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

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

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
Open this paper in CoChat — free account

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.

Overview

Integrity signals

Registry

Crossref · 10.1111/j.1532-5415.2000.tb03866.x

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Research works printed but not linked: 2

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

Cited by

Sorted by citations

See all 406

Related

See all

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.
ORCID
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review