Acute care for elders units: Practical considerations for optimizing health outcomes

Disease Management and Health Outcomes

Volumn 11, Issue 8, 2003, Pages 507-517

  Palmer, Robert M ^a,b,e   Counsell, Steven R ^c   Landefeld, Seth C ^d  

^a OHIO STATE UNIVERSITY   (United States)

^b CASE WESTERN RESERVE UNIVERSITY   (United States)

^c INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d UNIVERSITY OF CALIFORNIA   (United States)

^e LERNER RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ELDERLY CARE; FUNCTIONAL ASSESSMENT; HEALTH CARE COST; HEALTH CARE QUALITY; HOSPITALIZATION; HUMAN; PATIENT SATISFACTION; PHYSICAL CAPACITY; QUALITY OF LIFE; REVIEW;

EID: 0042856258     PISSN: 11738790     EISSN: None     Source Type: Journal    
DOI: 10.2165/00115677-200311080-00004     Document Type: Review

References (30)

1. Popovic JR. 1999 national hospital discharge survey: annual summary with detailed diagnosis and procedure data. National Center for Health Statistics. Vital Health Stat 13 2001; Sep (151): i-v, 1-206
2. Hirsch C, Sommers L, Olsen A, et al. The natural history of functional morbidity in hospitalized older patients. J Am Geriatr Soc 1990; 38: 1296-303
3. Sager MA, Rudberg MA. Functional decline associated with hospitalization for acute illness. Clin Geriatr Med 1998; 14: 669-79
4. 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: 1338-44
5. Covinsky KE, Palmer RM, Fortinsky RH, et al. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc 2003; 51: 451-8
6. Palmer RM, Landefeld CS, Kresevic D, et al. A medical unit for the acute care of the elderly. J Am Geriatr Soc 1994; 42: 545-52
7. Sager MA, Franke T, Inouye SK, et al. Functional outcomes of acute medical illness and hospitalization in older persons. Arch Intern Med 1996; 156: 645-52
8. Inouye SK, Peduzzi PN, Robinson JT, et al. Importance of functional measures in predicting mortality among older hospitalized patients. JAMA 1998; 279: 1187-93
9. Walter LC, Brand RJ, Counsell SR, et al. Development and validation of a prognostic index for one-year mortality in older adults after hospitalization. JAMA 2001; 285: 2987-94
10. Palmer RM, Counsell S, Landefeld CS. Clinical intervention trials: the ACE unit. Clin Geriatr Med 1998; 14: 831-49
11. Sullivan DH, Sun S, Walls RC. Protein-energy undernutrition among elderly hospitalized patients: a prospective study. JAMA 1999; 281: 2013-9
12. Covinsky KE, Fortinsky RH, Palmer RM, et al. The relationship of depressive symptoms to health outcomes in acutely ill hospitalized elders. Ann Intern Med 1997; 126: 417-25
13. Counsell SR, Holder CM, Liebenauer LL, et al. 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. J Am Geriatr Soc 2000; 48: 1572-81
14. Kresevic DM, Counsell S, Covinsky K, et al. A patient-centered model of acute care for elders. Nuts Clin North Am 1998; 33: 515-27
15. Palmer RM. Acute hospital care: future directions. In: Yoshikawa TT, Norman DC, editors. Acute emergencies and critical care of the geriatric patient. New York: Marcel Dekker Inc, 2000: 461-86
16. Covinsky KE, Palmer RM, Counsell SM, et al. Functional status before hospitalization in acutely ill older adults: validity and clinical importance of retrospective reports. J Am Geriatr Soc 2000; 48: 164-9
17. Fortinsky RH, Covinsky KE, Palmer RM, et al. Effects of functional status changes before and during hospitalization on nursing home admission of older adults. J Gerontol A Biol Sci Med Sci 1999; 54A: M521-6
18. Covinsky KE, Palmer RM, Kresevic DM, et al. Improving functional outcomes in hospitalized elders: lessons learned from an acute care for elders unit. Jt Comm J Qual Improv 1998; 24: 63-76
19. Counsell SR, Holder C, Leibenauer LL, et al. The ACE (acute care for elders) manual: meeting the challenge of providing quality and cost-effective care to older adults. Akron, Ohio: SUMMA Health System, 1998
20. Covinsky KE, King JT, Quinn L, et al. Do acute care for elders units increase costs? A cost analysis using the hospital perspective. J Am Geriatr Soc 1997; 45: 729-34
21. Inouye SK, Foreman MD, Mion LC, et al. Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Arch Intern Med 2001; 161: 2467-73
22. Bogardus ST, Towle V, Williams CS, et al. What does the medical record reveal about functional status? A comparison of medical record and interview data. J Gen Intern Med 2001; 16: 728-36
23. Rubenstein LZ, Josephson KR, Wieland GD, et al. Effectiveness of a geriatric evaluation unit: a randomized clinical trial. N Engl J Med 1984; 311: 1664-70
24. Cohen HJ, Feussner JR, Weinberger M, et al. A controlled trial of inpatient and outpatient geriatric evaluation and management. N Engl J Med 2002; 346: 905-12
25. Inouye SK. Bogardus ST, Charpentier PA, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999; 340: 669-76
26. Inouye SK, Bogardus ST, Baker DI, et al. The hospital elder life program: a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program. J Am Geriatr Soc 2000; 48: 1697-706
27. Rizzo JA, Bogardus ST, Leo-Summers L, et al. Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value? Med Care 2001; 39: 740-52
28. 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: 1345-50
29. Naylor MD, Brooten D, Campbell R, et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA 1999; 281: 613-20
30. Rich MW, Beckham V, Wittenberg C, et al. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 1995; 333: 1190-5