当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN GERIATRICS SOCIETY期刊下所有文献 > Acute hospital use, nursing home placement, and mortality in a frail community-dwelling cohort managed with Primary Integrated Interdisciplinary Elder Care at Home.

Acute hospital use, nursing home placement, and mortality in a frail community-dwelling cohort managed with Primary Integrated Interdisciplinary Elder Care at Home.

Abstract：

OBJECTIVES:To evaluate the effect of medical Primary Integrated Interdisciplinary Elder Care at Home (PIECH) on acute hospital use and mortality in a frail elderly population. DESIGN:Comparison of acute hospital care use for the year before entering the practice (pre-entry) with the most-recent 12-month period (May 1, 2010-April 30, 2011, postentry) for active and discharged patients. SETTING:Community. PARTICIPANTS:All 248 frail elderly adults enrolled in the practice for at least 12 months who were living in the community and not in nursing homes in Victoria, British Columbia. INTERVENTION:Primary geriatric care provided by a physician, nurse, and physiotherapist in participants' homes. MEASUREMENTS:Acute hospital admissions, emergency department (ED) contacts that did not lead to admission, reason for leaving practice, and site of death. RESULTS:There was a 39.7% (116 vs 70; P = .004) reduction in hospital admissions, 37.6% (1,700 vs 1,061; P = .04) reduction in hospital days, and 20% (120 vs 95; P = .20) reduction in ED contacts after entering the practice. Fifty participants were discharged from the practice, 64% (n = 32) of whom died, 20% (n = 10) moved, and 16% (n = 8) were admitted to nursing homes. Fifteen (46.9%) deaths occurred at home. CONCLUSION:Primary Integrated Interdisciplinary Elder Care at Home may reduce acute hospital admissions and facilitate home deaths.

journal_name

J Am Geriatr Soc

journal_title

Journal of the American Geriatrics Society

authors

Rosenberg T

doi

10.1111/j.1532-5415.2012.03965.x

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

1340-6

issue

7

eissn

0002-8614

issn

1532-5415

journal_volume

60

pub_type

杂志文章

相关文献

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY文献大全
  • Effect of Obesity on Postacute Outcomes of Skilled Nursing Facility Residents with Hip Fracture.

    abstract：OBJECTIVES:To examine the effect of obesity (body mass index (BMI)≥30.0 kg/m2 ) on outcomes of older adults admitted to skilled nursing facilities (SNFs) for hip fracture postacute care (PAC). DESIGN:Retrospective cohort study. SETTING:U.S. Medicare- and Medicaid-certified SNFs from 2008 to 2015. PARTICIPANTS:Medica...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.15334

    authors： Kosar CM,Thomas KS,Gozalo PL,Ogarek JA,Mor V

    更新日期：2018-07-01 00:00:00

  • Public opinion regarding consent to treatment.

    abstract：OBJECTIVE:To examine public opinion regarding certain elements of consent: disclosure, advance directives, substitute decisions, emergency treatment, and advocacy. DESIGN:Cross-sectional random-digit-dialing telephonic survey. SETTING:General public. PARTICIPANTS:One thousand randomly-selected adults living in Ontar...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1993.tb02042.x

    authors： Singer PA,Choudhry S,Armstrong J

    更新日期：1993-02-01 00:00:00

  • Tracking clerkship experience: just what do clinical clerks see on an Elder Care rotation?

    abstract：:The Schulich School of Medicine, University of Western Ontario, Canada, has created a mandatory clerkship in Elder Care that consists of small group seminars, clinical experiences, and an Elder Care manual. This article describes the use of a paper-based log to track students' clinical encounters to determine whether ...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2007.01206.x

    authors： Diachun LL,Van Bussel L,Ens A,Dumbrell AC,Hillier LM

    更新日期：2007-07-01 00:00:00

  • Symposium on arthritis in older persons. Section IV. Surgery and rehabilitation. Total joint replacement: lower extremities (Summary of presentation).

    abstract：:In experience with total joint replacement in the lower extremity, to date, total hip arthroplasty has been the most successful. Total arthroplasty operations as applied to the knee and ankle are giving promising results. These methods offer new avenues for relief of pain and deformity and stabilization of arthritic j...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1977.tb00232.x

    authors： Fitzgerald RH Jr

    更新日期：1977-02-01 00:00:00

  • Cost-effectiveness of increasing access to mammography through mobile mammography for older women.

    abstract：OBJECTIVES:To compare the costs of mobile and stationary mammography and examine the incremental cost-effectiveness of using mobile mammography to increase screening rates. DESIGN:A cost-effectiveness analysis was performed using effectiveness data from a randomized clinical trial and modeling of costs associated with...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1532-5415.2008.02105.x

    authors： Naeim A,Keeler E,Bassett LW,Parikh J,Bastani R,Reuben DB

    更新日期：2009-02-01 00:00:00

  • Patterns of self-rated health in older adults before and after sentinel health events.

    abstract：OBJECTIVES:To describe and compare patterns of change in self-rated health for older adults before death and before and after stroke, myocardial infarction, congestive heart failure, cardiac procedure, hospital admission for cancer, and hip fracture. DESIGN:"Event cohort," measuring time in months before and after the...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,多中心研究

    doi：10.1046/j.1532-5415.2001.49007.x

    authors： Diehr P,Williamson J,Patrick DL,Bild DE,Burke GL

    更新日期：2001-01-01 00:00:00

  • Troublesome and disruptive behaviors in dementia. Relationships to diagnosis and disease severity.

    abstract：:Patients with dementia often manifest troublesome and disruptive behaviors in addition to intellectual impairments. This study evaluated behavioral disturbances in 126 demented patients examined sequentially, using questionnaires administered to primary caregivers to quantify the types and severity of behavioral distu...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1988.tb04260.x

    authors： Swearer JM,Drachman DA,O'Donnell BF,Mitchell AL

    更新日期：1988-09-01 00:00:00

  • Systematic outpatient screening for the elderly: care of the vulnerable elderly practice improvement module to assess resident care of older adults.

    abstract：OBJECTIVES:To determine the feasibility of using the American Board of Internal Medicine Care of the Vulnerable Elderly Practice Improvement Module (CoVE PIM) in an internal medicine residency program and to assess aggregate resident documentation of geriatric screening in continuity clinics. DESIGN:Needs assessment c...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2010.03134.x

    authors： Shaffer SL,Day HD

    更新日期：2010-11-01 00:00:00

  • Predictors of two-year post-hospitalization mortality among elderly veterans in a study evaluating a geriatric consultation team.

    abstract：OBJECTIVE:To determine predictors of 2-year post-hospitalization mortality in a cohort of elderly hospitalized patients originally assembled to assess the impact of a Geriatric Consultation Team (GCT). DESIGN:Two-year follow-up of an inception cohort. SETTING:University-affiliated tertiary care VA Medical Center. PA...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1992.tb03648.x

    authors： Cohen HJ,Saltz CC,Samsa G,McVey L,Davis D,Feussner JR

    更新日期：1992-12-01 00:00:00

  • Comparative efficacy and safety of selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors in older adults: a network meta-analysis.

    abstract：OBJECTIVES:To establish the comparative efficacy and safety of selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors in older adults using the network meta-analysis approach. DESIGN:Systematic review and network meta-analysis. PARTICIPANTS:Individuals aged 60 and older. MEASUREMENT...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,meta分析

    doi：10.1111/jgs.13395

    authors： Thorlund K,Druyts E,Wu P,Balijepalli C,Keohane D,Mills E

    更新日期：2015-05-01 00:00:00

  • Economic Analysis of Primary Care-Based Physical Activity Counseling in Older Men: The VA-LIFE Trial.

    abstract：OBJECTIVES:To perform an economic evaluation of a primary care-based physical activity counseling intervention that improved physical activity levels and rapid gait speed in older veterans. DESIGN:Secondary objective of randomized trial that assessed the effect of exercise counseling (relative to usual care) on physic...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/jgs.14567

    authors： Cowper PA,Peterson MJ,Pieper CF,Sloane RJ,Hall KS,McConnell ES,Bosworth HB,Ekelund CC,Pearson MP,Morey MC

    更新日期：2017-03-01 00:00:00

  • The effects of patient communication skills training on the discourse of older patients during a primary care interview.

    abstract：OBJECTIVES:To test the effects of a communication skills training intervention on older patients' discourse during a primary care interview. DESIGN:A quasi-experimental design involving two intervention conditions. SETTING:The Family Practice Center of a university-based clinic. PARTICIPANTS:Thirty-three patients av...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1046/j.1532-5415.2001.4911244.x

    authors： Cegala DJ,Post DM,McClure L

    更新日期：2001-11-01 00:00:00

  • The prevalence and correlates of major and minor depression in older medical inpatients.

    abstract：OBJECTIVES:To describe the prevalence of and characteristics associated with major and minor depression in older medical inpatients and to compare associated characteristics by sex and history of depression. DESIGN:Cross-sectional study of two patient samples, with and without a screening diagnosis of major or minor d...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2005.53404.x

    authors： McCusker J,Cole M,Dufouil C,Dendukuri N,Latimer E,Windholz S,Elie M

    更新日期：2005-08-01 00:00:00

  • Demographic characteristics and healthcare use of centenarians: a population-based cohort study.

    abstract：OBJECTIVES:To better understand how centenarians use the healthcare system as an important step toward improving their service delivery. DESIGN:Population-based retrospective cohort study using linked health administrative data. SETTING:Ontario--Canada's largest province. PARTICIPANTS:All individuals living in Ontar...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.12613

    authors： Rochon PA,Gruneir A,Wu W,Gill SS,Bronskill SE,Seitz DP,Bell CM,Fischer HD,Stephenson AL,Wang X,Gershon AS,Anderson GM

    更新日期：2014-01-01 00:00:00

  • A behavior management program to increase social responses in psychogeriatric patients.

    abstract：:Although increased numbers of psychogeriatric patients have been placed in proprietary nursing homes in recent years, many facilities have not been able to accommodate the behavioral problems involved. This study summarizes the results of a behavior management program for improving the social functioning and social be...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1981.tb01236.x

    authors： Nigl AJ,Jackson B

    更新日期：1981-02-01 00:00:00

  • The Boston FICSIT study: the effects of resistance training and nutritional supplementation on physical frailty in the oldest old.

    abstract：:Research indicates that lower extremity muscle weakness in the elderly is consistently related to impaired mobility and fall risk. Reversible components of the muscle weakness of aging include underuse syndromes and undernutrition, both of which are prevalent in nursing home populations. The Boston FICSIT study is a n...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1532-5415.1993.tb06714.x

    authors： Fiatarone MA,O'Neill EF,Doyle N,Clements KM,Roberts SB,Kehayias JJ,Lipsitz LA,Evans WJ

    更新日期：1993-03-01 00:00:00

  • Fighting against age discrimination in clinical trials.

    abstract：:At the American Geriatrics Society 2008 Annual Meeting, representatives of two geriatric societies, the European Union Geriatric Medicine Societies and the American Geriatrics Society, and two regulatory agencies, the U.S. Food and Drug Administration and the European Medicine Agency, conducted a roundtable discussion...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,评审

    doi：10.1111/j.1532-5415.2010.03032.x

    authors： Cherubini A,Del Signore S,Ouslander J,Semla T,Michel JP

    更新日期：2010-09-01 00:00:00

  • Implementation of a care transitions model for low-income older adults: a high-risk, vulnerable population.

    abstract：:Low-income older adults are particularly vulnerable during care transitions. The present study evaluated the effectiveness of a transitional care model in this population. A quasi-experimental design was used to compare outcomes in the intervention group with historical controls at 30, 90, 180, and 365 days after disc...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.12276

    authors： Ohuabunwa U,Jordan Q,Shah S,Fost M,Flacker J

    更新日期：2013-06-01 00:00:00

  • Correlation between symptoms and function in older adults with comorbidity.

    abstract：OBJECTIVES:To describe the relationship between symptom scores and mobility function measures, assess whether symptom scores and disease scores are similarly associated with mobility function, and identify clusters of symptoms that are most strongly associated with functional status in older adults. DESIGN:Secondary a...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.2009.02178.x

    authors： Whitson HE,Sanders LL,Pieper CF,Morey MC,Oddone EZ,Gold DT,Cohen HJ

    更新日期：2009-04-01 00:00:00

  • Normative values of cognitive and physical function in older adults: findings from the Irish Longitudinal Study on Ageing.

    abstract：OBJECTIVES:To provide normative values of tests of cognitive and physical function based on a large sample representative of the population of Ireland aged 50 and older. DESIGN:Data were used from the first wave of The Irish Longitudinal Study on Ageing (TILDA), a prospective cohort study that includes a comprehensive...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.12195

    authors： Kenny RA,Coen RF,Frewen J,Donoghue OA,Cronin H,Savva GM

    更新日期：2013-05-01 00:00:00

  • Hearing impairment as a predictor of cognitive decline in dementia.

    abstract：:Thirty-eight patients with dementia of various etiologies were studied longitudinally to determine the change in cognition over time in subjects with and without hearing impairment. Hearing impaired subjects were older (P less than .0001), but subject groups were otherwise comparable with respect to living arrangement...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1988.tb04363.x

    authors： Peters CA,Potter JF,Scholer SG

    更新日期：1988-11-01 00:00:00

  • Of worms and women: sarcopenia and its role in disability and mortality.

    abstract：:The loss of muscle mass during aging has been termed sarcopenia. Sarcopenia results in a decrease in physical strength during aging that results in important consequences for more severely affected individuals in terms of function and as a marker for disability and increased mortality. Despite the clinical importance ...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,评审

    doi：10.1111/j.1532-5415.2004.52320.x

    authors： Fisher AL

    更新日期：2004-07-01 00:00:00

  • Disease severity and health-related quality of life across different chronic conditions.

    abstract：OBJECTIVES:Measurements of health-related quality of life (HRQL) are an essential component in overall assessment of health status, particularly in older patients. Nevertheless, how measures of HRQL relate to measures of disease severity is largely unexplored. This study was carried out to explore the relationship betw...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：

    authors： Ferrucci L,Baldasseroni S,Bandinelli S,de Alfieri W,Cartei A,Calvani D,Baldini A,Masotti G,Marchionni N

    更新日期：2000-11-01 00:00:00

  • Two outbreaks of severe respiratory disease in nursing homes associated with rhinovirus.

    abstract：OBJECTIVES:To characterize illness and identify the etiology for two nursing home outbreaks of respiratory illness. DESIGN:Multisite outbreak investigations; cohort. SETTING:Two nursing homes in Pennsylvania. PARTICIPANTS:Facility A residents (n = 170), Facility B residents (n = 124), and employees (n = 91). MEASUR...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1532-5415.2005.00529.x

    authors： Hicks LA,Shepard CW,Britz PH,Erdman DD,Fischer M,Flannery BL,Peck AJ,Lu X,Thacker WL,Benson RF,Tondella ML,Moll ME,Whitney CG,Anderson LJ,Feikin DR

    更新日期：2006-02-01 00:00:00

  • Depression treatment in a sample of 1,801 depressed older adults in primary care.

    abstract：OBJECTIVES:To examine rates and predictors of lifetime and recent depression treatment in a sample of 1,801 depressed older primary care patients DESIGN:Cross sectional survey data collected from 1999 to 2001 as part of a treatment effectiveness trial. SETTING:Eighteen primary care clinics belonging to eight organiza...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1046/j.1532-5415.2003.51159.x

    authors： Unützer J,Katon W,Callahan CM,Williams JW Jr,Hunkeler E,Harpole L,Hoffing M,Della Penna RD,Noel PH,Lin EH,Tang L,Oishi S

    更新日期：2003-04-01 00:00:00

  • Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care.

    abstract：OBJECTIVES:To determine whether an in-home palliative care intervention for terminally ill patients can improve patient satisfaction, reduce medical care costs, and increase the proportion of patients dying at home. DESIGN:A randomized, controlled trial. SETTING:Two health maintenance organizations in two states. PA...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1111/j.1532-5415.2007.01234.x

    authors： Brumley R,Enguidanos S,Jamison P,Seitz R,Morgenstern N,Saito S,McIlwane J,Hillary K,Gonzalez J

    更新日期：2007-07-01 00:00:00

  • Effects of home-based primary care on Medicare costs in high-risk elders.

    abstract：OBJECTIVES:To determine the effect of home-based primary care (HBPC) on Medicare costs and mortality in frail elders. DESIGN:Case-control concurrent study using Medicare administrative data. SETTING:HBPC practice in Washington, District of Columbia. PARTICIPANTS:HBPC cases (n = 722) and controls (n = 2,161) matched ...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.12974

    authors： De Jonge KE,Jamshed N,Gilden D,Kubisiak J,Bruce SR,Taler G

    更新日期：2014-10-01 00:00:00

  • Reduced incidence of endometrial cancer among postmenopausal women treated with progestogens.

    abstract：:Because of adverse publicity regarding increased risk of endometrial cancer in women receiving estrogen therapy, a 2-year prospective study was conducted in 1976 to determine the incidence of endometrial cancer in postmenopausal women. A retrospective study for the year 1975 was also added. A postmenopausal survey c...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/j.1532-5415.1979.tb01673.x

    authors： Gambrell RD Jr,Massey FM,Castaneda TA,Ugenas AJ,Ricci CA

    更新日期：1979-09-01 00:00:00

  • Racial Disparities in Hospice Outcomes: A Race or Hospice-Level Effect?

    abstract：OBJECTIVES:To determine whether there is racial variation in hospice enrollees in rates of hospitalization and hospice disenrollment and, if so, whether systematic differences in hospice provider patterns explain the variation. DESIGN:Longitudinal cohort study. SETTING:Hospice. PARTICIPANTS:Medicare beneficiaries (N...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.15228

    authors： Rizzuto J,Aldridge MD

    更新日期：2018-02-01 00:00:00

  • Counteracting effect of supine leg resistance exercise on systolic orthostatic hypotension in older adults.

    abstract：OBJECTIVES:To assess the efficacy of a leg exercise performed in supine position to prevent orthostatic hypotension (OH) in older adults. DESIGN:Case-control study. SETTING:Division of Physical Medicine and Rehabilitation, Salvatore Maugeri Foundation, Scientific Institute of Veruno, Veruno, Italy. PARTICIPANTS:Indi...

    journal_title：Journal of the American Geriatrics Society

    pub_type： 杂志文章

    doi：10.1111/jgs.12313

    authors： Galizia G,Abete P,Testa G,Vecchio A,Corrà T,Nardone A

    更新日期：2013-07-01 00:00:00