the reduction or alleviation of this fear to provide the best perinatal outcomes. This study aimed to evaluate the effectiveness of a prenatal educational intervention followed by specific support during childbirth, designed and delivered exclusively by midwives for women with a high fear of childbirth. This randomized controlled trial was performed with two arms in two phases: an online prenatal education phase followed by a support phase during childbirth. Participating women with a high fear of childbirth, which was determined using the Wijma Delivery Expectancy Questionnaire-A-Spanish version, were assigned to the experimental group or the usual care control group at a 1:1 ratio. Women showed a reduction in fear of childbirth in both phases of the study. According to the intention to treat analysis, a significant mean difference was observed in the prenatal stage in favor of the intervention group, as well as a nonsignificant difference in favor of this same group after delivery. The effectiveness of continuous specific prenatal education with preferential support during childbirth by midwives was indicated by improvements in the level of fear of childbirth.

Medical care for transgender individuals at a hospital in southern Brazil: why do they drop out from our service?

The objective of the study was to investigate dropout rates and discern potential factors contributing to the discontinuation of treatment provided to transgender individuals by the Transdisciplinary Gender Identity Program at the Hospital de Clínicas de Porto Alegre (PROTIG). This study employs a descriptive, cross-sectional, retrospective design to analyze socio-demographic and clinical data obtained from medical records of patients treated at PROTIG between 2000 and 2018. A structured form, devised by PROTIG's professional team, was utilized to extract and evaluate several variables including: age, gender, education level, diagnosis of F64 according to the International Classification of Diseases (ICD-10: Version: 2010), clinical comorbidities (coded by ICD-10), laboratory diagnosis of sexually transmitted infections, distance between patients' residence and the hospital, and year of entry into PROTIG. The patient cohort was stratified into two categories based on their duration of attendance: dropout (defined as attendance for up to 365 days) and non-dropout (attendance exceeding 365 days). Categorical variables between dropout and non-dropout groups were compared using Pearson's chi-square test. Additionally, Poisson regression analysis was utilized, employing a 95% confidence interval (CI) and setting the significance level at 0.05. The study included a total of 888 patients accessing PROTIG, with 275 (31%) classified in the dropout group. Of the patient population, 65.5% (n = 582) self-identified as transgender women, while 34.5% (n = 306) identified as transgender men. Significant differences were noted between the dropout and non-dropout groups. Specifically, differences were noted among transgender women (p < 0.001), individuals with lower levels of education (p < 0.001), those with fewer diagnoses classified under ICD-10 as F64 (p < 0.001), individuals exhibiting fewer clinical comorbidities recorded in ICD-10 (p < 0.001), and those who commenced inclusion in PROTIG after 2010 (p < 0.001). There exists a notable rate of treatment discontinuation among individuals receiving care at PROTIG, with statistically significant variances observed between groups. We posit potential rationales for this discontinuation, informed by care experiences and feedback from group attendees: Increased accessibility to outpatient services in our jurisdiction for Transgender Care, along with heightened societal awareness of gender identity fostering diverse gender expression avenues devoid of reliance on gender-affirming surgical interventions.

The Anatomy of Leadership: From Aspirational to Dark Side Leadership Traits

Leadership is all about others on your team and in your organization. Surgical professionals are most likely to follow leaders they trust to care about their professional and personal well-being, and are aligned with their values, while setting and implementing organizational strategy. Ironically, in order to lead others well, it is best and most effective if leaders are humble, vulnerable, and willing to learn more about themselves: specifically their behavioral tendencies when they both are at their best and when they are under duress. For us as leaders, this includes understanding our own predominant leadership style(s); and learning how to expand our leadership preferred tendencies to other styles that may be more effective in certain situations. The POSNA leadership program (PLP) enables participants and faculty to study effective leadership principles and theories; evaluate published examples of exceptional and disastrous leadership in volatile, uncertain, complex, and ambiguous (VUCA) real life situations; and have in-depth dialogue on how pediatric orthopaedic surgery leaders can learn from and positively model exemplary leadership characteristics and behaviors. Although our operating rooms, clinics, research and administrative areas are not battlefields, and we are healers not warriors, we and the teams we lead do face uncertain, ambiguous, complex and even volatile situations often enough to require implementation of those refined, high-level skills. Key Concepts(1)Like all leaders, surgeons have preferred leadership styles. Learning about, expanding, and adapting leadership style(s) to specific situations is important and impactful.(2)The most effective leaders are humble, have high integrity, think strategically, are decisive decision makers after input from their trusted professional teams.(3)Trust is the essential ingredient of leading successful teams and organizations. Building trust requires empathy, high task competency, the ability to actively listen and engage in dialogue before and during implementation of plan(s).(4)Volatile, Uncertain, Complex, and Ambiguous (VUCA) dilemmas and challenges occur. Leaders and teams who can manage stress, mobilize necessary resources, and respond in a timely fashion to each VUCA situation are most effective.(5)Disruptive behaviors in our profession are more common than ideal. Responding to unprofessional acts, managing perceptions, and redirection to acceptable behavior lessens safety risk for patients and improves team performance and professional well-being.

ORAL HEALTH CARE IN PATIENTS OF THE INTENSIVE CARE UNITS.

Introduction: oral hygiene is considered a basic need to protect the health and well-being of the population, with more emphasis for patients under intensive care support. Objective: shortly review the literature about effective role of well-trained professional teams while performing oral care in patients managed in the Intensive Care Unity. Methods: scientific review article, taking as a source of information the current literature published in the PubMed database between 2004 and 2024 including, systematic reviews, meta-analysis, and review studies related with the buccal care procedures, and their relationships with the outcomes of critical ill patients under the infection risks. Results: 28 articles were analyzed, with data of children or adult patients of diverse continents who needed mechanical ventilation, enteral or parenteral feeding, or some invasive procedure favoring the hospital acquired infections, mainly the pneumonias. The reviewed literature most frequently described the lack or insufficient specialized care for the oral cavity of patient with very limited autonomy during hospitalizations. Conclusion: as a whole, there is a need for the dental specialists in the hospital team to personally perform, besides to train in service the nurse staffs and their assistants to carry on the correct methods for the patient daily buccal hygiene, with improvement of general health care and avoiding the worsening during the hospitalization period.

Calcium and Non-Penetrating Traumatic Brain Injury: A Proposal for the Implementation of an Early Therapeutic Treatment for Initial Head Insults.

Finding an effective treatment for traumatic brain injury is challenging for multiple reasons. There are innumerable different causes and resulting levels of damage for both penetrating and non-penetrating traumatic brain injury each of which shows diverse pathophysiological progressions. More concerning is that disease progression can take decades before neurological symptoms become obvious. Currently, the primary treatment for non-penetrating mild traumatic brain injury, also called concussion, is bed rest despite the fact the majority of emergency room visits for traumatic brain injury are due to this mild form. Furthermore, one-third of mild traumatic brain injury cases progress to long-term serious symptoms. This argues for the earliest therapeutic intervention for all mild traumatic brain injury cases which is the focus of this review. Calcium levels are greatly increased in damaged brain regions as a result of the initial impact due to tissue damage as well as disrupted ion channels. The dysregulated calcium level feedback is a diversity of ways to further augment calcium neurotoxicity. This suggests that targeting calcium levels and function would be a strong therapeutic approach. An effective calcium-based traumatic brain injury therapy could best be developed through therapeutic programs organized in professional team sports where mild traumatic brain injury events are common, large numbers of subjects are involved and professional personnel are available to oversee treatment and documentation. This review concludes with a proposal with that focus.

Optimized design of flexible sensors for snow and ice sports characterization and intelligent recognition of training technique movements

Skiing performance is affected by a variety of external factors, and real-time monitoring of skiers' skiing status is very important for improving athletes' skiing technique. There are problems in the training monitoring of snow sports athletes in a wide range of venues, such as difficulty in accurately obtaining the parameters of sports status, lack of quantitative assessment of the training effect, and inability to provide timely feedback. And traditional sensors cannot adapt to cold, humid and other weather conditions, which affects their stability. Traditional sensors can only provide limited motion data and cannot comprehensively evaluate the technical level of skiers. At the same time, it is difficult to provide sufficiently accurate data in complex snowy environments. To address this problem, this study proposes a flexible sensor that can contact with the human body and sense athletes' body postures and movements in real time. By combining the flexible sensor with ice and snow sports equipment, intelligent recognition of athletes' movements can be realized. By monitoring and analyzing athletes' movements in real time, problems can be detected in time and targeted adjustments and training can be carried out. The findings of the experiment demonstrate that the accuracy of the time synchronization model, the time-domain high-pass filtering model, the zero-speed correction model, and the improved zero-speed correction model are, respectively, 97, 94, 92, and 90 when the size of the training set is 800. At the distance of 2000 m, The CF-TENG, H-TENG and CS-TENG response times are 18 ms, 20 ms and 28 ms. The results show that the designed flexible sensors have good performance and can be used in the daily training of cross-country skiing and alpine skiing professional sports teams.

The Influence of the Playing Surface on Workload Response in Spanish Professional Male Soccer Players.

This study aimed to quantify the influence of the playing surface on workload-related variables (i.e., external load, Rate of perceived exertion (RPE), and mental load) in training sessions with a Spanish professional soccer team. Twenty professional male players from the same soccer team were involved. A total of thirty training sessions related to the preseason period were included. All the players completed training sessions on three playing surfaces: natural turf of poor quality, natural turf of high quality, and third-generation artificial turf. Monitoring during sessions involved assessing internal load (i.e., RPE and mental load) via self-reported questionnaires, and external load using Global Positioning System devices. Linear mixed models showed that RPE was significantly higher on natural turf of high quality than on natural turf of poor quality (p < 0.001). Total distance, relative total distance, the number of accelerations, decelerations, and high metabolic load distance were significantly lower on third-generation artificial turf compared to natural turf of poor quality (p < 0.001) and high quality (p < 0.001). In addition, high-speed running, sprint running distances, and the number of sprints reached higher values on third-generation artificial turf compared to the other two playing surfaces. These findings highlight the need for coaches to consider the type of training surface in soccer to optimize training load planning and prevent injuries.

Building a Hierarchical and Classified “Two-Way” Training System and Cultivating a Dual-Teacher Innovative Teaching Team Through School-Enterprise Cooperation

Teachers are the first resources for the development of schools and actively exploring the construction of double professional teams in vocational education in the new era. It is a decisive factor for the reform and development of higher vocational education to further carry out the fundamental task of moral cultivation and forge the party, so that the people are satisfied with high-quality professional double-teacher innovative teachers and serve the “double high” construction better. Given the difficulty in recruiting and training full-time and part-time teachers, the information database of full-time and part-time teachers is constructed and the double-qualified teacher team is cultivated jointly by schools and enterprises. According to the different abilities of teachers and the needs of individual development, the hierarchical and classified “two-way” training mechanism is implemented to improve the education and serviceability of the double-teacher team. Given the tedious work of the school, the double teacher training platform is built and the key work characteristic is paid close attention, to improve professional serviceability. It has built a team of high-quality double-qualified teachers with noble ethics, exquisite professional skills, reasonable structure and vigour, which provides solid support for the high-quality development of high-level professional groups in the school.

Exploring how and why a sports-based multi-component intervention works for disengaged students: a longitudinal realist evaluation

ABSTRACT School dropout is associated with numerous detrimental consequences including prolonged unemployment, poverty, a wide range of psychological and physical health problems, and premature mortality. As such, designing and implementing interventions to prevent school dropout and ensure successful school completion is crucial. The purpose of the current study was to conduct a longitudinal realist evaluation to understand how, and under which circumstances, a multi-component intervention delivered through the charitable foundation of a professional sports team may impact the developmental outcomes of disengaged students. The intervention comprised one-to-one mentoring, classroom-based learning, sport and physical activity. Participant observations and fifty-two interviews were conducted with teachers and students over a ten-month period to form context-mechanism-outcome configurations (CMOCs) and to refine initial programme theories. The CMOCs developed highlighted the importance of students developing healthy conflict resolution skills and emotional regulation strategies, the potential of sporting content to re-ignite interest in academic learning, the powerful effects of deviant peer contagion, the synergistic impact of a multi-component intervention, and the role of pre-existing and ongoing contextual factors in determining whether interventions can create sustainable and lasting desirable outcomes among students. The findings provide practical recommendations for future sport-framed intervention design, implementation, and evaluation.

Recognition of psychological comorbidity and psychotherapeutic treatment status of ventricular assist device patients.

Due to its high impact on quality of life and mental health, close monitoring and often psychotherapy is recommended for patients with a ventricular assist device (VAD). This study investigates the psychological comorbidity and the corresponding psychotherapeutic treatment situation of VAD patients. Special attention is also given to the professional perspective VAD team (assistant and senior cardiologists and specialized nurses). We conducted a cross-sectional observational study. Data from 50 VAD patients (mean age = 53.52, standard deviation = 13.82 years, 84.0% male) and their VAD team were analyzed. The presence of a psychological disorder was evaluated by structured clinical interviews for DSM-IV (SCID-I-Interviews). Patients answered a questionnaire regarding their current psychotherapeutic treatment status and their attitude towards psychotherapy. The VAD team answered a questionnaire about the patients' needs for psychotherapy and indicated whether they addressed this topic with the patient. Data were analyzed descriptively, by analysis of variance and t-test. A total of 58% of VAD patients suffered from at least one significant psychological disorder, 79.3% of those were not in psychotherapy. The VAD team could not identify the patients who suffered from a psychological disorder (F = 1.90; p = 0.18). They perceived more need for psychotherapy than they addressed with their patients (T = 3.39; p < 0.001). While there is a high psychological morbidity among VAD patients, only few receive psychotherapy. Psychological comorbidity is not easily detected by the VAD team. Standardized psychosocial care could be implemented by regular psychological assessments and further information of patients and their VAD teams.

Managing Substance Use Disorders and Addiction: How to Integrate Professionalism and Ethics with the Complexity of Diagnosis and Therapy

Physicians and other healthcare staff who work with the patients having substance use disorders (SUDs) and addiction have to deal with different and complex scenario invariably in comparison to other healthcare providers dealing with regular medical services sought by the patients. Hence, the unconventional nature of practice regarding patients of SUDs and addiction and the diverse range of backgrounds among substance use workers, e.g., psychiatrist, general physician, nurse, psychotherapist, counsellor, social worker, and public health specialist highlights the universal relevance of being more professional and more ethical in practice. They are expected to demonstrate a variety of ethical and professional competences to safeguard themselves and others involved. Clinical team engaged in such activities requires specific ethical training that can help them face specific ethical dilemmas and guide through deeper consideration of those pressing and complex issues, using specific framework, professional guidelines, or institutional management approaches. Professional societies and accrediting institutions should apply their authority to establish practice standards, competencies, regulatory procedures, and codes of ethics to help guide practice and protect public trust and confidence. For the team involved in practice, it is important to become familiar with and adhere to the principles and values that define professionalism and ethical conduct in care for patients suffering from SUDs and addiction. The review paper aims to examine the intersection of professionalism and ethics with the complexity of diagnosis and therapy in this specific area of practice. Besides, some frameworks will be highlighted which may help healthcare providers to foster ethical decision making. It is also a modest effort to show some new insights for improving the quality of care in addiction and mental health by the professional team and healthcare organization from both clinical and operational viewpoint. Mugda Med Coll J. 2024; 7(1): 42-47

Ramsay Hunt Syndrome: A Rare Disease of Multiple Cranial Nerve Involvement

Ramsay Hunt Syndrome (RHS) also known as herpes zoster oticus is a viral disease, a member of the human herpes virus family, is a late complication of varicella-zoster virus infection that results in inflammation of the geniculate ganglion of cranial nerve VII. Ramsay Hunt is a clinical diagnosis. The hallmark of the condition is multiple unilateral erythematous vesicles, which are distributed over the auricle and preceded by severe otalgia. If these symptoms are associated with facial nerve palsy, the condition is called RHS which is usually accompanied by vestibulocochlear abnormalities. Diagnosis is often missed or delayed, which can lead to an increased incidence of long-term complications. The condition is self-limiting, but treatment is targeted at decreasing the total duration of the illness as well as providing analgesia and preventing the complications that can occur. This activity reviews the role of the inter professional team in the diagnosis and treatment of RHS. Mugda Med Coll J. 2024; 7(1): 48-52

Match-to-Match Variation on High-Intensity Demands in a Portuguese Professional Football Team.

The aim of this study was to analyze the match-to-match variation in high-intensity demands from one Portuguese professional football team according to playing positions. Twenty-three male outfield professional football players were observed during eighteen matches of the Portuguese Second League. Time-motion data were collected using Global Positioning System (GPS) technology. Match running performance was analyzed based on the following three playing positions: defenders (DF), midfielders (MF), and forwards (FW). Repeated measures ANOVA was utilized to compare match running performance within each position role, and seasonal running variation. Practical differences were assessed using the smallest worthwhile change (SWC), coefficient of variation (CV), and twice the coefficient of variation (2CV). Significant differences were found among playing positions in total distance covered (F = 15.45, p < 0.001, η2 = 0.33), average speed (F = 12.79, p < 0.001, η2 = 0.29), high-speed running (F = 16.93, p < 0.001, η2 = 0.36), sprinting (F = 13.49, p < 0.001, η2 = 0.31), accelerations (F = 4.69, p = 0.001, η2 = 0.132), and decelerations (F = 12.21, p < 0.001, η2 = 0.284). The match-to-match running performance encompassed TD (6.59%), AvS (8.67%), HSRr (37.83%), SPR (34.82%), ACC (26.92%), and DEC (27.85%). CV values for total distance covered ranged from 4.87-6.82%, with forwards and midfielders exhibiting the greatest and smallest variation, respectively. Midfielders demonstrated the highest match-to-match variation for all other analyzed variables (8.12-69.17%). All playing positions showed significant variation in high-demanding variables (26.94-37.83%). This study presents the initial analysis of match-to-match variation in high-intensity demands within a Portuguese professional football team. Thus, the position's specificity and context can provide a helpful strategy for evaluating match-to-match running performance, and for recommending individualized training exercises based on the peak and high-intensity demands for each player's role within the game.

Palliative care: challenges and opportunities

Palliative care (PC) is based on a multidisciplinary approach to the patient and their family to prevent and alleviate suffering by promoting and maintaining an optimal life in the process of the oncological disease. The present review will allow us to understand the current state of palliative services, identify the professional team that provides support to the patient and the family, specify the moment in which the PC is required, the public policies that intervene and a flowchart of care for the oncological patient, and in turn describe some challenges and opportunities immersed in the process.

Omega-3 Status Evaluation in Australian Female Rugby League Athletes: Ad Libitum Fish Oil Provision Results in a Varied Omega-3 Index.

Optimal omega-3 status, influenced by increased intake of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), is vital for physiological health. This study investigated the impact of ad libitum fish oil supplementation on the omega-3 status of female athletes in a professional rugby league team during a competitive season. Twenty-four (n = 24) athletes participated, and their omega-3 status was assessed using the Omega-3 Index (O3I) and arachidonic acid (AA) to EPA ratio through finger-prick blood samples taken at the start and end of the season. They were given access to a fish oil supplement (PILLAR Performance, Australia) with a recommended daily dose of four capsules per day (2,160mg EPA and 1,440mg docosahexaenoic acid). At the beginning of the season, the group mean O3I was 4.77% (95% confidence interval [CI: 4.50, 5.04]) and the AA to EPA ratio was 14.89 (95% CI [13.22, 16.55]). None of the athletes had an O3I exceeding 8%. By the season's end, the O3I was a significantly increased to 7.28% (95% CI [6.64, 7.93], p < .0001) and AA to EPA ratio significantly decreased to a mean of 6.67 (95% CI [5.02, 8.31], p < .0001), driven primarily by the significant increase in EPA of +1.14% (95% CI [0.77, 1.51], p < .0001). However, these changes were varied between the athletes and most likely due to compliance. This study has demonstrated that using the objective O3I feedback scale is possible with elite female rugby athletes, but individual strategies will be required to achieve daily intake targets of EPA + DHA.

Property Development, Management and Appraisal as a Panacea to Church Growth Branding and Remodeling in Nigeria

Abstract: This study is focused on examining the property development and management strategy that can lead to Church Growth, identifying both natural and human resources that can resuscitate the state of church properties at the urban, suburban and rural levels respectively for a healthy and sustainable environment through employing modern approaches that reveals and explore latent property values imbedded in church properties. The paper adopted both primary and secondary source for data collection. The findings show that lack of some professional skill in modern real estate practice has really affected church properties. The study recommends joint collaboration within the church and professional team, and a routine appraisal of church properties will always restore, preserve and improve God’s property the church.

Research on Tactical Executive Ability of College Men's Football Team

By using the methods of literature and video observation, this paper studies the tactical executive ability of the men's football team in colleges and universities through various forms of observation, this paper combs out the factors that affect the tactical executive ability of the men's football team, and makes a comprehensive analysis of the factors, and obtains the problems caused by the factors. In view of the problems and the present situation, this paper puts forward some countermeasures to affect the tactical execution ability of the professional men's soccer team in Gongga Cup, aiming at improving its tactical execution ability and tactical accomplishment.

Vulnerability Assessment and Spatial Pattern Analysis of Earthquake Disaster in Hebei Province

To evaluate the vulnerability of earthquake disaster in Hebei Province and analyze the spatial pattern, the aim is to provide theoretical basis for emergency management departments to prevent and respond to disasters. This study uses the subjective and objective evaluation mechanism, through the integration of analytic hierarchy process and entropy weight method to determine the weight distribution of each index. The assessment model is used to assess the vulnerability of earthquake disasters, and the spatial pattern characteristics are studied by global spatial autocorrelation analysis and LISA clustering analysis.The main conclusions are as follows: (1) The area with the greatest vulnerability to earthquake disaster is Shijiazhuang High-tech Zone (0.761); The lowest value is 0.243 in Qian 'an City, Tangshan City, and there are great differences among some regions. (2) The vulnerability of all counties (cities and districts) in Hebei Province has a positive correlation and aggregation with their spatial locations, and the spatial distribution is low in the whole province, high in the local area, high in the southeast and low in the northwest. (3) It is found that measures such as training health workers and expanding professional emergency management team can reduce the overall level of earthquake disaster vulnerability in Hebei Province.

Adoption of an evidence-based practice approach in the child and family care system in Europe: A comparative survey study

The European policy is placing a strong emphasis onadopting an evidence-based practice (EBP) approach. However, this process has not been sufficiently described and comparatively explored between countries with different family policies, delivery systems, target populations and professional cultures of evaluation and intervention. This study proposed a multicomponent model of implementation strategies to empirically examine the degree of adoption of EBP at national, agency, and practitioner levels in a sample of20 member countries of the European family support network: A bottom-up, evidence-based and multidisciplinary approach (EurofamNet), with a great geographical distribution and different political status: 12 EU members, 6 EU candidate members and 2 non-EU members. Consensual responses to the survey (17 questions) were provided by members of EurofamNet national networks made up of entities at the national, regional, and local levels across sectors. Three clusters of responses were identified, Cluster 1 Initial Level (30%, mainly EU candidates), Cluster 2 Medium Level (40%, EU and non-EU members) and Cluster 3 Advance level (30%, EU and non-EU members). Countries at the Initial Level showed a lack of / or less degree of achievement in the implementation strategies. Countries at the Medium and Advance levels showed progressive steps towards EBP adoption through the implementation of collaborative leadership, translational efforts on agreed EBP guidelines, official recognition of services and professional teams applying EBP guidelines, multi-agency and intersectoral EBP adoption, professional training on EBP guidelines, and dissemination strategies. Our findings highlight the complexity of the transformation process and the multiple determinants involved in bringing the quality standards into the practice environment. Lines of improvement are suggested to help countries reinforce the culture of quality assurance in the child and family services.

The cost effectiveness of early assessment and intervention by a dedicated health and social care professional team for older adults in the emergency department compared to treatment-as-usual: Economic evaluation of the OPTI-MEND trial.

Over 65s are frequent attenders to the Emergency Department (ED) and more than half are admitted for overnight stays. Early assessment and intervention by a dedicated ED-based Health and Social Care Professionals (HSCP) team reduces ED length of stay and the risk of hospital admissions among older adults while improving patient health-related quality-of-life and satisfaction with care. This study aims to evaluate whether augmenting the treatment as usual for older adults admitted to ED is cost-effective. Cost-effectiveness analysis (CEA), conducted alongside the OPTI-MEND randomised controlled trial of 353 patients aged ≥65 with lower urgency complaints compared the effectiveness of early assessment and intervention by a dedicated HSCP team in the ED to treatment as usual (TAU). An economic analysis estimated the average cost per older adults randomised to the HSCP team, and compared to TAU, how contact with HSCP team changed health care use, and associated total costs, and estimated the effect of HSCP on Quality-Adjusted Life Years (QALYs). Within the OPTI-MEND trial, the average cost of a contact with the HSCP team during ED attendance is estimated to be €801 per patient. Compared to TAU, the incremental QALY of intervention is 0.053 (95% CI: 0.023 to 0.0826, p<0.0001). Accounting for cost savings because of contact with HSCP team, the average incremental saving in the total cost, compared to TAU, is -€6,128 (95% CI: -€9,217 to -€3,038, p<0.0001). Given the incremental health gains and significant cost savings, bootstrapped cost CEA suggests that dedicated HSCP care dominates over TAU for low urgency older adults attending the ED. A dedicated HSCP team in the ED significantly improves overall health for lower acuity older adults and, by reducing inpatient length of stay, results in staggering cost savings. This economic evaluation conducted on the OPTI-MEND trial provides convincing evidence that HSCP should be adopted as part of treatment as usual in Irish EDs. ClinicalTrials.gov, NCT03739515; registered on 12th November 2018. https://classic.clinicaltrials.gov/ct2/show/NCT03739515.