Cited by 406Frailty in Older AdultsHospital Admissions and OutcomesGeriatric Care and Nursing Homes

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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

Counsell, Steven R., Holder, Carolyn M., Liebenauer, Laura L., Palmer, Robert M., Fortinsky, Richard H., Kresevic, Denise M., Quinn, Linda M., Allen, Kyle R., Covinsky, Kenneth E., Landefeld, C. Seth·2000·Journal of the American Geriatrics Society

DOI 10.1111/j.1532-5415.2000.tb03866.x

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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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A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90171-8 · Cited by 49,742
Longitudinal data analysis using generalized linear models
LIANG, K.-Y., & ZEGER, S. L. (1986) · Biometrika · doi:10.1093/biomet/73.1.13 · Cited by 18,550
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540
APACHE II
Knaus, W. A., Draper, E. A., Wagner, D. P., & Zimmerman, J. E. (1985) · Critical Care Medicine · doi:10.1097/00003246-198510000-00009 · Cited by 15,518
APACHE II-A Severity of Disease Classification System
Knaus, W. A., Draper, E. A., Wagner, D. P., & Zimmerman, J. E. (1986) · Critical Care Medicine · doi:10.1097/00003246-198608000-00028 · Cited by 13,379
A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients†
Pfeiffer, E. A. (1975) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1975.tb00927.x · Cited by 5,320
Mail and Telephone Surveys: The Total Design Method.
Osmond, M. W., & Dillman, D. A. (1979) · Social Forces · doi:10.2307/2577403 · Cited by 5,023
Studies of Illness in the Aged: The Index of ADL: A Standardized Measure of Biological and Psychosocial Function
Katz, S. (1963) · JAMA · doi:10.1001/jama.1963.03060120024016 · Cited by 2,421
Two Shorter Forms of the CES-D Depression Symptoms Index
Kohout, F. J., Berkman, L. F., Evans, D. A., & Cornoni‐Huntley, J. C. (1993) · Journal of Aging and Health · doi:10.1177/089826439300500202 · Cited by 2,292
Comprehensive geriatric assessment: a meta-analysis of controlled trials
Stuck, A. E., Siu, A. L., Wieland, G. D., Rubenstein, L. Z., & Adams, J. (1993) · The Lancet · doi:10.1016/0140-6736(93)92884-v · Cited by 1,974

Show all 42 references

Research works printed but not linked: 2

Graves EJ, 1997, National Hospital Discharge Survey: Annual Summary, 1994. National Center for Health Statistics, Vital Health Stat, 13, 128
Counsell SR, 1998, The acute care for elders (ACE) manual: Meeting the challenge of providing quality and cost‐effective hospital care to older adults

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de Vos, A., Cramm, J. M., van Wijngaarden, J. D. H., Bakker, T. J. E. M., Mackenbach, J. P., & Nieboer, A. P. (2016) · The International Journal of Health Planning and Management · doi:10.1002/hpm.2383 · Cited by 15
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Slankamenac, K., Haberkorn, G., Meyer, O., Bischoff-Ferrari, H. A., & Keller, D. I. (2018) · Geriatrics · doi:10.3390/geriatrics3030033 · Cited by 14
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Background
Acute? Care at Home
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Background
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Latour, J., Lebel, P., Leclerc, B., Leduc, N., Berg, K., Bolduc, A., & Kergoat, M. (2010) · BMC Geriatrics · doi:10.1186/1471-2318-10-41 · Cited by 14
“These complex health problems require that a multi-professional team, trained in elderly care, assume total responsibility [4,9,14,17,35,36].”
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Discharge destination from an acute care for the elderly (ACE) unit.
Amador, L. F., Ortíz, C., Reed, D. L., & Lehman, C. A. (2007) · PubMed Central · Cited by 13
Evaluation of occupational therapy interventions for elderly patients in Swedish acute care: A pilot study
Wressle, E., Filipsson, V., Andersson, L., Jacobsson, B., Martinsson, K., & Engel, K. (2006) · Scandinavian Journal of Occupational Therapy · doi:10.1080/11038120600593049 · Cited by 13
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Dumitrescu, I., Casteels, M., Vliegher, K. D., & Dilles, T. (2020) · European Journal of Clinical Pharmacology · doi:10.1007/s00228-020-02838-8 · Cited by 12
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Chang, H.-C., Lu, Y.-Y., & Kao, S. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03290-2 · Cited by 13
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Koenders, N., van den Heuvel, S. B. M., Bloemen, S., van der Wees, P. J., & Hoogeboom, T. J. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-032208 · Cited by 12
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Background
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“Las intervenciones están dirigidas a modificar el entorno, cuidado centrado en el anciano, asegurar la adherencia al tratamiento, protocolos para prevenir y rehabilitar pacientes con DF y diseño del egreso geriátrico planeado (52,56).”
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“Other geriatric practice models such as Acute Care for Elders (Counsell et al., 2000), Geriatric Syndrome Management Model (Mezey et al.”
Method
Optimizing Reserve in Hospitalized Elderly
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Background
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Background
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Self-citation
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Background
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“UCM202140.pdf) and also in Chen et al. (2011). When the true distributions Fj of the random interactions are unimodal (either normal, skew-normal, or t3), both the probability estimates and LPML are comparable under the normal and nDP models.”
MethodResultInfluential
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Evaluación y cuidado del adulto mayor frágil
B., C. E. G. (2012) · Revista Médica Clínica Las Condes · doi:10.1016/s0716-8640(12)70271-7 · Cited by 5
“El modelo de cuidado intra hospitalario incluye un ambiente más “hogareño“, cuidado centrado en el paciente con planes de prevención de pérdida de funcionalidad y iatrogenia y un plan coordinado de alta (24).”
Background
Toward Senior-Friendly Hospitals: An Overview of Programs, Their Elements and Effectiveness in Improving Care
Scheerman, K., Klaverweide, J., Meskers, C. G. M., & Maier, A. B. (2024) · Gerontology · doi:10.1159/000540655 · Cited by 5
“No studies were found examining the effect on quality of care or patient satisfaction of elements combined in a SFH-program, except for the ACE-program [40, 41].”
Geriatric Models of Care
Capezuti, E., Ursomanno, P., Boltz, M. P., & Kim, H. (2011) · Springer eBooks · doi:10.1007/978-1-4419-0892-6_4 · Cited by 5
Guidance statement on appropriate medical services for the elderly
Ishii, S., Kojima, T., Yamaguchi, K., Akishita, M., & study group of the Ministry of Health, L. A. W. (2014) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.12310 · Cited by 5
The Acute Care for Elders Unit
Palmer, R. M., & Kresevic, D. M. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1025-0_5 · Cited by 5
Self-citation
The Patient-Centered Approach: A Review of the Literature and Its Application for Acoustic Neuromas
Hong, C. S., & Moliterno, J. A. (2019) · Journal of Neurological Surgery Part B Skull Base · doi:10.1055/s-0039-1692396 · Cited by 5
Discharge Outcomes of Older Medical In-patients in a Specialized Acute Care for Elders Unit Compared with Non-specialized Units
Wong, R., Chittock, D. R., McLean, N., & Wilbur, K. (2006) · Cited by 5
Comprehensive geriatric assessment for older adults admitted to the hospital as emergencies: a meta-analysis of randomized controlled trials
Tan, X., Miu, X., Wang, X., Li, X., Chen, X., & Wen, X. (2025) · Geriatric Nursing · doi:10.1016/j.gerinurse.2025.05.013 · Cited by 6
Towards more elder friendly hospitals : final report - studies 3b and 3c
GUTMAN, G. M., & Love, T. (2008) · Summit (Simon Fraser University) · Cited by 4
Maintaining Vigilance to Promote Best Outcomes for Hospitalized Elders
Moore, S. M., & Duffy, E. G. (2007) · Critical Care Nursing Clinics of North America · doi:10.1016/j.ccell.2007.05.003 · Cited by 3
Intensified rehabilitation therapy and transitions to skilled nursing facilities in community‐living seniors with acute medical illnesses
Yoo, J. W., Kim, S., Choi, J. H., & Ryu, W. S. (2012) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/j.1447-0594.2012.00932.x · Cited by 4
Relationship of Hospitalized Elders' Perceptions of Nurse Caring Behaviors, Type of Care Unit, Satisfaction With Nursing Care, and Health Outcome of Functional Status
Dey, M. M. (2016) · International Journal for Human Caring · doi:10.20467/1091-5710-20.3.134 · Cited by 4
“In a similar study at Akron City Hospital Akron, Ohio, Counsell et al. (2000) conducted a randomized controlled trial to test the hypothesis that hospitalized patients age 70 years and older who received the ACE intervention would have greater levels of ADL functioning at discharge compared with patients receiving usu…”
BackgroundMethodInfluential
Eficacia y eficiencia de las unidades geriátricas de agudos: un tópico clásico revisitado
Cortés, J. J. B., & Rodríguez‐Mañas, L. (2022) · Revista Española de Geriatría y Gerontología · doi:10.1016/j.regg.2022.06.005 · Cited by 4
Care of the Geriatric Surgery Patient: The Surgeon’s Perspective
Hornor, M. A., McDonald, J. D., Anaya, D. A., & Rosenthal, R. A. (2017) · Springer eBooks · doi:10.1007/978-3-319-66878-9_7 · Cited by 4
Geriatric best practices in nursing care
Rice, K. L. (2001) · Journal of Vascular Nursing · doi:10.1067/mvn.2001.118310 · Cited by 4
Comment réduire la dépendance iatrogène chez les sujets âgés hospitalisés ?
I.A.G.G. / A.M.P.A Task Force, Lafont, C., Gérard, S., Voisin, T., Pahor, M., & Vellas, B. J. (2011) · Les cahiers de l année gérontologique · doi:10.1007/s12612-011-0199-9 · Cited by 4
Acute care for elders prevents functional decline
Cochran, P. A. (2005) · Nursing · doi:10.1097/00152193-200510000-00052 · Cited by 4
Exploring Older Adults' Strengths, Problems, and Wellbeing Using De-identified Electronic Health Record Data.
Gao, G., Pieczkiewicz, D. S., Kerr, M. J., Lindquist, R., Chi, C., Maganti, S., Austin, R. R., Kreitzer, M. J., Todd, K., & Monsen, K. A. (2018) · Europe PMC (PubMed Central) · Cited by 4
Unidades de agudos de geriatría: todavía queda camino por recorrer
Navarro, J. A. G. (2007) · Revista Española de Geriatría y Gerontología · doi:10.1016/s0211-139x(07)73551-5 · Cited by 4
Patient-Centeredness In Pharmacist Practice: Filling A Foundation For What Counts To Patients
Olson, A. W. (2020) · University of Minnesota Digital Conservancy (University of Minnesota) · Cited by 4
Effectiveness of the Sub-Acute Care for Frail Elderly (SAFE) Transitional Care Unit on Short-Term Functional Independence in Frail Older Patients Discharged from Hospital
Robert, B., Sun, A. H., Sinden, D., Eddeen, A. B., Murmann, M., & Hsu, A. T. (2024) · Canadian Geriatrics Journal · doi:10.5770/cgj.27.721 · Cited by 3
“(55) In a similar evaluation of a national transitional care program in Australia—which provides short-term, interdisciplinary, rehabilitative-and restorative-focused care to older patients in residential settings (i.e., nursing home)—the investigators found improved functional independence upon…”
Admission Criteria in Short-term Geriatric Assessment Units
fragiles, G. D. R. S. L. D. L. P. E. C. D. P. Â., Rodríguez, C., Kergoat, M., Latour, J., Lebel, P., & Contandriopoulos, A. (2003) · Canadian Journal of Public Health · doi:10.1007/bf03403551 · Cited by 3
Integrale interventie ter voorkoming van functieverlies bij ouderen tijdens ziekenhuisopname: het Zorgprogramma voor Preventie en Herstel
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. (2014) · Tijdschrift voor Gerontologie en Geriatrie · doi:10.1007/s12439-014-0100-6 · Cited by 3
Prehospital Management of Older Patients
Revue, E., Wallace, J., & Punekar, S. (2017) · Springer eBooks · doi:10.1007/978-3-319-19318-2_1 · Cited by 3
Emergency General Surgery in Older Patients: Where Are We Now?
Aggarwal, G., Peden, C. J., & Quiney, N. (2019) · Current anesthesiology reports · doi:10.1007/s40140-019-00352-x · Cited by 3
Functional trajectories of older acute medical inpatients
Rodrigues, C. M., Mendonça, D. M., & Martins, M. M. (2020) · Enfermería Clínica (English Edition) · doi:10.1016/j.enfcle.2019.03.005 · Cited by 3
Mobility and Frailty Rehabilitation in Older Adults
Treacy, D., & Sherrington, C. (2023) · Topics in Geriatric Rehabilitation · doi:10.1097/tgr.0000000000000393 · Cited by 3
Evidence-based strategies to reduce polypharmacy: A review
Wang, K., Camargo, M. C. B. A., & Veluswamy, R. (2013) · Cited by 3
Comprehensive Geriatric Assessment in the Hospital
Pilotto, A., & Veronese, N. (2017) · Practical issues in geriatrics · doi:10.1007/978-3-319-62503-4_4 · Cited by 3
Aged‐care medicine
Kurrle, S. E. (2002) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2002.tb04237.x · Cited by 3
Characteristics and outcomes of mechanically ventilated elderly patients in the absence of an end-of-life care policy: a retrospective study from Bahrain
Saeed, M. K. A., Almoosawi, B., Awainati, M. A., Barni, M. A., & Abbas, F. (2021) · Annals of Saudi Medicine · doi:10.5144/0256-4947.2021.222 · Cited by 3
EFFECTIVENESS OF A COMPREHENSIVE GERIATRIC ASSESSMENT TO IMPROVE THE LIFE QUALITY OF THE ELDERLY AND TO EASE THE CAREGIVERS BURDEN
Аркадьевна, Г. Е., Rechapova, E. E., & Sidyakina, E. S. (2021) · Acta medica Eurasica · doi:10.47026/2413-4864-2021-4-79-90 · Cited by 3
Rehabilitation
Brummel‐Smith, K. V. (2006) · Springer eBooks · doi:10.1007/0-387-22621-4_23 · Cited by 3
Geriatric Models of Care
Capezuti, E., Boltz, M. P., & Kim, H. (2011) · Springer eBooks · doi:10.1007/978-1-4419-6999-6_21 · Cited by 3
Mejorando la hospitalidad del hospital en el paciente anciano con afección aguda
Baztán, J. J. (2008) · Revista Española de Geriatría y Gerontología · doi:10.1016/s0211-139x(08)71170-3 · Cited by 3
Declinación funcional en ancianos hospitalizados
Ocampo-Chaparro, J. M., & Ortíz, C. (2016) · Revista Médica de Risaralda · doi:10.22517/25395203.11531 · Cited by 2
“sobre el estado funcional al alta (23,51-54).”
Background
Delirium Prevention: Update on Multidisciplinary, Non-drug Prevention of Delirium Among Hospitalized Elderly
Rodin, M. B., & Flaherty, J. H. (2017) · Springer eBooks · doi:10.1007/978-3-319-65239-9_10 · Cited by 2
Adherence to care transitions recommendations among high‐risk hospitalized older patients
Reyes, B. J., Diaz, S., Engström, G., & Ouslander, J. G. (2021) · Journal of the American Geriatrics Society · doi:10.1111/jgs.17137 · Cited by 2

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.
ORCID: Palmer, Robert M.
Fortinsky, Richard H.
Covinsky, Kenneth E.
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
DOI: 10.1111/j.1532-5415.2000.tb03866.x
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 5260 d)
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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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

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