Effect of Hospital in the Home Treatment on Physical and Cognitive Function: A Randomized Controlled Trial

Caplan, Gideon A.; Coconis, Janis; Woods, Jan

doi:10.1093/gerona/60.8.1035

Cited by 52 publications

(58 citation statements)

References 16 publications

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“…Al comparar los estudios del modelo sustitutivo de HAD con el de alta precoz, se observan mejores resultados del primero en todas las categorías 32 . Los cuidados en el domicilio fueron de rango hospitalario.…”

Section: Evaluació N De La Hospitalizació N a Domicilio: Resultados Yunclassified

Hospitalización a domicilio: oportunidad para el cambio

Mèlich

Estrada

2012

Medicina Clínica

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Section: Evaluació N De La Hospitalizació N a Domicilio: Resultados Yunclassified

Hospitalización a domicilio: oportunidad para el cambio

Mèlich

Estrada

2012

Medicina Clínica

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“…15 The implementation of these services was associated with a decrease in attendances by older mented in other parts of the country with varying success. [16][17][18][19][20][21][22] The quintessence of such services is an integrated, multidisciplinary approach to assist in the acute hospital and post-discharge care of older people at risk of repeated hospital presentations. The emphasis has been on returning these patients to and maintaining them in the community.…”

Section: Discussionmentioning

confidence: 99%

“…The provision of care in the patient' s home, as opposed to the hospital, has physical and cognitive advantages for the older patient. 20 Measuring outcomes for these services has been problematic. 16 Commonly used measures include ED presentations and admissions, hospital admissions from all sources, length of hospital stay, use of outpatient services, residential aged care admissions, use of community resources, physical and cognitive function over time, and patient plus carer satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Local trends in emergency department attendances by older patients in an ageing national population

Chu

Brown²,

Lukin³

2009

Aust. Health Review

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Nursing-led aged care services were set up at our Emergency Department (ED) in 2004-05 to assist in the appropriate discharge of older patients. This study examined local trends in ED attendances by older patients. A retrospective study was conducted at an inner-city adult ED in a region with a 2.2% annual growth rate. Patient demographics, Australasian Triage Scale (ATS) category and admission/discharge status were collected from January 2002 to December 2006. Total ED attendances increased 7.7% from 66 687 in 2002 to 71 801 in 2006. Older patients' attendances, however, decreased 3.1% from 12 356 to 11 971. This decrease in ED attendances by older patients was unexpected. This may represent local population trends and/or be related to ED services designed to manage older patients and nursing home residents in the community. The planning of health services for older people therefore needs to take into consideration the influences on local trends in Population ageing will impact on the demand for and provision of health services. Data from the Australian Bureau of Statistics (ABS) National Health Surveys revealed that 38% of people aged 65-75 years visited their doctor in the 2 weeks before interview, and that 23% had been hospitalised within the previous 12 months. 2 Compared with younger age groups, older patients may require different types of care in hospital. 3 The proportion of episodes for rehabilitation, geriatric evaluation and management, and maintenance care all increase with age. Despite their relatively greater need for nonemergency and critical care, the emergency department (ED) is likely to remain an important point of entry into the health care system for many older people.A cross-sectional study in 2001 at our ED has shown that older patients used relatively more ED resources than younger patients. 4 What is known about the topic? Ageing of the Australian population is well recognised, with older adults increasing their use of emergency departments (EDs). What does this paper add?This paper examined trends in attendances for older (у 65 years) and younger (14-65 years) patients, finding a decrease in ED presentations, but that admissions for older ED patients remained relatively stable at 1 in 2 patients. What are the implications for practitioners? Our data suggest that the number of presentations by older patients could decrease in certain regions, influenced by a dilution effect of a younger population and possibly by a "healthier older migrant" effect plus local nurse-led aged-care programs in the ED. The planning of emergency health services needs to take into account the influences on local trends in changing population demographics.

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“…11,12,15,17,20 Caplan and associates 13,76 reported a significant improvement on the Instrumental Activities of Daily Living score between admission and discharge for those assigned to receive hospital care at home (mean difference 0.57, p = 0.04), but detected no changes on the Barthel Index, which measures activities of daily living. 77 The Instrumental Activities of Daily Living score has a maximum value of 12 points and measures independent living skills, which may be difficult to measure in a hospital setting.…”

Section: Researchmentioning

confidence: 94%

Avoiding hospital admission through provision of hospital care at home: a systematic review and meta-analysis of individual patient data

Shepperd¹,

Doll²,

Angus³

et al. 2009

Canadian Medical Association Journal

188

155

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Effect of Hospital in the Home Treatment on Physical and Cognitive Function: A Randomized Controlled Trial

Abstract: HITH offers a safe option for treatment of older patients with a functional advantage over in-hospital care.

Cited by 52 publications

References 16 publications

Hospitalización a domicilio: oportunidad para el cambio

Hospitalización a domicilio: oportunidad para el cambio

Local trends in emergency department attendances by older patients in an ageing national population

Avoiding hospital admission through provision of hospital care at home: a systematic review and meta-analysis of individual patient data

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