Aggregate Health Burden and the Risk of Hospitalization in Older Persons Post Hip Replacement Surgery

Perruccio, Anthony V.; Losina, Elena; Wright, Elizabeth A.; Katz, Jeffrey N.; Kritchevsky, Stephen B.

doi:10.1093/gerona/gls151

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…community dietetic care across regions is a potential barrier. Further research should explore not only the community resources available, but also the process for referral and barriers to care that occur, especially because quality transition care and interventions initiated in hospital and continued in the community can improve outcomes, including nutritional status (13)(14)(15)(16)(17)(18)(19)(20)(21) . However, communication and continuation of care is a known problem with any transition (22)(23)(24) .…”

Section: Discussionmentioning

confidence: 99%

Patient‐reported dietetic care post hospital for free‐living patients: a Canadian Malnutrition Task Force Study

Keller

Payette

Laporte³

et al. 2017

J Human Nutrition Diet

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Background: Transitions out of hospital can influence recovery. Ideally, malnourished patients should be followed by someone with nutrition expertise, specifically a dietitian, post discharge from hospital. Predictors of dietetic care post discharge are currently unknown. The present study aimed to determine the patient factors independently associated with 30-days post hospital discharge dietetic care for free-living patients who transitioned to the community. Methodology: Nine hundred and twenty-two medical or surgical adult patients were recruited in 16 acute care hospitals in eight Canadian provinces on admission. Eligible patients could speak English or French, provide their written consent, were anticipated to have a hospital stay of ≥2 days and were not considered palliative. Telephone interviews were completed with 747 (81%) participants using a standardised questionnaire to determine whether dietetic care occurred post discharge; 544 patients discharged to the community were included in the multivariate analyses, excluding those who were admitted to nursing homes or rehabilitation facilities. Covariates during and post hospitalisation were collected prospectively and used in logistic regression analyses to determine independent patientlevel predictors. Results: Dietetic care post discharge was reported by 61/544 (11%) of participants and was associated with severe malnutrition [Subjective Global Assessment category C: odd's ratio (OR) 2.43 (1.23-4.83)], weight loss post discharge )], comorbidity [(OR 1.09 (1.02-1.17)] and a dietitian consultation on admission . Conclusions: Dietetic care post discharge occurs in few patients, despite the known high prevalence of malnutrition on admission and discharge. Dietetic care in hospital was the most influential predictor of post-hospital care.

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Section: Discussionmentioning

confidence: 99%

Patient‐reported dietetic care post hospital for free‐living patients: a Canadian Malnutrition Task Force Study

Keller

Payette

Laporte³

et al. 2017

J Human Nutrition Diet

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“…Older adults are at greater risk of developing conditions such as dementia, falls, and depression that can affect quality of life and costs of care . Screening for these conditions may prevent adverse physical and mental comorbidities, unnecessary hospitalizations, and premature nursing home admissions, but screening and education about preventive strategies for these high‐impact geriatric conditions is often not conducted in primary care, in part because of a shortage of geriatricians and the already‐crowded agenda of primary care visits . Therefore, many of these at‐risk individuals are not identified when interventions may be most successful.…”

mentioning

confidence: 99%

Shared Medical Appointments to Screen for Geriatric Syndromes: Preliminary Data from a Quality Improvement Initiative

May

Cheng

Tietbohl

et al. 2014

J American Geriatrics Society

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Older adults are at greater risk of developing conditions that affect health outcomes, quality of life, and costs of care. Screening for geriatric conditions such as memory loss, fall risk, and depression may contribute to the prevention of adverse physical and mental comorbidities, unnecessary hospitalizations, and premature nursing home admissions. Because screening is not consistently performed in primary care settings, a shared medical appointment (SMA) program was developed to fill this gap in care. The goals of the program were to improve early identification of at-risk individuals and ensure appropriate follow-up for memory loss, fall risk, and depression; facilitate discussion about prevention, diagnosis, and treatment of these conditions; implement strategies to reduce risks for these conditions; and increase access to screening and expand preventive health services for older adults. Between August 2011 and May 2013, 136 individuals aged 60 and older participated in the program. Three case studies highlighting the psychosocial and physiological findings of participation in the program are presented. Preliminary data suggest that SMAs are an effective model of regularly screening at-risk older adults that augments primary care practice by facilitating early detection and referral for syndromes that may otherwise be missed or delayed.

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Prevalence and predictors of weight change post discharge from hospital: a study of the Canadian Malnutrition Task Force

et al. 2017

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Aggregate Health Burden and the Risk of Hospitalization in Older Persons Post Hip Replacement Surgery

Cited by 3 publications

References 26 publications

Patient‐reported dietetic care post hospital for free‐living patients: a Canadian Malnutrition Task Force Study

Patient‐reported dietetic care post hospital for free‐living patients: a Canadian Malnutrition Task Force Study

Shared Medical Appointments to Screen for Geriatric Syndromes: Preliminary Data from a Quality Improvement Initiative

Prevalence and predictors of weight change post discharge from hospital: a study of the Canadian Malnutrition Task Force

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