A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients

Nikolaus, Thorsten; Specht‐Leible, Norbert; Bach, Matthias; Oster, P.; Schlierf, G.

doi:10.1093/ageing/28.6.543

Cited by 166 publications

(183 citation statements)

References 16 publications

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“…Estas estrategias han demostrado reducir la duración de las estadías hospitalarias (p < 0,05), el traslado a casas de reposo (p < 0,05), mejorar la funcionalidad del paciente (p = 0,04), y reducir los costos y la estadía hospitalaria de los reingresos (p = 0,05) 83 . El beneficio en la duración de los reingresos también se encontró en el estudio de Naylor en pacientes mayores con problemas cardiacos graves 84 .…”

Section: Evaluación Geriátrica E Intervenciones Integrales Después Deunclassified

Proceso de alta hospitalaria, revisión de la literatura

et al. 2014

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Section: Evaluación Geriátrica E Intervenciones Integrales Después Deunclassified

Proceso de alta hospitalaria, revisión de la literatura

et al. 2014

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“…Er zijn voldoende aanwijzingen dat deze aanpak leidt tot een betere functionele status, betere kwaliteit van leven van de oudere patiënt gedurende 12 maanden na de ziekenhuisopname, minder valincidenten, kortere ziekenhuisopname, minder (her)opnamen in ziekenhuizen en verpleeghuizen, beter geestelijk welzijn van de mantelzorgers, en lagere sterfte. 13,15,18,[20][21][22][23]25,[27][28][29][30] Beschrijvingen …”

Section: Achtergrondunclassified

Integrale interventie ter voorkoming van functieverlies bij ouderen tijdens ziekenhuisopname: het Zorgprogramma voor Preventie en Herstel

Vos

Asmus-Szepesi²,

Bakker

et al. 2014

Tijdschr Gerontol Geriatr

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Integrated approach to prevent functional decline in hospitalized elderlyBackground: Hospital related functional decline in older patients is an underestimated problem. Thirty-five procent of 70-year old patients experience functional decline during hospital admission in comparison with pre-illness baseline. This percentage increases considerably with age. Methods/design: To address this issue, the Vlietland Ziekenhuis in The Netherlands has implemented the Prevention and Reactivation Care Programme (PReCaP), an innovative program aimed at reducing hospital related functional decline among elderly patients by offering interventions that are multidisciplinary, integrated and goal-oriented at the physical, social, and psychological domains of functional decline. Discussion: This paper presents a detailed description of the intervention, which incorporates five distinctive elements: (1) Early identification of elderly patients with a high risk of functional decline, and if necessary followed by the start of the reactivation treatment within 48 h after hospital admission; (2) Intensive follow-up treatment for a selected patient group at the prevention and Reactivation Centre; (3) Availability of multidisciplinary geriatric expertise; (4) Provision of support and consultation of relevant professionals to informal caregivers; (5) Intensive follow-up throughout the entire chain of care by a casemanager with geriatric expertise. Outcome and process evaluations are ongoing and results will be published in a series of forthcoming papers.

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“…The principle task of this team is to offer an advice to the treating physician and his team concerning the care for the older person. A geriatric approach has proved to optimise the outcome of older persons after hospitalisation (11)(12)(13). Important to consider is the fact that interventions restricted to advices to treating physicians are less effective than projects offering medical and psychosocial interventions by multidisciplinary teams (14)(15).…”

Section: Geriatric Health Care Programmementioning

confidence: 99%