The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.
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
Abstract
BACKGROUND: Older persons frequently experience a decline in function following an acute medical illness and hospitalization. OBJECTIVE: To test the hypothesis that a multicomponent intervention, called Acute Care for Elders (ACE), will improve functional outcomes and the process of care in hospitalized older patients. DESIGN: Randomized controlled trial. SETTING: Community teaching hospital. PATIENTS: A total of 1531 community‐dwelling patients, aged 70 or older, admitted for an acute medical illness between November 1994 and May 1997. INTERVENTION: ACE includes a specially designed environment (with, for example, carpeting and uncluttered hallways); patient‐centered care, including nursing care plans for prevention of disability and rehabilitation; planning for patient discharge to home; and review of medical care to prevent iatrogenic illness. MEASUREMENTS: The main outcome was change in the number of independent activities of daily living (ADL) from 2 weeks before admission (baseline) to discharge. Secondary outcomes included resource use, implementation of orders to promote function, and patient and provider satisfaction. RESULTS: Self‐reported measures of function did not differ at discharge between the intervention and usual care groups by intention‐to‐treat analysis. The composite outcome of ADL decline from baseline or nursing home placement was less frequent in the intervention group at discharge (34% vs 40%; P = .027) and during the year following hospitalization (P = .022). There were no significant group differences in hospital length of stay and costs, home healthcare visits, or readmissions. Nursing care plans to promote independent function were more often implemented in the intervention group (79% vs 50%; P = .001), physical therapy consults were obtained more frequently (42% vs 36%; P = .027), and restraints were applied to fewer patients (2% vs 6%; P = .001). Satisfaction with care was higher for the intervention group than the usual care group among patients, caregivers, physicians, and nurses (P < .05). CONCLUSIONS: ACE in a community hospital improved the process of care and patient and provider satisfaction without increasing hospital length of stay or costs. A lower frequency of the composite outcome ADL decline or nursing home placement may indicate potentially beneficial effects on patient outcomes.
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“Although some performance measures (e.g., 5-min walk, 50-ft walk, 5-step test, functional reach, and floor transfer), may not be sensitive enough to detect change in a small cohort of study volunteers following short periods of bed rest [22], studies in bed-ridden hospitalized elders have demonstrated a clear negative relationship [4,23,24].”
From Protecting muscle mass and function in older adults during bed rest (2010) · cites this paper as [24]
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BackgroundLong Term Outcomes of a Geriatric Liaison Intervention in Frail Elderly Cancer Patients
Hempenius, L., Slaets, J. P. J., van Asselt, D., de Bock, T. H., Wiggers, T., & van Leeuwen, B. L. (2016) · PLoS ONE · doi:10.1371/journal.pone.0143364 · Cited by 58
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“to be successful in reducing functional decline among frail older inpatients during and after hospitalization.(7,8)”
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Preyde, M., Macaulay, C., & Dingwall, T. (2009) · Journal of Evidence-Based Social Work · doi:10.1080/15433710802686898 · Cited by 58
“Overall, intervention group subjects were significantly more satisfied with the care received (Counsell et al., 2000; Naylor et al., 2004; Preen et al., 2005).”
BackgroundHouse Staff Member Awareness of Older Inpatients' Risks for Hazards of Hospitalization
Fernandez, H. M. (2008) · Archives of Internal Medicine · doi:10.1001/archinternmed.2007.87 · Cited by 52
de Vos, A., Asmus-Szepesi, K. J., Bakker, T. J. E. M., de Vreede, P. L., van Wijngaarden, J. D. H., Steyerberg, E. W., Mackenbach, J. P., & Nieboer, A. P. (2012) · BMC Geriatrics · doi:10.1186/1471-2318-12-7 · Cited by 58
“Multidisciplinary interventions, including physical training are associated with a reduction in functional decline [13,14], reduced length of hospital stay at the same costs compared to ‘regular care’ [13-16], lower (re)admissions to hospital and nursing homes [17-19], reductions in fall incidence [15,20], higher perc…”
BackgroundHospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital
Chodos, A. H., Kushel, M., Greysen, S. R., Guzman, D., Kessell, E. R., Sarkar, U., Goldman, L., Critchfield, J. M., & Pierluissi, E. (2015) · Journal of General Internal Medicine · doi:10.1007/s11606-015-3395-2 · Cited by 52
Better Care for Older People With Chronic Diseases
Reuben, D. B. (2007) · JAMA · doi:10.1001/jama.298.22.2673 · Cited by 50
Adverse outcomes following hospitalization in acutely ill older patients
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“Possible explanations include financial costs [6], mixed findings from subsequent studies [8-11], difficulty Published: 14 May 2008”
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“Studies of ACE units in a university-affiliated teaching hospital [65,73] and in a community teaching hospital [73,74] demonstrated an improvement in patient function at discharge without an increase in length of stay or hospital care cost.”
BackgroundBakker, T. J. E. M., Duivenvoorden, H. J., van der Lee, J., Rikkert, M. G. M. O., Beekman, A. T. F., & Ribbe, M. W. (2010) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181eafdc6 · Cited by 49
Exercise for acutely hospitalised older medical patients
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Health Resource Utilization and Medical Care Cost of Acute Care Elderly Unit Patients
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“In addition, studies have shown that decline in function may be preventable.(5,6,8) Inpatient geriatrics care has tended to occur in the setting of geriatrics consultation or primary geriatrics units.”
BackgroundSelf-citationBrighton, L. J., Bristowe, K., Bayly, J., Ogden, M., Farquhar, M. C., Evans, C., Man, W. D., & Maddocks, M. M. (2020) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201910-800oc · Cited by 47
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Program at Home: A Veterans Affairs Healthcare Program to Deliver Hospital Care in the Home
Mader, S. L., Medcraft, M. C., Joseph, C. L., Jenkins, K. L., Benton, N., Chapman, K., Donius, M. A., Baird, C. L., Harper, R., Ansari, Y., et al. (2008) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2008.02006.x · Cited by 43
“One approach to improve outcomes of elderly patients who are hospitalized is the Acute Care for the Elderly (ACE) unit concept, in which a specialized inpatient environment is developed to minimize the potentially adverse affects of hospitalization.(4,5) These studies have shown less decline in activities of daily liv…”
BackgroundUnsteadiness Reported by Older Hospitalized Patients Predicts Functional Decline
Lindenberger, E. C., Landefeld, C. S., Sands, L. P., Counsell, S. R., Fortinsky, R. H., Palmer, R. M., Kresevic, D. M., & Covinsky, K. E. (2003) · Journal of the American Geriatrics Society · doi:10.1034/j.1600-0579.2003.00205.x · Cited by 43
“5 Female, n (%) 960 (62) 386 (69) Race, n (%) White 1,209 (78) 436 (77) Black 345 (22) 127 (23) Married, n (%) 673 (43) 213 (38) Education 12 years, n (%) 929 (62) 346 (64) Living situation at admission, n (%) House or apartment 1,499 (97) 534 (96) Assisted living or nursing home 46 (3) 23 (4) Reason for admission, n…”
Self-citationRural Perceptions of Acute Care at Home: A Qualitative Analysis
Levine, D. M., Desai, M. P., Ross, J. B., Como, N., & Gill, E. (2021) · The Journal of Rural Health · doi:10.1111/jrh.12551 · Cited by 42
McCullagh, R., O’Connell, E., O’Meara, S., Dahly, D. L., O’Reilly, É. J., O’Connor, K. A., Horgan, F., & Timmons, S. (2020) · BMC Geriatrics · doi:10.1186/s12877-020-1436-0 · Cited by 42
Jones, T. S., Jones, E. L., Richardson, V. L., Finley, J. B., Franklin, J. L., Gore, D. L., Horney, C. P., Kovar, A., Morin, T. L., & Robinson, T. N. (2021) · Journal of the American Geriatrics Society · doi:10.1111/jgs.17154 · Cited by 42
“Existing hospital care models that exemplify this geriatric-centric strategy include the Hospital Elder Life Program and the Acute Care for Elders program.(8,9) There is a relative gap in the literature specifically addressing geriatric inpatient care models for surgical patients.”
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“A more commonly applied strategy for assigning components of the intervention follows a standardly-tailored design in which assignment of components is based on a priori risk factor assessment with clearly articulated criteria linking the results of the assessment to the recommended interventions [7-10,14-16].”
BackgroundMethodBuilding a framework for a geriatric acute care model
Boltz, M. P., Capezuti, E., & Shabbat, N. (2010) · Leadership in health services · doi:10.1108/17511871011079029 · Cited by 38
“Participants acknowledged the importance of interdisciplinary rounds, a key component of several geriatric acute care models (Capezuti et al., 2009; Counsell et al., 2000; Inouye et al., 2006; Landefeld et al., 1995).”
BackgroundNursing Needs of Hospitalized Older Adults Consumer and Nurse Perceptions
Chang, E. M. L., Chenoweth, L., & Hancock, K. M. (2003) · Journal of Gerontological Nursing · doi:10.3928/0098-9134-20030901-07 · Cited by 39
Palmer, R. M., Counsell, S. R., & Landefeld, S. (2003) · Disease Management & Health Outcomes · doi:10.2165/00115677-200311080-00004 · Cited by 40
Self-citationEffect of early rehabilitation on activities of daily living in patients with aspiration pneumonia
Yagi, M., Yasunaga, H., Matsui, H., Fushimi, K., Fujimoto, M., Koyama, T., & Fujitani, J. (2015) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.12610 · Cited by 36
Randomised Trial of In-Hospital Geriatric Intervention: Impact on Function and Morale
Saltvedt, I. T., Jordhøy, M., Mo, E.-S. O., Fayers, P. M., Kaasa, S., & Sletvold, O. (2006) · Gerontology · doi:10.1159/000093654 · Cited by 36
Does Modality Matter? Palliative Care Unit Associated With More Cost-Avoidance Than Consultations
May, P., Garrido, M. M., Fabbro, E. D., Noreika, D. M., Normand, C. E. M., Skoro, N., & Cassel, J. B. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.08.011 · Cited by 36
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Acute Care for Elders (ACE) Team Model of Care: A Clinical Overview
Flood, K. L., Booth, K. A., Vickers, J. K., Simmons, E., James, D. H., Biswal, S., Deaver, J., White, M. L., & Bowman, E. H. (2018) · Geriatrics · doi:10.3390/geriatrics3030050 · Cited by 35
“A second RCT from this same investigator group evaluated a new ACE Unit in a community hospital [9].”
BackgroundMethodInfluentialOuchi, K., Liu, S., Tonellato, D., Keschner, Y. G., Kennedy, M., & Levine, D. M. (2021) · Journal of the American College of Emergency Physicians Open · doi:10.1002/emp2.12517 · Cited by 38
Hospital Discharge of Older Adults
Walker, C. A., Hogstel, M. O., & Curry, L. C. (2007) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000271853.38215.20 · Cited by 33
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Geriatric syndromes in elderly patients admitted to an inpatient cardiology ward
Flood, K. L., Rohlfing, A. E., Le, C. V., Carr, D. B., & Rich, M. W. (2007) · Journal of Hospital Medicine · doi:10.1002/jhm.234 · Cited by 34
Prevención de la dependencia en las personas mayores
Gómez‐Pavón, J., Lesende, I. M., Cortés, J. J. B., Pajares, P. R., Pérez, F. F., Benedito, A. S., Abizanda, P., & Cuesta, J. D. P. (2007) · Revista Española de Geriatría y Gerontología · doi:10.1016/s0211-139x(07)75736-0 · Cited by 37
Hamilton, A. C., Lee, N., Stilphen, M., Hu, B., Schramm, S., Frost, F. S., Fox, J., & Rothberg, M. B. (2019) · Journal of Hospital Medicine · doi:10.12788/jhm.3153 · Cited by 33
Podrazik, P. M., Levine, S. K., Smith, S. G., Scott, D. B., DuBeau, C. E., Baron, A. R., Whelan, C. T., Johnson, J. K., Cook, S., Arora, V. M., et al. (2008) · Journal of Hospital Medicine · doi:10.1002/jhm.348 · Cited by 33
Ahmed, N. N., Taylor, K., McDaniel, Y., & Dyer, C. B. (2012) · Population Health Management · doi:10.1089/pop.2011.0055 · Cited by 33
Boltz, M. P., Capezuti, E., Shuluk, J., Brouwer, J. P., Doerflinger, D. M. C., Conway, S., DeRosa, S., LaReau, R., Lyons, D. L., Nickoley, S., et al. (2013) · Nursing and Health Sciences · doi:10.1111/nhs.12067 · Cited by 33
“They include interdisciplinary care provided in specialized units (Counsell et al., 2000; Conroy et al., 2011) or through mobile consultant teams (Conroy et al., 2011; Ellis et al., 2011; Farber et al., 2011) specialized assessment and multi-component interventions (Inouye et al., 1999), and…”
The current landscape of Acute Care for Elders units in the United States
Rogers, S., Flood, K. L., Kuang, Q. Y., Harrison, J. D., Malone, M. L., Cremer, J., & Palmer, R. M. (2022) · Journal of the American Geriatrics Society · doi:10.1111/jgs.17892 · Cited by 32
“Two randomized-controlled trials demonstrate significantly greater independence in performance of activities of daily living (ADLs) in patients aged 70 or above who are admitted to the ACE unit compared to similar patients admitted to usual care.(1,3) In addition, patients on ACE units compared to usual care, are more…”
ResultSelf-citationIdentifying modifiable factors to improve quality for older adults in hospital: a scoping review
Parke, B., Hunter, K. F., Boström, A., Chambers, T., & Manraj, C. (2012) · International Journal of Older People Nursing · doi:10.1111/opn.12007 · Cited by 34
Revisión sobre el deterioro funcional en el anciano asociado al ingreso por enfermedad aguda
Osuna-Pozo, C. M., Ortiz-Alonso, J., Vidán, M., Ferreira, G., & Rexach, J. A. S. (2014) · Revista Española de Geriatría y Gerontología · doi:10.1016/j.regg.2013.08.001 · Cited by 32
Frailty and the Association Between Long-Term Recovery After Intensive Care Unit Admission
Montgomery, C., Rolfson, D. B., & Bagshaw, S. M. (2018) · Critical Care Clinics · doi:10.1016/j.ccc.2018.06.007 · Cited by 31
Optimizing care for critically ill older adults
Geen, O. D., Rochwerg, B. N., & Wang, X. M. (2021) · Canadian Medical Association Journal · doi:10.1503/cmaj.210652 · Cited by 36
Developing a Stroke Unit Using the Acute Care for Elders Intervention and Model of Care
Allen, K. R., Hazelett, S. E., Palmer, R. M., Jarjoura, D. G., Wickstrom, G. C., Weinhardt, J., Lada, R., Holder, C. M., & Counsell, S. R. (2003) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2003.51521.x · Cited by 31
“Analysis of two ACE units has estimated that hospital costs were not increased because of savings from LOS reductions that offset the CNS and medical director costs.(10,30)”
BackgroundMethodInfluentialSelf-citationGeriatric ward rounds by video conference: a solution for rural hospitals
Gray, L., Wright, O. R. L., Cutler, A., Scuffham, P., & Wootton, R. (2009) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2009.tb03345.x · Cited by 30
Depressive Symptoms After Hospitalization in Older Adults: Function and Mortality Outcomes
Pierluissi, E., Mehta, K. M., Kirby, K. A., Boscardin, W. J., Fortinsky, R. H., Palmer, R. M., & Landefeld, C. S. (2012) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12008 · Cited by 31
Self-citationKato, T., Miyashita, N., Kawai, Y., Horita, N., Yano, S., Oka, Y., Oda, T., & Okimoto, N. (2016) · Journal of Infection and Chemotherapy · doi:10.1016/j.jiac.2016.06.005 · Cited by 30
Sonnenblick, M., Raveh, D., Gratch, L., & Yinnon, A. M. (2007) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2006.00925.x · Cited by 30
Making Hospitals Better Places for Sick Older Persons
Reuben, D. B. (2000) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2000.tb03890.x · Cited by 30
Whittle, A., Kalsi, T., Babic-Illman, G., Wang, Y., Fields, P. A., Ross, P. J., Maisey, N. R., Hughes, S. R., Kwan, W., & Harari, D. (2016) · European Journal of Cancer Care · doi:10.1111/ecc.12509 · Cited by 29
“Inpatient (Counsell et al. 2000; Ellis et al. 2011)) and outpatient (Reuben et al. 1999) geriatrician-delivered CGA has been shown to reduce mortality, functional dependency and length of hospital stay, as have co-management models where geriatricians work with orthopaedic (Vidan et al. 2005) and…”
BackgroundOperational and quality outcomes of a mobile acute care for the elderly service
Farber, J., Korc‐Grodzicki, B., Du, Q., Leipzig, R. M., & Siu, A. L. (2011) · Journal of Hospital Medicine · doi:10.1002/jhm.878 · Cited by 28
Holroyd-Leduc, J. M., Sands, L. P., Counsell, S. R., Palmer, R. M., Kresevic, D. M., & Landefeld, C. S. (2005) · Journal of Patient Safety · doi:10.1097/01.jps.0000205737.68588.d5 · Cited by 28
“Cleveland and the Akron City Hospital.(14,15) During the study period (1993–1997), 11 475 eligible patients were admitted acutely to the general medical services, excluding intensive care units and subspecialty services.”
BackgroundMethodSelf-citationDahl, U., Steinsbekk, A., & Johnsen, R. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-1022-x · Cited by 27
“Currently, hospitalized elderly patients with chronic diseases are cared for in a system largely organized for acute care [3, 4].”
BackgroundCallahan, C. M., Weiner, M., & Counsell, S. R. (2008) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2008.01941.x · Cited by 27
“The ACE Unit in Wishard Memorial Hospital was established in 1998 to provide hospitalized elderly patients with a specially designed environment and expert geriatrics interdisciplinary team, led by a geriatrician medical director, to complement their inpatient care as provided by hospital attending physicians.(14)”
MethodSelf-citationOlder people's perspectives on an elderly-friendly hospital environment: an exploratory study
Bhatta, D. N., Karki, S., & Aryal, U. R. (2015) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s83008 · Cited by 28
“Similarly, previous systematic review and experimental study highlighted that the older patients are vulnerable with complex health problems and they need frequent support and care from medical staffs.(2,4,5) Another study suggested that polite behavior of health professionals could be helpful to reduce health problem…”
Revista Española de Geriatría y Gerontología
Santos, R. P., Torres, C. F., Martín‐Arranz, M. D., de Parga, J. M. S., & Martínez, M. A. (2016) · Cited by 26
Current Evidence Regarding Models of Acute Care for Hospitalized Geriatric Patients
Steele, J. S. (2010) · Geriatric Nursing · doi:10.1016/j.gerinurse.2010.03.003 · Cited by 27
Predicting Functional Decline and Recovery for Residents in Veterans Affairs Nursing Homes
Wojtusiak, J., Levy, C. R., Williams, A. E., & Alemi, F. (2015) · The Gerontologist · doi:10.1093/geront/gnv065 · Cited by 26
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“It is based on a positive relationship that leverages strengths and supports emotional as well as physical well-being (Bodenheimer, 2007; Boult et al., 2009; Counsell et al., 2000; Miles et al., 2006).”
BackgroundImproving Geriatric Care Processes on Two Medical-Surgical Acute Care Units: A Pilot Study
Booth, K. A., Simmons, E., Viles, A. F., Gray, W. A., Kennedy, K. R., Biswal, S., Lowe, J. A., Xhaja, A., Kennedy, R., Brown, C. J., et al. (2018) · Journal for Healthcare Quality · doi:10.1097/jhq.0000000000000140 · Cited by 26
Clinical Nurse Specialist Practice Within the Acute Care for Elders Interdisciplinary Team Model
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Self-citationKanach, F. A., Pastva, A. M., Hall, K. S. M., Pavon, J. M., & Morey, M. C. (2017) · Journal of Aging and Physical Activity · doi:10.1123/japa.2016-0372 · Cited by 27
“…associated with improved patient outcomes (Bachmann et al., 2010; Baztan, Suarez-Garcia, Lopez-Arrieta, RodriguezManas, & Rodriguez-Artalejo, 2009; Counsell et al., 2000; Fleck et al., 2012; Inouye, Bogardus, Baker, Leo-Summers, & Cooney, 2000; Landefeld, Palmer, Kresevic, Fortinsky, & Kowal,…”
BackgroundWilber, S. T., Burger, B., Gerson, L. W., & Blanda, M. (2005) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2005.tb00846.x · Cited by 25
Li, A. K., Covinsky, K. E., Sands, L. P., Fortinsky, R. H., Counsell, S. R., & Landefeld, C. S. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.30315.x · Cited by 24
“For the analyses presented here, patients from the intervention and control groups were combined because the two groups had similar numbers of independent ADL at discharge and similar mortality rates 1 year after discharge.(10,23) The study cohort consisted of the 2,200 patients who were discharged alive and for whom…”
MethodSelf-citationEficiencia de las unidades geriátricas de agudos: metaanálisis de estudios controlados
Baztán, J. J., Suárez-García, F. M., López‐Arrieta, J., & Rodríguez‐Mañas, L. (2011) · Revista Española de Geriatría y Gerontología · doi:10.1016/j.regg.2011.02.005 · Cited by 24
Roma, M. F. B., Garção, N. I. B., Covinsky, K. E., & Aliberti, M. J. R. (2022) · Geriatrics Gerontology and Aging · doi:10.53886/gga.e0220031 · Cited by 26
Self-citationHealth status in older hospitalized patients with cancer or non-neoplastic chronic diseases
Corsonello, A., Pedone, C., Carosella, L., Corica, F., Mazzei, B., Incalzi, R. A., & the Gruppo Italiano di Farmacovigilanza nell'Anziano (GIFA) investigators (2005) · BMC Geriatrics · doi:10.1186/1471-2318-5-10 · Cited by 23
Assessment and Management of Older People in the General Hospital Setting
Singh, I. (2016) · InTech eBooks · doi:10.5772/64294 · Cited by 23
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Acute Hospital Care for the Elderly Patient: Its Impact on Clinical and Hospital Systems of Care
Podrazik, P. M., & Whelan, C. T. (2008) · Medical Clinics of North America · doi:10.1016/j.mcna.2007.11.004 · Cited by 23
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“In outpatients, results have been confl icting, ranging from improved functional status (7) to no changes in survival (8).”
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Age‐Friendly Health Systems: Their Time Has Come
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Self-citationVulnerability of Older Patients in Critical Care
Hardin, S. R. (2015) · Critical Care Nurse · doi:10.4037/ccn2015995 · Cited by 21
Higher Quality, Lower Cost with an Innovative Geriatrics Consultation Service
Bernstein, J. M., Graven, P. F., Drago, K., Dobbertin, K., & Eckstrom, E. (2018) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15473 · Cited by 21
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Strengths promoting the recovery process in older adults with depression
Tanaka, K. (2018) · Journal of Clinical Nursing · doi:10.1111/jocn.14359 · Cited by 21
“It is based on a positive relationship that employs strengths and supports emotional and physical well-being (Bodenheimer, 2007; Boult et al., 2009; Counsell et al., 2000; Miles et al., 2006; Rapp & Goscha, 2006).”
BackgroundThe Evolution of Gero-Oncology Nursing
Bond, S. M., Bryant, A. L., & Puts, M. T. E. (2015) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2015.11.002 · Cited by 20
Scoping and testing rural acute care at home: a simulation analysis
Levine, D. M., Desai, M. P., Ross, J. B., Como, N., & Holley, S. (2021) · BMJ Innovations · doi:10.1136/bmjinnov-2020-000592 · Cited by 20
Patient-Centeredness in Older Adults With Multimorbidity: Results of an Online Expert Delphi Study
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A gero-informatics tool to enhance the care of hospitalized older adults with cognitive impairment.
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Comprehensive Geriatric Assessment in hospital and hospital-at-home settings: a mixed-methods study
Gardner, M. P., Shepperd, S., Godfrey, M., Mäkelä, P., Tsiachristas, A., Singh-Mehta, A., Ellis, G., Khanna, P., Langhorne, P., Makin, S., et al. (2019) · Health Services and Delivery Research · doi:10.3310/hsdr07100 · Cited by 17
Recognizing Hospital-Acquired Disability among Older Adults
D’Ambruoso, S. F., & Cadogan, M. P. (2012) · Journal of Gerontological Nursing · doi:10.3928/00989134-20121106-06 · Cited by 17
Implementation of Agile in healthcare: methodology for a multisite home hospital accelerator
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Does acute care for the elderly (ACE) unit decrease the incidence of falls?
Abdalla, A., Adhaduk, M., Haddad, R. A., Alnimer, Y. M., Ríos‐Bedoya, C. F., & Bachuwa, G. I. (2017) · Geriatric Nursing · doi:10.1016/j.gerinurse.2017.10.011 · Cited by 16
The Implementation of Frailty Assessment Tools in the Acute Care Setting: A Scoping Review
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Metadata
- Authors
- Counsell, S. R., Holder, C. M., Liebenauer, L. L., Palmer, R. M., Fortinsky, R. H., Kresevic, D. M., Quinn, L. M., Allen, K. R., Covinsky, K. E., & Landefeld, C. S.
- Affiliations
- Summa Health System (US)
- Cleveland Clinic (US)
- UConn Health (US)
- University Hospitals of Cleveland (US)
- Case Western Reserve University (US)
- San Francisco VA Medical Center (US)
- Corresponding author
- Counsell, Steven R.
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2000-12
- Volume
- 48
- Issue
- 12
- Pages
- 1572-1581
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2063673978
- Cited by
- 406
- References
- 42
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 8 · 2023: 4 · 2022: 29 · 2021: 33 · 2020: 18 · 2019: 16 · 2018: 16 · 2017: 21 · 2016: 22 · 2015: 18 · 2014: 18 · 2013: 18 · 2012: 29
- FWCI
- 5.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (AG-10418, P60AG010418)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Keywords
- acute care for elders, hospitalized older adults, functional decline, activities of daily living, nursing care plan, rehabilitation, nursing home admission, patient-centered care, hospital environment design, restraint, physiotherapy, iatrogenic disease, patient satisfaction, community-dwelling older adults, discharge planning
- MeSH terms
- Activities of Daily Living, Acute Disease, Aged, Aged, 80 and over, Female, Geriatrics, Health Facility Environment, Hospitals, Community, Hospitals, Teaching, Humans, Male, Ohio, Outcome and Process Assessment, Health Care, Patient Care Planning, Patient Discharge, Program Evaluation, Geriatric Assessment, Hospitals, Private, Patient Satisfaction, Total Quality Management, Patient-Centered Care
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