Effects of a multicomponent intervention on functional outcomes and process of care in hospitalized older patients: A randomized controlled trial of acute care for elders (ACE) in a community hospital

Journal of the American Geriatrics Society

Volumn 48, Issue 12, 2000, Pages 1572-1581

  Counsell, Steven R ^a,b   Holder, Carolyn M ^a   Liebenauer, Laura L ^a,c   Palmer, Robert M ^d   Fortinsky, Richard H ^e   Kresevic, Denise M ^f   Quinn, Linda M ^g   Allen, Kyle R ^a,h   Covinsky, Kenneth E ^i,j   Landefeld, C Seth ^i,j  

^a SUMMA HEALTH SYSTEM   (United States)

^b INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF PITTSBURGH   (United States)

^d LERNER RESEARCH INSTITUTE   (United States)

^e UNIVERSITY OF CONNECTICUT HEALTH CENTER   (United States)

^f UNIVERSITY HOSPITALS OF CLEVELAND   (United States)

^g CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^h NORTHEAST OHIO MEDICAL UNIVERSITY   (United States)

ⁱ UNIVERSITY OF CALIFORNIA   (United States)

^j SAN FRANCISCO VETERANS AFFAIRS MEDICAL CENTER   (United States)

more..

Author keywords

aged; functional decline; hospital outcomes; institutionalization; quality of care

Indexed keywords

ACUTE DISEASE; AGED; ARTICLE; CLINICAL TRIAL; COMMUNITY HOSPITAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DAILY LIFE ACTIVITY; FEMALE; GERIATRIC ASSESSMENT; GERIATRICS; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HOSPITAL DISCHARGE; HUMAN; MALE; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT CARE PLANNING; PATIENT SATISFACTION; PRIVATE HOSPITAL; PSYCHOLOGICAL ASPECT; RANDOMIZED CONTROLLED TRIAL; STANDARD; TEACHING HOSPITAL; TOTAL QUALITY MANAGEMENT; TREATMENT OUTCOME; UNITED STATES; UTILIZATION REVIEW;

ACTIVITIES OF DAILY LIVING; ACUTE DISEASE; AGED; AGED, 80 AND OVER; FEMALE; GERIATRIC ASSESSMENT; GERIATRICS; HEALTH FACILITY ENVIRONMENT; HOSPITALS, COMMUNITY; HOSPITALS, PRIVATE; HOSPITALS, TEACHING; HUMANS; MALE; OHIO; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT CARE PLANNING; PATIENT DISCHARGE; PATIENT SATISFACTION; PATIENT-CENTERED CARE; PROGRAM EVALUATION; TOTAL QUALITY MANAGEMENT;

EID: 0034543672     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2000.tb03866.x     Document Type: Conference Paper

References (40)

1. Graves EJ, Gillum BS,. National Hospital Discharge Survey: Annual Summary, 1994. National Center for Health Statistics. Vital Health Stat 1997; 13: 128.
2. Sager MA, Franke T, Inouye SK, et al,. Functional outcomes of acute medical illness and hospitalization in older persons. Arch Intern Med 1996; 156: 645-652.
3. Creditor MC,. Hazards of hospitalization of the elderly. Ann Intern Med 1993; 118: 219-223.
4. Gorbien MJ, Bishop J, Beers MH, et al,. Iatrogenic illness in hospitalized elderly people. J Am Geriatr Soc 1992; 40: 1031-1042.
5. Sager MA, Rudberg MA,. Functional decline associated with hospitalization for acute illness. Clin Geriatr Med 1998; 14 (Pt 4): 669-679.
6. Palmer RM,. Acute hospital care of the elderly: Minimizing the risk of functional decline. Cleve Clin J Med 1995; 62: 117-128.
7. Reuben DB, Borok GM, Wolde-Tsadik G, et al,. A randomized trial of comprehensive geriatric assessment in the care of hospitalized patients. N Engl J Med 1995; 332: 1345-1350.
8. Winograd CH, Gerety MB, Lai NA,. A negative trial of inpatient geriatric consultation: Lessons learned and recommendations for future research. Arch Intern Med 1993; 153: 2017-2023.
9. Thomas DR, Brahan R, Haywood BP,. Inpatient community-based geriatric assessment reduces subsequent mortality. J Am Geriatr Soc 1993; 41: 101-104.
10. Fretwell MB, Raymond PM, McGarvey ST, et al,. The Senior Care study: A controlled trial of a consultative/unit-based geriatric assessment program in acute care. J Am Geriatr Soc 1990; 38: 1073-1081.
11. McVey LJ, Becker PM, Saltz CC, et al,. Effect of a geriatric consultation team on functional status of elderly hospitalized patients: A randomized, controlled clinical trial. Ann Intern Med 1989; 110: 79-84.
12. Stuck AE, Siu AL, Wieland GD, et al,. Comprehensive geriatric assessment; a meta-analysis of controlled trials. Lancet 1993; 342: 1032-1036.
13. Palmer RM, Landefeld CS, Kresevic D, Kowal J,. A medical unit for the acute care of the elderly. J Am Geriatr Soc 1994; 42: 545-552.
14. Covinsky KE, Palmer RM, Kresevic DM, et al,. Improving functional outcomes in older patients: Lessons from an acute care for elders unit. J Qual Improv 1998; 24: 63-76.
15. Landefeld CS, Palmer RM, Kresevic DM, et al,. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 1995; 332: 1338-1344.
16. Palmer RM, Counsell SR, Landefeld CS,. Clinical intervention trials: The ACE unit. Clin Geriatr Med 1998; 14 (Pt 4): 831-849.
17. Kresevic D, Holder CM,. Interdisciplinary care. Clin Geriatr Med 1998; 14 (Pt 4): 787-798.
18. Counsell SR, Holder CM, Liebenauer LL, et al,. The acute care for elders (ACE) manual: Meeting the challenge of providing quality and cost-effective hospital care to older adults. Akron, OH: Summa Health System, 1998.
19. Pfeiffer E,. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-441.
20. Kohout FJ, Berkman L, Evans DA, Cornoni-Huntley J,. Two shorter forms of the CES-D depression symptoms index. J Aging Health 1993; 5: 179-193.
21. Stewart AL, Ware JE Jr, Brook RH,. Advances in the measurement of functional status: Construction of aggregate indexes. Med Care 1981; 19: 473-488.
22. Katz S, Ford AB, Moskowitz RW, et al,. Studies of illness in the aged: The Index of ADL: A standardized measure of biological and psychosocial function. JAMA 1963; 185: 914-919.
23. Lawton MP, Brody EM,. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969; 9: 179-186.
24. Weinberger M, Samsa GP, Schmader K, et al,. Comparing proxy and patients' perceptions of patients' functional status: Results from an outpatient geriatric clinic. J Am Geriatr Soc 1992; 40: 585-588.
25. Winograd CH, Lemsky CM, Nevitt MC, et al,. Development of a physical performance and mobility examination. J Am Geriatr Soc 1994; 42: 743-749.
26. Charlson ME, Sax FL, MacKenzie R, et al,. Resuscitation: How do we decide? A prospective study of physicians' preferences and the clinical course of hospitalized patients. JAMA 1986; 255: 1316-1322.
27. Charlson ME, Pompei P, Ales KL, MacKenzie CR,. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis 1987; 40: 373-383.
28. Knaus WA, Draper EA, Wagner DP, Zimmerman JE,. APACHE II. A severity of disease classification system. Crit Care Med 1985; 13: 818-829.
29. Beers MH,. Explicit criteria for determining potentially inappropriate medication use by the elderly: An update. Arch Intern Med 1997; 157: 1531-1536.
30. Irwin M, Artin KH, Oxman MN,. Screening for depression in the older adult: Criterion validity of the 10-item Center for Epidemiological Studies depression scale (CES-D). Arch Intern Med 1999; 159: 1701-1704.
31. Koenig HG, Meador KG, Cohen HJ, Blazer DG,. Detection and treatment of major depression in older medically ill hospitalized patients. Int J Psychiatry Med 1988; 18: 17-31.
32. Ware JE, Hays RD,. Methods for measuring patient satisfaction with specific medical encounters. Med Care 1988; 26: 393-402.
33. Abraham IL, Bottrell MM, Dash KD, et al,. Profiling care and benchmarking best practice in care of hospitalized elderly: The geriatric institutional assessment profile. Nurs Clin North Am 1999; 34 (Pt 1): 237-255.
34. Dillman DA,. Mail and Telephone Surveys: The Total Design Method. New York: Wiley, 1978.
35. Liang KY, Zeger SL,. Longitudinal data analysis using generalized linear models. Biometrika 1986; 73: 13-22.
36. Covinsky KE, King JT, Quinn, LM, et al,. Do acute care for elders units increase hospital costs? A cost analysis using the hospital perspective. J Am Geriatr Soc 1997; 45: 729-734.
37. Beck DA, Koenig HG, Beck JS,. Depression. Clin Geriatr Med 1998; 14 (Pt 4): 765-786.
38. Covinsky KE, Fortinsky RH, Palmer RM, et al,. Relation between symptoms of depression and health status outcomes in acutely ill hospitalized older persons. Ann Intern Med 1997; 126: 417-425.
39. Boyer N, Chuang JL, Gipner D,. An acute care geriatric unit. Nurs Manage 1986; 17: 22-25.
40. Inouye SK, Wagner DR, Acampora D, et al,. A controlled trial of a nursing-centered intervention in hospitalized elderly medical patient: The Yale Geriatric Care Program. J Am Geriatr Soc 1993; 41: 1353-1360.