The Aged Residential Care Healthcare Utilization Study (ARCHUS): A Multidisciplinary, Cluster Randomized Controlled Trial Designed to Reduce Acute Avoidable Hospitalizations From Long-Term Care Facilities

Journal of the American Medical Directors Association

Volumn 16, Issue 1, 2015, Pages 49-55

  Connolly, Martin J ^a,b   Boyd, Michal ^a,b   Broad, Joanna B ^a   Kerse, Ngaire ^a   Lumley, Thomas ^a   Whitehead, Noeline ^c   Foster, Susan ^a  

^a UNIVERSITY OF AUCKLAND   (New Zealand)

^b WAITEMATA DISTRICT HEALTH BOARD   (New Zealand)

^c Bethesda Care   (New Zealand)

Author keywords

Aged; Hospitalization; Interdisciplinary health team; Randomized controlled trial; Residential facilities

Indexed keywords

AGED; ARTICLE; CLINICAL NURSE SPECIALIST; CONTROLLED STUDY; ELDERLY CARE; FEMALE; FOLLOW UP; GERONTOLOGY; HEALTH CARE FACILITY; HEALTH CARE UTILIZATION; HOSPITALIZATION; HUMAN; INTERVENTION STUDY; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; NEW ZEALAND; PREVENTION STUDY; RANDOMIZED CONTROLLED TRIAL; RESIDENCY EDUCATION; RESIDENTIAL CARE; STAFF TRAINING; TREATMENT DURATION; VERY ELDERLY; CLINICAL TRIAL; HOSPITAL MORTALITY; IN SERVICE TRAINING; INTERDISCIPLINARY EDUCATION; LENGTH OF STAY; MULTICENTER STUDY; PATIENT ATTITUDE; STATISTICS AND NUMERICAL DATA; TRENDS;

AGED; AGED, 80 AND OVER; FEMALE; HOSPITAL MORTALITY; HOSPITALIZATION; HUMANS; INSERVICE TRAINING; INTERDISCIPLINARY STUDIES; LENGTH OF STAY; LONG-TERM CARE; MALE; NEW ZEALAND; PATIENT ACCEPTANCE OF HEALTH CARE;

EID: 84926636627     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2014.07.008     Document Type: Article

References (30)

1. Statistics New Zealand. National Population Projections. Statistics New Zealand; Wellington, New Zealand: 2010;2009:(base)-2061.
2. Grant Thornton N.Z. Aged Residential Care Service Review Steering Group. Aged Residential Care Services Review 2010, Grant Thornton NZ, Auckland.
3. Zurn P, Dumont J-C. Health workforce and international migration: can New Zealand compete? OECD Working Paper. 2008;33.
4. Boyd M., Broad J.B., Kerse N., et al. Twenty-year trends in dependency in residential aged care in Auckland, New Zealand: A descriptive study. JAm Med Dir Assoc 2011, 12:535-540.
5. Broad J.B., Boyd M., Kerse N., et al. Residential aged care in Auckland, New Zealand 1988-2008: Do real trends over time match predictions?. Age Ageing 2011, 40:487-494.
6. Gill T.M., Allore H.G., Holford T.R., Guo Z. Hospitalization, restricted activity, and the development of disability among older persons. JAMA 2004, 292:2115-2124.
7. Bostick J.E., Rantz M.J., Flesner M.K., Riggs C.J. Systematic review of studies of staffing and quality in nursing homes. JAm Med Dir Assoc 2006, 7:366-376.
8. Comondore V.R., Devereaux P., Zhou Q., et al. Quality of care in for-profit and not-for-profit nursing homes: Systematic review and meta-analysis. BMJ 2009, 339:381-384.
9. Ouslander J.G., Lamb G., Perloe M., et al. Potentially avoidable hospitalizations of nursing home residents: Frequency, causes, and costs. JAm Geriatr Soc 2010, 58:627-635.
10. Reid F.D., Cook D.G., Majeed A. Explaining variation in hospital admission rates between general practices: Cross sectional study. BMJ 1999, 319:98.
11. Creditor M.C. Hazards of hospitalization of the elderly. Ann Intern Med 1993, 118:219-223.
12. Foster S.J., Boyd M., Broad J.B., et al. Aged Residential Care Health Utilisation Study (ARCHUS): A randomised controlled trial to reduce acute hospitalisations from residential aged care. BMC Geriatr 2012, 12:54.
13. Ouslander J.G., Lamb G., Tappen R., et al. Interventions to reduce hospitalizations from nursing homes: Evaluation of the INTERACT II collaborative quality improvement project. JAm Geriatr Soc 2011, 59:745-753.
14. Rantz M.J., Zwygart-Stauffacher M., Hicks L., et al. Randomized multilevel intervention to improve outcomes of residents in nursing homes in need of improvement. JAm Med Dir Assoc 2012, 13:60-68.
15. Tukey J.W. Tightening the clinical trial. Control Clin Trials 1993, 14:266-285.
16. Kane R.L., Keckhafer G., Flood S., et al. The effect of Evercare on hospital use. JAm Geriatr Soc 2003, 51:1427-1434.
17. Konetzka R.T., Spector W., Limcangco M.R. Reducing hospitalizations from long-term care settings. Med Care Res Rev 2008, 65:40-66.
18. O'Brien M., Rogers S., Jamtvedt G., et al. Educational outreach visits: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2007, CD000409.
19. Arvanitakis M., Coppens P., Doughan L., Van Gossum A. Nutrition in care homes and home care: Recommendations-a summary based on the report approved by the Council of Europe. Clin Nutr 2009, 28:492-496.
20. Caplan G.A., Meller A., Squires B., et al. Advance care planning and hospital in the nursing home. Age Ageing 2006, 35:581-585.
21. Kaur S., Mitchell G., Vitetta L., Roberts M.S. Interventions that can reduce inappropriate prescribing in the elderly. Drugs Aging 2009, 26:1013-1028.
22. Gordon A.L., Logan P.A., Jones R.G., et al. Asystematic mapping review of randomized controlled trials (RCTs) in care homes. BMC Geriatr 2012, 12:31.
23. Nazir A., Unroe K., Tegeler M., et al. Systematic review of interdisciplinary interventions in nursing homes. JAm Med Dir Assoc 2013, 14:471-478.
24. Ouslander J.G., Maslow K. Geriatrics and the triple aim: Defining preventable hospitalizations in the long-term care population. JAm Geriatr Soc 2012, 60:2313-2318.
25. Pope G., Wall N., Peters C.M., et al. Specialist medication review does not benefit short-term outcomes and net costs in continuing-care patients. Age Ageing 2011, 40:307-312.
26. Roberts M.S., Stokes J.A., King M.A., et al. Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes. Br J Clin Pharmacol 2001, 51:257-265.
27. Klaasen K., Lamont L., Krishnan P. Setting a new standard of care in nursing homes. Can Nurse 2009, 105:24-30.
28. Dosa D. Should I hospitalize my resident with nursing home-acquired pneumonia?. JAm Med Dir Assoc 2006, 7:S74-S80.
29. Forster A., Lambley R., Hardy J., et al. Rehabilitation for older people in long-term care. Cochrane Database Syst Rev 2009, CD004294.
30. Cameron I.D., Murray G.R., Gillespie L.D., et al. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database Syst Rev 2010, CD005465.