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Volumn 60, Issue 12, 2012, Pages 2237-2245

Effectiveness of acute geriatric unit care using acute care for elders components: A systematic review and meta-analysis

Author keywords

ACE model; acute geriatric unit; elderly; function focused interventions; meta analysis

Indexed keywords

CLINICAL EFFECTIVENESS; COGNITION; DECUBITUS; DELIRIUM; EARLY INTERVENTION; EMERGENCY CARE; FALLING; FUNCTIONAL STATUS; GERIATRIC CARE; GERIATRIC REHABILITATION; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; MORTALITY; NURSING HOME; OCCUPATIONAL THERAPY; PATIENT CARE; PHYSIOTHERAPY; QUASI EXPERIMENTAL STUDY; REVIEW; SYSTEMATIC REVIEW;

EID: 84870974860     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.12028     Document Type: Review
Times cited : (229)

References (50)
  • 1
    • 13944258603 scopus 로고    scopus 로고
    • Evolving models of geriatric nursing care
    • Mezey M, Boltz M, Esterson J, et al. Evolving models of geriatric nursing care. Geriatr Nur 2005; 26: 11-15.
    • (2005) Geriatr Nur , vol.26 , pp. 11-15
    • Mezey, M.1    Boltz, M.2    Esterson, J.3
  • 2
    • 84870993241 scopus 로고    scopus 로고
    • Improving the health of older Americans: A Centers for Disease Control (CDC) priority
    • Centers for Disease Control and Prevention.:3
    • Centers for Disease Control and Prevention. Improving the health of older Americans: A Centers for Disease Control (CDC) priority. Chronic Dis Notes Rep 2007; 18: 1-2 3.
    • (2007) Chronic Dis Notes Rep , vol.18 , pp. 1-2
  • 3
    • 84897515484 scopus 로고    scopus 로고
    • Statistics Canada Available at Accessed July 15, 2012
    • Statistics Canada. Canada's population estimates: Age and sex [on-line]. Available at http://www.statcan.gc.ca/daily-quotidien/110928/dq110928a-eng.htm Accessed July 15, 2012.
    • Canada's Population Estimates: Age and Sex [On-line]
  • 4
    • 84872763559 scopus 로고    scopus 로고
    • Hyattsville, MD: National Center for Health Statistics [on-line]. Available at Accessed July 15, 2012
    • Hall MJ, DeFrances CJ, Williams SN, et al. National hospital discharge survey: 2007 summary. Hyattsville, MD: National Center for Health Statistics, 2010 [on-line]. Available at http://www.cdc.gov/nchs/data/nhsr/nhsr029.pdf Accessed July 15, 2012.
    • (2010) National Hospital Discharge Survey: 2007 Summary
    • Hall, M.J.1    Defrances, C.J.2    Williams, S.N.3
  • 5
    • 84870981572 scopus 로고    scopus 로고
    • Health Care in Canada,:. Ottawa: Canadian Institutes of Health Information, 2011. Available at Accessed July 15, 2012
    • Health Care in Canada, 2011: A focus on seniors and aging. Ottawa: Canadian Institutes of Health Information, 2011. Available at https://secure.cihi.ca/free-products/HCIC-2011-seniors-report-en.pdf Accessed July 15, 2012.
    • (2011) A Focus on Seniors and Aging
  • 6
    • 36348958330 scopus 로고    scopus 로고
    • Review: Hospitalization of the elderly
    • Walsh KA, Bruza JM,. Review: Hospitalization of the elderly. Ann Longterm Care 2007; 15: 18-23.
    • (2007) Ann Longterm Care , vol.15 , pp. 18-23
    • Walsh, K.A.1    Bruza, J.M.2
  • 7
    • 0344127551 scopus 로고    scopus 로고
    • Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: Increased vulnerability with age
    • 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: 451-458.
    • (2003) J Am Geriatr Soc , vol.51 , pp. 451-458
    • Covinsky, K.E.1    Palmer, R.M.2    Fortinsky, R.H.3
  • 8
    • 3843146055 scopus 로고    scopus 로고
    • Prevalence and outcomes of low mobility in hospitalized older patients
    • Brown CJ, Friedkin RJ, Inouye SK,. Prevalence and outcomes of low mobility in hospitalized older patients. J Am Geriatr Soc 2004; 52: 1263-1277.
    • (2004) J Am Geriatr Soc , vol.52 , pp. 1263-1277
    • Brown, C.J.1    Friedkin, R.J.2    Inouye, S.K.3
  • 10
    • 0042856258 scopus 로고    scopus 로고
    • Acute care for elders units: Practical considerations for optimizing health outcomes
    • Palmer RM, Counsell SR, Landefeld SC,. Acute care for elders units: Practical considerations for optimizing health outcomes. Dis Manag Health Outcomes 2003; 11: 507-517.
    • (2003) Dis Manag Health Outcomes , vol.11 , pp. 507-517
    • Palmer, R.M.1    Counsell, S.R.2    Landefeld, S.C.3
  • 11
    • 0031992268 scopus 로고    scopus 로고
    • Improving functional outcomes in older patients: Lessons from an acute care for elders unit
    • Covinsky KE, Palmer RM, Kresevic DM, et al. Improving functional outcomes in older patients: Lessons from an acute care for elders unit. Jt Comm J Qual Improv 1998; 24: 63-76.
    • (1998) Jt Comm J Qual Improv , vol.24 , pp. 63-76
    • Covinsky, K.E.1    Palmer, R.M.2    Kresevic, D.M.3
  • 12
    • 34347219457 scopus 로고    scopus 로고
    • The acute care for elders unit: Taking the rehabilitation model into the hospital setting
    • Amador LF, Reed D, Lehman CA,. The acute care for elders unit: Taking the rehabilitation model into the hospital setting. Rehabil Nurs 2007; 32: 126-132.
    • (2007) Rehabil Nurs , vol.32 , pp. 126-132
    • Amador, L.F.1    Reed, D.2    Lehman, C.A.3
  • 13
    • 0142060008 scopus 로고    scopus 로고
    • An interdisciplinary approach to optimize health services in a specialized acute care for elders unit
    • Wong RYM, Shaw M, Acton C, et al. An interdisciplinary approach to optimize health services in a specialized acute care for elders unit. Geriat Today 2003; 6: 177-186.
    • (2003) Geriat Today , vol.6 , pp. 177-186
    • Wong, R.Y.M.1    Shaw, M.2    Acton, C.3
  • 14
    • 84871017299 scopus 로고    scopus 로고
    • Effectiveness of acute care of the elderly (ACE) units
    • Allen K, Turner T,. Effectiveness of acute care of the elderly (ACE) units. South Health 2008: 1-24.
    • (2008) South Health , pp. 1-24
    • Allen, K.1    Turner, T.2
  • 15
    • 77956151972 scopus 로고    scopus 로고
    • Acute care for the elderly: A literature review
    • Ahmed NN, Pearce SE,. Acute care for the elderly: A literature review. Popul Health Manag 2010; 13: 219-225.
    • (2010) Popul Health Manag , vol.13 , pp. 219-225
    • Ahmed, N.N.1    Pearce, S.E.2
  • 16
    • 0033926280 scopus 로고    scopus 로고
    • Best place of care for older people after acute and during subacute illness: A systematic review
    • Parker G, Bhakta P, Katbamna S, et al. Best place of care for older people after acute and during subacute illness: A systematic review. J Health Serv Res Policy 2000; 53: 176-189.
    • (2000) J Health Serv Res Policy , vol.53 , pp. 176-189
    • Parker, G.1    Bhakta, P.2    Katbamna, S.3
  • 17
    • 34247343710 scopus 로고    scopus 로고
    • What is the evidence for the effectiveness of specialized geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature
    • Day P, Rasmussen P,. What is the evidence for the effectiveness of specialized geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature. N Z Health Technol Assess 2004; 7: 1-169.
    • (2004) N Z Health Technol Assess , vol.7 , pp. 1-169
    • Day, P.1    Rasmussen, P.2
  • 18
    • 61849181345 scopus 로고    scopus 로고
    • Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: Meta-analysis
    • Baztán JJ, Suárez-García, Lóez-Arrieta J, et al. Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: Meta-analysis. BMJ 2009; 338: b50.
    • (2009) BMJ , vol.338
    • Baztán, J.J.1    Suárez-García2    Lóez-Arrieta, J.3
  • 19
    • 80051627805 scopus 로고    scopus 로고
    • Iatrogenic disease in the elderly: Risk factors, consequences, and prevention
    • Permpongkosol S,. Iatrogenic disease in the elderly: Risk factors, consequences, and prevention. Clin Interv Aging 2011; 6: 77-85.
    • (2011) Clin Interv Aging , vol.6 , pp. 77-85
    • Permpongkosol, S.1
  • 21
    • 0034543672 scopus 로고    scopus 로고
    • Effects of a multicomponent intervention on functional outcomes and process of care of hospitalized older patients: A randomized controlled trial of Acute Care for Elders (ACE) in a community hospital
    • Counsell SR, Holder CM, Liebenauer LL, et al. Effects of a multicomponent intervention on functional outcomes and process of care of hospitalized older patients: A randomized controlled trial of Acute Care for Elders (ACE) in a community hospital. J Am Geriatr Soc 2000; 48: 1572-1581.
    • (2000) J Am Geriatr Soc , vol.48 , pp. 1572-1581
    • Counsell, S.R.1    Holder, C.M.2    Liebenauer, L.L.3
  • 22
    • 0029013637 scopus 로고
    • A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients
    • 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.
    • (1995) N Engl J Med , vol.332 , pp. 1338-1344
    • Landefeld, C.S.1    Palmer, R.M.2    Kresevic, D.M.3
  • 23
    • 0030693603 scopus 로고    scopus 로고
    • Quantitative synthesis in systematic reviews
    • Lau J, Ioannidis JPA, Schmid CH,. Quantitative synthesis in systematic reviews. Ann Intern Med 1997; 127: 820-826.
    • (1997) Ann Intern Med , vol.127 , pp. 820-826
    • Lau, J.1    Ioannidis, J.P.A.2    Schmid, C.H.3
  • 25
    • 0033769089 scopus 로고    scopus 로고
    • Geriatric-based versus general wards for older acute medical patients: A randomized comparison of outcomes and use of resources
    • Asplund K, Gustafson Y, Jacobsson C, et al. Geriatric-based versus general wards for older acute medical patients: A randomized comparison of outcomes and use of resources. J Am Geriatr Soc 2000; 48: 1381-1388.
    • (2000) J Am Geriatr Soc , vol.48 , pp. 1381-1388
    • Asplund, K.1    Gustafson, Y.2    Jacobsson, C.3
  • 26
    • 0022390969 scopus 로고
    • Acute care delivery for the geriatric patient: An innovative approach
    • Collard AF, Bachman SS, Beatrice DF,. Acute care delivery for the geriatric patient: An innovative approach. Qual Rev Bull 1985; 11: 180-185.
    • (1985) Qual Rev Bull , vol.11 , pp. 180-185
    • Collard, A.F.1    Bachman, S.S.2    Beatrice, D.F.3
  • 27
    • 0031000435 scopus 로고    scopus 로고
    • Do acute care for elders units increased hospital costs? A cost analysis using the hospital perspective
    • Covinsky KE, King JT, Quinn LM, et al. Do acute care for elders units increased hospital costs? A cost analysis using the hospital perspective. J Am Geriatr Soc 1997; 45: 729-734.
    • (1997) J Am Geriatr Soc , vol.45 , pp. 729-734
    • Covinsky, K.E.1    Jt, K.2    Quinn, L.M.3
  • 28
    • 0025222189 scopus 로고
    • The Senior Care Study. A controlled trial of a consultative/unit-based geriatric assessment program in acute care
    • Fretwell MD, 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.
    • (1990) J Am Geriatr Soc , vol.38 , pp. 1073-1081
    • Fretwell, M.D.1    Raymond, P.M.2    McGarvey, S.T.3
  • 29
    • 77955734642 scopus 로고    scopus 로고
    • The orthogeriatric unit for acute patients: A new model of care that improves efficiency in the management of patients with hip fracture
    • Gonzalez-Montalvo JI, Alarcon T, Mauleon JL, et al. The orthogeriatric unit for acute patients: A new model of care that improves efficiency in the management of patients with hip fracture. Hip Int 2010; 20: 229-235.
    • (2010) Hip Int , vol.20 , pp. 229-235
    • Gonzalez-Montalvo, J.I.1    Alarcon, T.2    Mauleon, J.L.3
  • 30
    • 0026147246 scopus 로고
    • A randomised study of outcomes in a defined group of acutely ill elderly patients managed in a geriatric assessment unit or a general medical unit
    • Harris RD, Henschke PJ, Popplewell PY, et al. A randomised study of outcomes in a defined group of acutely ill elderly patients managed in a geriatric assessment unit or a general medical unit. Aust NZ J Med 1991; 21: 230-234.
    • (1991) Aust NZ J Med , vol.21 , pp. 230-234
    • Harris, R.D.1    Henschke, P.J.2    Popplewell, P.Y.3
  • 32
    • 35148888079 scopus 로고    scopus 로고
    • Malnutrition in hip fracture patients: An intervention study
    • Olofsson B, Stenvall M, Lundstrom M, et al. Malnutrition in hip fracture patients: An intervention study. J Clin Nurs 2007; 16: 2027-2038.
    • (2007) J Clin Nurs , vol.16 , pp. 2027-2038
    • Olofsson, B.1    Stenvall, M.2    Lundstrom, M.3
  • 33
    • 34447257427 scopus 로고    scopus 로고
    • Postoperative delirium in old patients with femoral neck fracture: A randomized intervention study
    • Lundstrom M, Olofsson B, Stenvall M, et al. Postoperative delirium in old patients with femoral neck fracture: A randomized intervention study. Aging Clin Exp Res 2007; 19: 178-186.
    • (2007) Aging Clin Exp Res , vol.19 , pp. 178-186
    • Lundstrom, M.1    Olofsson, B.2    Stenvall, M.3
  • 34
    • 0025225326 scopus 로고
    • The Senior Care Study. the optimal use of medications in acutely ill older patients
    • Owens NJ, Sherburne NJ, Silliman RA, et al. The Senior Care Study. The optimal use of medications in acutely ill older patients. J Am Geriatr Soc 1990; 38: 1082-1087.
    • (1990) J Am Geriatr Soc , vol.38 , pp. 1082-1087
    • Owens, N.J.1    Sherburne, N.J.2    Silliman, R.A.3
  • 35
    • 77649183204 scopus 로고    scopus 로고
    • Loss of autonomy among elderly patients after a stay in a medical intensive care unit (ICU): A randomized study of the benefit of transfer to a geriatric ward
    • Somme D, Andrieux N, Guerot E, et al. Loss of autonomy among elderly patients after a stay in a medical intensive care unit (ICU): A randomized study of the benefit of transfer to a geriatric ward. Arch Gerontol Geriatr 2010; 50: e36-e40.
    • (2010) Arch Gerontol Geriatr , vol.50
    • Somme, D.1    Andrieux, N.2    Guerot, E.3
  • 36
    • 34249752724 scopus 로고    scopus 로고
    • Improved performance in activities of daily living and mobility after a multidisciplinary postoperative rehabilitation in older people with femoral neck fracture: A randomized controlled trial with 1-year follow up
    • Stenvall M, Olofsson B, Nyberg L, et al. Improved performance in activities of daily living and mobility after a multidisciplinary postoperative rehabilitation in older people with femoral neck fracture: A randomized controlled trial with 1-year follow up. J Rehabil Med 2007; 39: 232-238.
    • (2007) J Rehabil Med , vol.39 , pp. 232-238
    • Stenvall, M.1    Olofsson, B.2    Nyberg, L.3
  • 37
    • 33846175664 scopus 로고    scopus 로고
    • A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after neck fracture
    • Stenvall M, Olofsson B, Lundstrom M, et al. A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after neck fracture. Osteoporos Int 2007; 18: 167-175.
    • (2007) Osteoporos Int , vol.18 , pp. 167-175
    • Stenvall, M.1    Olofsson, B.2    Lundstrom, M.3
  • 38
    • 0033088294 scopus 로고    scopus 로고
    • The impact of a geriatrics evaluation and management unit compared to standard care in a community teaching hospital
    • Stewart M, Suchak N, Scheve A, et al. The impact of a geriatrics evaluation and management unit compared to standard care in a community teaching hospital. Md Med J 1999; 48: 62-67.
    • (1999) Md Med J , vol.48 , pp. 62-67
    • Stewart, M.1    Suchak, N.2    Scheve, A.3
  • 39
    • 70350433674 scopus 로고    scopus 로고
    • An intervention integrated into daily clinical practice reduces the incidence of delirium during hospitalization in elderly patients
    • Vidan MT, Sanchez E, Alonso M, et al. An intervention integrated into daily clinical practice reduces the incidence of delirium during hospitalization in elderly patients. J Am Geriatr Soc 2009; 57: 2029-2036.
    • (2009) J Am Geriatr Soc , vol.57 , pp. 2029-2036
    • Vidan, M.T.1    Sanchez, E.2    Alonso, M.3
  • 40
    • 56949091199 scopus 로고    scopus 로고
    • Reduction of functional deterioration during hospitalization in an acute geriatric unit
    • Zelada MA, Salinas R, Baztan J,. Reduction of functional deterioration during hospitalization in an acute geriatric unit. Arch Gerontol Geriatr 2009; 48: 35-39.
    • (2009) Arch Gerontol Geriatr , vol.48 , pp. 35-39
    • Zelada, M.A.1    Salinas, R.2    Baztan, J.3
  • 41
    • 84862907013 scopus 로고    scopus 로고
    • Acute Care for Elders units produced shorter hospital stays at lower cost while maintaining patients' functional status
    • Barnes DE, Palmer RM, Kresevic DM, et al. Acute Care For Elders units produced shorter hospital stays at lower cost while maintaining patients' functional status. Health Aff 2012; 31: 1227-1236.
    • (2012) Health Aff , vol.31 , pp. 1227-1236
    • Barnes, D.E.1    Palmer, R.M.2    Kresevic, D.M.3
  • 42
    • 73949146040 scopus 로고    scopus 로고
    • Acute Care for Elders (ACE) tracker and e-Geriatrician: Methods to disseminate ACE concepts to hospitals with no geriatricians on staff
    • Malone ML, Vollbrecht M, Stephenson J, et al. Acute Care for Elders (ACE) tracker and e-Geriatrician: Methods to disseminate ACE concepts to hospitals with no geriatricians on staff. J Am Geriatr Soc 2010; 58: 161-167.
    • (2010) J Am Geriatr Soc , vol.58 , pp. 161-167
    • Malone, M.L.1    Vollbrecht, M.2    Stephenson, J.3
  • 43
    • 79960886921 scopus 로고    scopus 로고
    • Ottawa, Ontario: Canadian Institute for Health Information, [on-line]. Available at Accessed July 15, 2012
    • National health expenditure trends, 1975 to 2011. Ottawa, Ontario: Canadian Institute for Health Information, 2011 [on-line]. Available at https://secure.cihi.ca/free-products/nhex-trends-report-2011-en.pdf Accessed July 15, 2012.
    • (2011) National Health Expenditure Trends, 1975 to 2011
  • 45
    • 0034544273 scopus 로고    scopus 로고
    • The Hospital Elder Life Program: A model of care to prevent cognitive and functional decline in older hospitalized patients
    • Inouye SK, Bogardus ST, Jr, Baker DI, et al. The Hospital Elder Life Program: A model of care to prevent cognitive and functional decline in older hospitalized patients. J Am Geriatr Soc 2000; 48: 1697-1706.
    • (2000) J Am Geriatr Soc , vol.48 , pp. 1697-1706
    • Inouye, S.K.1    Bogardus, S.T.2    Baker, Jr.D.I.3
  • 47
    • 0034709014 scopus 로고    scopus 로고
    • Hospital readmissions as a measure of quality of health care
    • Benbassat J, Taragin M,. Hospital readmissions as a measure of quality of health care. Arch Intern Med 2000; 160: 1074-1081.
    • (2000) Arch Intern Med , vol.160 , pp. 1074-1081
    • Benbassat, J.1    Taragin, M.2
  • 48
    • 79958227594 scopus 로고    scopus 로고
    • Safety of discharge of seniors from the emergency department to the community
    • McCusker J, Roberge D, Vadeboncoeur A, et al. Safety of discharge of seniors from the emergency department to the community. Healthc Q 2009; 12: 24-32.
    • (2009) Healthc Q , vol.12 , pp. 24-32
    • McCusker, J.1    Roberge, D.2    Vadeboncoeur, A.3
  • 49
    • 68049122102 scopus 로고    scopus 로고
    • Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
    • Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 2009; 6: e100009.
    • (2009) PLoS Med , vol.6
    • Moher, D.1    Liberati, A.2    Tetzlaff, J.3


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