Acute Care for the Elderly: A Literature Review

被引：41
作者：
Ahmed, Nasiya N.
Pearce, Shannon E.
机构：
[1] Univ Texas Houston, Dept Internal Med, Div Geriatr & Palliat Med, Houston, TX USA
[2] Mem Hermann Texas Med Ctr, Houston, TX USA
来源：
POPULATION HEALTH MANAGEMENT | 2010年 / 13卷 / 04期
关键词：
FUNCTIONAL OUTCOMES; OLDER PATIENTS; MEDICAL UNIT; ACE UNITS; MODEL; INTERVENTION; TRIAL; COST;
D O I：
10.1089/pop.2009.0058
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Traditionally, acute medical care has been insufficient to meet the complex care needs of frail older adults. The purpose of this study was to evaluate the effectiveness of Acute Care for the Elderly (ACE) units at improving hospitalization outcomes for adults older than 65 years of age. A review of the literature was performed, focusing on randomized controlled trials, clinical trials, reviews, and meta-analyses from 1990 to 2008. This review revealed ACE to be associated with positive global outcomes (eg, cost, length of stay, readmission rates, utilization, rehabilitation, cognition, function, patient/staff satisfaction). Furthermore, some studies may point to a decreased incidence of delirium and polypharmacy. Though larger studies with consistent operational definitions and replicative studies are needed, the literature presents compelling evidence that warrants further investigation of ACE as a valuable alternative paradigm of acute geriatric care. (Population Health Management 2010;13:219-225)
引用
收藏
页码：219 / 225
页数：7
相关论文
共 21 条
[1]   Developing a stroke unit using the acute care for elders intervention and model of care [J].
Allen, KR ;
Hazelett, SE ;
Palmer, RR ;
Jarjoura, DG ;
Wickstrom, GC ;
Weinhardt, JA ;
Lada, R ;
Holder, CM ;
Counsell, SR .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (11) :1660-1667
[2]   Geriatric-based versus general wards for older acute medical patients:: A randomized comparison of outcomes and use of resources [J].
Asplund, K ;
Gustafson, Y ;
Jacobsson, C ;
Bucht, G ;
Wahlin, A ;
Peterson, J ;
Blom, JO ;
Ängquist, KA .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (11) :1381-1388
[3]   Clinical nurse specialist practice within the acute care for elders interdisciplinary team model [J].
Benedict, Lyn ;
Robinson, Karen ;
Holder, Carolyn .
CLINICAL NURSE SPECIALIST, 2006, 20 (05) :248-252
[4]   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].
Counsell, SR ;
Holder, CM ;
Liebenauer, LL ;
Palmer, RM ;
Fortinsky, RH ;
Kresevic, DM ;
Quinn, LM ;
Allen, KR ;
Covinsky, KE ;
Landefeld, CS .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (12) :1572-1581
[5]  
Covinsky K E, 1998, Jt Comm J Qual Improv, V24, P63
[6]   Do acute care for elders units increase hospital costs? A cost analysis using the hospital perspective [J].
Covinsky, KE ;
King, JT ;
Quinn, LM ;
Siddique, R ;
Palmer, R ;
Kresevic, DM ;
Fortinsky, RH ;
Kowal, J ;
Landefeld, CS .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1997, 45 (06) :729-734
[7]  
Edwards Rebecca F, 2003, Consult Pharm, V18, P37
[8]  
Edwards RF, 2003, CONSULT PHARM, V18, P47
[9]   A model for managing delirious older inpatients [J].
Flaherty, JH ;
Tariq, SH ;
Raghavan, S ;
Bakshi, S ;
Moinuddin, A ;
Morley, JE .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (07) :1031-1035
[10]   Health resource utilization and medical care cost of acute care elderly unit patients [J].
Jayadevappa, R ;
Chhatre, S ;
Weiner, M ;
Raziano, DB .
VALUE IN HEALTH, 2006, 9 (03) :186-192
123