Health visitor intervention to reduce days of unplanned hospital re-admission in patients recently discharged from geriatric wards: the results of a randomised controlled study.

Abstract:

:A randomised controlled trial was conducted to assess whether a single intervention by a health visitor reduced the unplanned re-admission of elderly people discharged from geriatric wards. Two hundred and four consecutive discharges from geriatric wards were randomly allocated to receive either a single visit from the health visitor at 72 h in addition to normal follow-up services or to a control group receiving the normal follow-up services. The primary outcome measure was the unplanned re-admissions over the following 6 months. There were 40 cases and 43 control patients with unplanned re-admissions in the first 6 months. The total lengths of the unplanned re-admissions were 1237 days for cases and 1427 for controls, an average of 12.1 days for cases and 14.0 for controls (95% confidence interval -4.9 to 8.7 days, not significant). A visit by a health visitor to elderly patients after discharge from geriatric wards is unlikely to be of sufficient benefit to the patients for the service to be funded from a saving in unplanned re-admissions.

journal_name

Arch Gerontol Geriatr

authors

Dunn RB,Lewis PA,Vetter NJ,Guy PM,Hardman CS,Jones RW

doi

10.1016/0167-4943(94)90044-2

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

15-23

issue

1

eissn

0167-4943

issn

1872-6976

pii

0167494394900442

journal_volume

18

pub_type

临床试验,杂志文章,随机对照试验
  • Verification of the membrane hypothesis of aging on the identified giant neurons of the snail Lymnaea stagnalis L. (Gastropoda, Pulmonata) by a combined application of intracellular electrophysiology and X-ray microanalysis.

    abstract::The validity of the membrane hypothesis of aging (Zs.-Nagy, 1978) was tested on identified giant neurons of the snail Lymnaea stagnalis L. by using a combination of intracellular microelectrophysiology and X-ray microanalysis of the intracellular water and electrolyte concentrations on the very same cells. The snails ...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(85)90018-4

    authors: Nagy I,Tóth S,Lustyik G

    更新日期:1985-04-01 00:00:00

  • The prevalence of falling and status of physical function among elderly individuals with locomotive and visual/hearing disorders.

    abstract::In a super-aged society, the need for prevention of locomotor dysfunction is growing, and evidence for feasible preventive measures is thus required. This study aimed to examine the relationship between these disorders and the prevalence rates for falling and physical function status. Participants included 1182 commun...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2013.05.005

    authors: Demura S,Sato S,Mitsumori A,Sato T

    更新日期:2013-11-01 00:00:00

  • Barriers and enablers to ongoing exercise for people with chronic health conditions: Participants' perspectives following a randomized controlled trial of two interventions.

    abstract:BACKGROUND:At present there is no clear evidence to support any one particular intervention for engaging adults with chronic health issues in ongoing exercise. An understanding of consumer perceptions and preferences is important, because low rates of exercise adherence are likely to limit any benefits obtained. OBJEC...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2018.02.010

    authors: Jansons PS,Robins L,Haines TP,O'Brien L

    更新日期:2018-01-01 00:00:00

  • Group reminiscence intervention in Taiwanese elders with dementia.

    abstract::The purpose of this study was to evaluate the effect of structured group reminiscence therapy on behavior competence and physical functioning and to compare effectiveness of the intervention by stage of dementia in Taiwanese elders residing in institutional settings. A longitudinal experimental design was used. Sevent...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.archger.2008.08.007

    authors: Wang JJ,Yen M,OuYang WC

    更新日期:2009-09-01 00:00:00

  • The neurotoxicity of phenobarbital and its effect in preventing pentylenetetrazole-induced maximal seizure in aging mice.

    abstract::The effects of age on the neurotoxicity of phenobarbital and its anticonvulsant effect were examined in female BDF1 mice of different ages by means of a rotorod test and the pentylenetetrazole (PTZ)-induced maximal seizure, respectively. The minimal neurotoxic concentrations (MTCs) of phenobarbital in both plasma and ...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(88)90009-x

    authors: Kitani K,Sato Y,Kanai S,Ohta M,Nokubo M,Masuda Y

    更新日期:1988-12-01 00:00:00

  • Health status and associated factors among the community-dwelling elderly in China.

    abstract::The objective of this study was to evaluate the health status and associated factors of the elderly Chinese population. A cross-sectional survey was administered to 849 elderly people aged 60 years and over living in a certain district of Nanjing, China. A health rating scale based on the characteristics of the elderl...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2012.10.001

    authors: Chao J,Li Y,Xu H,Yu Q,Wang Y,Liu P

    更新日期:2013-01-01 00:00:00

  • Allostatic load and stress biomarkers in a sample of community-dwelling older adults.

    abstract:BACKGROUND:The idea that cumulative levels of stress can have deleterious effects on health and longevity has led investigators to discuss individual differences in the accumulation of Allostatic Load (AL) during life. Our aim was to evaluate the AL indices and stress biomarkers between genders and to determine which f...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2019.104006

    authors: Freire ADNF,Barbosa JFS,Pereira DS,Gomes CDS,Guerra RO

    更新日期:2020-01-01 00:00:00

  • Morphological changes in the retina of ageing rats.

    abstract::This paper deals with the morphological changes in the retina with ageing. The most significant result was a decrease in the thickness of the aged retina compared to that of the controls. Although all layers underwent reduction, the most affected were the outer nuclear layer (that was reduced to 90%) and the ganglion ...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(86)90006-3

    authors: Cano J,Machado A,Reinoso-Suárez F

    更新日期:1986-04-01 00:00:00

  • Changes of psychical and physical conditions in the elderly after a four-year follow-up.

    abstract::The elderly show a loss of both the intellectual functions and of motion ability. This happens also without particular pathologies; possible tests to highlight this loss are the Mini Mental State Examination (MMSE), and the Functional Reach (FR)-test. During 2004-2005 winter 50 healthy subjects were analyzed; the subj...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2011.04.008

    authors: Zuccaro SM,Steindler R,Scena S,Costarella M

    更新日期:2012-01-01 00:00:00

  • Determinants of depressive symptoms in Filipino senior citizens of the community-based ENGAGE study.

    abstract:OBJECTIVE:This study investigated the factors associated with depressive symptoms among community-dwelling Filipino senior citizens. METHODS:We conducted a cross-sectional study among 1021 Filipino senior citizens aged 60-91 years. We used multiple linear regression analysis to identify the factors independently assoc...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2019.02.014

    authors: Carandang RR,Shibanuma A,Kiriya J,Asis E,Chavez DC,Meana M,Murayama H,Jimba M

    更新日期:2019-01-01 00:00:00

  • Non-pharmacological interventions on cognitive functions in older people with mild cognitive impairment (MCI).

    abstract::Mild cognitive impairment (MCI) can be a stage of pre-dementia. There is no consensus about pharmacological treatment for this population, so it is important to structure non-pharmacological interventions for increasing their cognitive reserve. We intended to analyze the effects of non-pharmacological interventions in...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章,评审

    doi:10.1016/j.archger.2011.02.014

    authors: Teixeira CV,Gobbi LT,Corazza DI,Stella F,Costa JL,Gobbi S

    更新日期:2012-01-01 00:00:00

  • Dual sensory impairment and psychosocial factors. Findings based on a nationally representative sample.

    abstract:BACKGROUND:A considerable proportion of individuals in late life experience dual sensory impairment (DSI), which can be defined as the combined presence of hearing and visual problems. However, there is little knowledge regarding the psychosocial correlates of DSI. Consequently, our objective of this study was to ident...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2020.104234

    authors: Hajek A,König HH

    更新日期:2020-08-18 00:00:00

  • Analysis of cellular senescence induced by lipopolysaccharide in pulmonary alveolar epithelial cells.

    abstract::In this work, it was examined the possibility of lipopolysaccharide (LPS) causing cellular senescence in lung alveolar epithelial cells. Then, it was clarified how this cellular senescence phenomenon is associated with oxidative stress effect induced by LPS and whether antioxidants could inhibit reduced cellular viabi...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2011.07.016

    authors: Kim CO,Huh AJ,Han SH,Kim JM

    更新日期:2012-03-01 00:00:00

  • The development of a Tai Chi exercise regimen for the prevention of conditions requiring long-term care in Japan.

    abstract::This study was to examine an effect of such an exercise program on preventing conditions requiring long-term care in the Japanese frail elderly who participated in a Tai Chi Yuttari-exercise program. The first-intervention group underwent an intervention program by participating in a Tai Chi Yuttari-exercise session o...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2010.11.010

    authors: Nomura T,Nagano K,Takato J,Ueki S,Matsuzaki Y,Yasumura S

    更新日期:2011-05-01 00:00:00

  • Wnt/β-catenin signaling is downregulated but restored by nutrition interventions in the aged heart in mice.

    abstract::Aging hallmarks include decreased progenitor cell functions. The Wnt/β-catenin signaling pathway has emerged as a key player in cellular aging in recent years. Wnt activity changes in aged tissues including skin, serum, muscle and artery. In heart, it is hypothesized that Wnt signaling increases with aging and this si...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2012.06.013

    authors: Li Q,Hannah SS

    更新日期:2012-11-01 00:00:00

  • The geriatric patient: use of acute geriatrics units in the emergency care of elderly patients in France.

    abstract::We studied the factors influencing the choice of admission to Geriatrics units, instead of other acute hospital units after an emergency visit. We report the results from a cohort of 1283 randomly selected patients aged >75 years hospitalized in emergency and representative of the French University hospital system. Al...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2010.01.018

    authors: Somme D,Lazarovici C,Dramé M,Blanc P,Lang PO,Gauvain JB,Voisin T,Gonthier R,De Wazières B,Jeandel C,Couturier P,Blanchard F,Saint-Jean O

    更新日期:2011-01-01 00:00:00

  • The leptin, a new hormone of adipose tissue: clinical findings and perspectives in geriatrics.

    abstract::Obesity has gained a great importance during the last decades, and this fact stimulated numerous studies regarding the genetic causes of this disease. A recently discovered new molecule, called leptin, raised a wide interest. It is a product of the adipocytes, it exerts inhibitory effects on the center of appetite and...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/s0167-4943(01)00195-9

    authors: Maugeri D,Bonanno MR,Speciale S,Santangelo A,Lentini A,Russo MS,Calanna A,Malaguarnera M,Motta M,Testai' M,Panebianco P

    更新日期:2002-02-01 00:00:00

  • Ultrasound measurement of rectus femoris muscle thickness as a quick screening test for sarcopenia assessment.

    abstract:INTRODUCTION:Sarcopenia is a geriatric syndrome related to loss of muscle mass and function, leading to disability, frailty and higher mortality. According to European Working Group on Sarcopenia in Older People (EWGSOP) the diagnosis of sarcopenia requires the assessment of muscle mass, muscle force and function, that...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2019.03.021

    authors: Rustani K,Kundisova L,Capecchi PL,Nante N,Bicchi M

    更新日期:2019-01-01 00:00:00

  • Hyperuricemia is associated with sympathovagal imbalance in older adults.

    abstract:PURPOSE:This study aimed to compare heart rate variability (HRV) parameters obtained through symbolic analysis (SA), between older adults with and without hyperuricemia. METHODS:This is a cross-sectional study including 202 community-dwelling old adults, which was clinically stratified as with or without hyperuricemia...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2020.104132

    authors: Passos RS,Ribeiro ÍJS,Freire IV,Teles MF,Pires RA,Schettino L,Oliveira AA,Casotti CA,Pereira R

    更新日期:2020-01-01 00:00:00

  • The influence of dementia on the prevalence of urinary and faecal incontinence in 85-year-old men and women.

    abstract::The influence of dementia on the prevalence of urinary and faecal incontinence was investigated in a random sample (n = 485) of the total population of 85-year-olds from the city of Gothenburg, Sweden. The subjects were assessed by a psychiatric interview, physical examinations, computed tomography of the head and ana...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(94)90021-3

    authors: Hellström L,Ekelund P,Milsom I,Skoog I

    更新日期:1994-07-01 00:00:00

  • Factors associated with low levels of physical activity among elderly residents in a small urban area in the interior of the Brazilian Amazon.

    abstract::The aim of the present study was to investigate levels of physical activity and risk factors for inactivity in older adults living in an urban area in the interior of the Amazonas state, Brazil. Data were collected between 2013 and 2015 from 274 individuals 60 years of age or older who resided in the interior of the B...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.archger.2017.11.007

    authors: Freire Junior RC,Fernandes TG,Borges GF,Guerra RO,de Abreu DCC

    更新日期:2018-01-01 00:00:00

  • Treatment of community-onset methicillin-resistant Staphylococcus aureus (MRSA) bacteremia: a hospital-based study.

    abstract::S. aureus bacteremia (SAB) is a severe systemic illness, which is associated with high mortality and healthcare cost. It has been reported that older age per se is a poor prognostic factor of SAB, but little is known whether poor clinical outcomes is related to conservative attitudes of treating physicians. A retrospe...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2011.07.003

    authors: Chen LY,Chen LK,Chang CW,Kuo SC,Li LF,Chan YJ,Wang FD

    更新日期:2012-07-01 00:00:00

  • The relation between cognitive function and UI in healthy, community-dwelling, middle-aged and elderly people.

    abstract::The aim of this study was to examine the relation between UI and cognitive function among non-disabled middle-aged and elderly community-dwelling people. A total of 201 participants (86 men and 115 women) were given a structured questionnaire regarding their condition of UI as well as a cognitive assessment battery (m...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2010.11.020

    authors: Hatta T,Iwahara A,Ito E,Hatta T,Hamajima N

    更新日期:2011-09-01 00:00:00

  • Functional outcome of elderly hip fracture patients: does diabetes matter?

    abstract::The purpose of this study was to investigate whether diabetes mellitus may affect the functional outcome of hip fractured patients. We studied 759 consecutive patients admitted for hip fracture rehabilitation, out of whom 18.2% were diabetics. The functional outcomes of diabetics and nondiabetics were assessed by the ...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2005.10.005

    authors: Mizrahi EH,Fleissig Y,Arad M,Adunsky A

    更新日期:2006-09-01 00:00:00

  • Frequency, severity and determinants of functional limitations in older adults with joint pain and comorbidity: results of a cross-sectional study.

    abstract::Older adults with joint pain and comorbidity are especially at risk of becoming functionally impaired. Therefore, we studied the frequency and severity of functional limitations and identified potential modifiable determinants that may reduce functional limitations. A prospective cohort study of older adults (≥65 year...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/j.archger.2014.02.006

    authors: Hermsen LA,Leone SS,Smalbrugge M,Dekker J,van der Horst HE

    更新日期:2014-07-01 00:00:00

  • Late life cognition among men: a life course perspective on psychosocial experience.

    abstract::This report assesses associations between trajectories of psychosocial experience over the life course and cognitive function in late life men. Survey data from the National Longitudinal Study of Older Men, a community sample of 1835 United States men aged 45-59 years in 1966, are used to explore the cognitive effects...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/s0167-4943(03)00046-3

    authors: Wight RG,Aneshensel CS,Seeman M,Seeman TE

    更新日期:2003-09-01 00:00:00

  • Centrophenoxine-induced increase of beta-adrenoceptor density in brain cortex of old mice.

    abstract::The influence of centrophenoxine treatment on beta-adrenoceptor density has been studied in the brain cortex of old mice. One group of 21-mth-old mice was injected intraperitoneally with 3.8 mg/day centrophenoxine daily for 5 days. A second group received the same daily treatment for 40 days. Two other groups of untre...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(84)90017-7

    authors: Viticchi C,Gentile S,Piantanelli L

    更新日期:1984-05-01 00:00:00

  • Reducing falls among older people in general practice: The ProAct65+ exercise intervention trial.

    abstract:BACKGROUND:Falls are common in the older UK population and associated costs to the NHS are high. Systematic reviews suggest that home exercise and group-based exercise interventions, which focus on progressively challenging balance and increasing strength, can reduce up to 42% of falls in those with a history of falls....

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.archger.2016.06.019

    authors: Gawler S,Skelton DA,Dinan-Young S,Masud T,Morris RW,Griffin M,Kendrick D,Iliffe S,ProAct65+ team.

    更新日期:2016-11-01 00:00:00

  • Hepatitis C virus in elderly patients with chronic liver diseases.

    abstract::Between January 1993 and July 1994, 141 consecutive patients were recruited, all above 50 years of age, affected by chronic liver diseases (CLD), in order to evaluate the prevalence of hepatitis C virus (HCV). The overall prevalence of HCV alone was 50.3% (71 out of 141 patients) which increased to 70.1% when consider...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(96)86955-X

    authors: Russello M,Benigno R,Zammataro M

    更新日期:1996-01-01 00:00:00

  • Effects of chronic codergocrine mesylate administration on the brain somatostatinergic system in aged rats.

    abstract::Codergocrine mesylate (dihydroergotoxine; DHET), which is an ergot derivative, has been reported to counteract some age-induced impairments in brain function, but the mechanism of these effects is not known. We examined the effect of chronic DHET administration on the somatostatinergic system in the brains of aged rat...

    journal_title:Archives of gerontology and geriatrics

    pub_type: 杂志文章

    doi:10.1016/0167-4943(92)90013-t

    authors: Tanaka K,Ogawa N,Asanuma M,Hirata H,Kondo Y,Chou HH,Mori A

    更新日期:1992-09-01 00:00:00