Evaluating Outcomes from an Integrated Health Service for Older Patients.
Identifieur interne : 000099 ( PubMed/Checkpoint ); précédent : 000098; suivant : 000100Evaluating Outcomes from an Integrated Health Service for Older Patients.
Auteurs : Kyle D. Severinsen [États-Unis] ; Anne Tufton [États-Unis] ; Emma Hannan [Australie] ; Jessica S. Schwind [États-Unis] ; Dana Schmucker [États-Unis] ; Allison Cutler [Australie]Source :
- The Ochsner journal [ 1524-5012 ] ; 2015.
Abstract
Hospital-associated disability is the loss of the ability to complete one activity of daily living (ADL), with this decline occurring between the onset of acute illness and discharge from the hospital. Approximately 30% of patients who are >70 years old and admitted to hospitals are discharged with an ADL disability. Comprehensive geriatric assessment (CGA) models use a multidimensional, interdisciplinary process of diagnosis and treatment with the goal of improving outcomes and decreasing lengths of stay.
PubMed: 26730227
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:26730227Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluating Outcomes from an Integrated Health Service for Older Patients.</title><author><name sortKey="Severinsen, Kyle D" sort="Severinsen, Kyle D" uniqKey="Severinsen K" first="Kyle D" last="Severinsen">Kyle D. Severinsen</name><affiliation wicri:level="2"><nlm:affiliation>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Louisiane</region></placeName><wicri:cityArea>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans</wicri:cityArea></affiliation></author><author><name sortKey="Tufton, Anne" sort="Tufton, Anne" uniqKey="Tufton A" first="Anne" last="Tufton">Anne Tufton</name><affiliation wicri:level="2"><nlm:affiliation>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Louisiane</region></placeName><wicri:cityArea>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans</wicri:cityArea></affiliation></author><author><name sortKey="Hannan, Emma" sort="Hannan, Emma" uniqKey="Hannan E" first="Emma" last="Hannan">Emma Hannan</name><affiliation wicri:level="1"><nlm:affiliation>The University of Queensland School of Medicine, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>The University of Queensland School of Medicine, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Schwind, Jessica S" sort="Schwind, Jessica S" uniqKey="Schwind J" first="Jessica S" last="Schwind">Jessica S. Schwind</name><affiliation wicri:level="2"><nlm:affiliation>Department of Biostatistics and Epidemiology, Medical College of Georgia, Georgia Regents University, Augusta, GA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Department of Biostatistics and Epidemiology, Medical College of Georgia, Georgia Regents University, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Schmucker, Dana" sort="Schmucker, Dana" uniqKey="Schmucker D" first="Dana" last="Schmucker">Dana Schmucker</name><affiliation wicri:level="2"><nlm:affiliation>Department of Infection Prevention and Control, Ochsner Clinic Foundation, New Orleans, LA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Louisiane</region></placeName><wicri:cityArea>Department of Infection Prevention and Control, Ochsner Clinic Foundation, New Orleans</wicri:cityArea></affiliation></author><author><name sortKey="Cutler, Allison" sort="Cutler, Allison" uniqKey="Cutler A" first="Allison" last="Cutler">Allison Cutler</name><affiliation wicri:level="1"><nlm:affiliation>Department of Geriatrics, Ipswich Hospital, Ipswich, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Geriatrics, Ipswich Hospital, Ipswich, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26730227</idno><idno type="pmid">26730227</idno><idno type="wicri:Area/PubMed/Corpus">000024</idno><idno type="wicri:Area/PubMed/Curation">000024</idno><idno type="wicri:Area/PubMed/Checkpoint">000099</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Evaluating Outcomes from an Integrated Health Service for Older Patients.</title><author><name sortKey="Severinsen, Kyle D" sort="Severinsen, Kyle D" uniqKey="Severinsen K" first="Kyle D" last="Severinsen">Kyle D. Severinsen</name><affiliation wicri:level="2"><nlm:affiliation>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Louisiane</region></placeName><wicri:cityArea>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans</wicri:cityArea></affiliation></author><author><name sortKey="Tufton, Anne" sort="Tufton, Anne" uniqKey="Tufton A" first="Anne" last="Tufton">Anne Tufton</name><affiliation wicri:level="2"><nlm:affiliation>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Louisiane</region></placeName><wicri:cityArea>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans</wicri:cityArea></affiliation></author><author><name sortKey="Hannan, Emma" sort="Hannan, Emma" uniqKey="Hannan E" first="Emma" last="Hannan">Emma Hannan</name><affiliation wicri:level="1"><nlm:affiliation>The University of Queensland School of Medicine, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>The University of Queensland School of Medicine, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Schwind, Jessica S" sort="Schwind, Jessica S" uniqKey="Schwind J" first="Jessica S" last="Schwind">Jessica S. Schwind</name><affiliation wicri:level="2"><nlm:affiliation>Department of Biostatistics and Epidemiology, Medical College of Georgia, Georgia Regents University, Augusta, GA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Department of Biostatistics and Epidemiology, Medical College of Georgia, Georgia Regents University, Augusta</wicri:cityArea></affiliation></author><author><name sortKey="Schmucker, Dana" sort="Schmucker, Dana" uniqKey="Schmucker D" first="Dana" last="Schmucker">Dana Schmucker</name><affiliation wicri:level="2"><nlm:affiliation>Department of Infection Prevention and Control, Ochsner Clinic Foundation, New Orleans, LA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Louisiane</region></placeName><wicri:cityArea>Department of Infection Prevention and Control, Ochsner Clinic Foundation, New Orleans</wicri:cityArea></affiliation></author><author><name sortKey="Cutler, Allison" sort="Cutler, Allison" uniqKey="Cutler A" first="Allison" last="Cutler">Allison Cutler</name><affiliation wicri:level="1"><nlm:affiliation>Department of Geriatrics, Ipswich Hospital, Ipswich, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Geriatrics, Ipswich Hospital, Ipswich, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Ochsner journal</title><idno type="ISSN">1524-5012</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Hospital-associated disability is the loss of the ability to complete one activity of daily living (ADL), with this decline occurring between the onset of acute illness and discharge from the hospital. Approximately 30% of patients who are >70 years old and admitted to hospitals are discharged with an ADL disability. Comprehensive geriatric assessment (CGA) models use a multidimensional, interdisciplinary process of diagnosis and treatment with the goal of improving outcomes and decreasing lengths of stay.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="PubMed-not-MEDLINE"><PMID Version="1">26730227</PMID><DateCreated><Year>2016</Year><Month>01</Month><Day>05</Day></DateCreated><DateCompleted><Year>2016</Year><Month>01</Month><Day>05</Day></DateCompleted><DateRevised><Year>2016</Year><Month>01</Month><Day>07</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1524-5012</ISSN><JournalIssue CitedMedium="Print"><Volume>15</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Season>Winter</Season></PubDate></JournalIssue><Title>The Ochsner journal</Title><ISOAbbreviation>Ochsner J</ISOAbbreviation></Journal><ArticleTitle>Evaluating Outcomes from an Integrated Health Service for Older Patients.</ArticleTitle><Pagination><MedlinePgn>423-8</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Hospital-associated disability is the loss of the ability to complete one activity of daily living (ADL), with this decline occurring between the onset of acute illness and discharge from the hospital. Approximately 30% of patients who are >70 years old and admitted to hospitals are discharged with an ADL disability. Comprehensive geriatric assessment (CGA) models use a multidimensional, interdisciplinary process of diagnosis and treatment with the goal of improving outcomes and decreasing lengths of stay.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective clinical audit of Ipswich Hospital's medical records included patients for random selection who were >75 years of age and had an acute admission to the Older Person Evaluation Review and Assessment (OPERA) or general medicine (GM) service from July 2012 to December 2012. Data were collected for the entire admission period on length of stay, comorbidities, allied health visits, functional ability, and delirium and dementia at admission.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 267 patients evaluated, 133 were admitted to the OPERA service, and 134 were admitted to the GM service. Patients admitted to the OPERA service were significantly more ill than patients admitted to the GM service as measured by the Charlson Comorbidity Index scores (6.53 ± 1.83 vs 6.02 ± 1.96, respectively, P=0.02), Katz Index of Independence in ADL scores (3.77 ± 2.22 vs 4.72 ± 2.00, respectively, P<0.001), presence of delirium at admission (28% vs 15%, respectively, P=0.02), and presence of dementia at admission (42% vs 21%, respectively, P=0.002). However, patients in both groups had a mean acute length of stay of 4 days (P=0.33), the readmission rate was <20% for both groups (P=0.33), and the mortality rate for each group was similar (3%).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">By showing that patients admitted to the OPERA service were more ill than patients admitted to the GM service but health outcomes were maintained, researchers hope to justify the need for such CGA models. Additional goals include garnering support for the maintenance and growth of CGA models; decreasing mortality, cost, and readmission rates; and improving the quality of life for older patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Severinsen</LastName><ForeName>Kyle D</ForeName><Initials>KD</Initials><AffiliationInfo><Affiliation>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tufton</LastName><ForeName>Anne</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hannan</LastName><ForeName>Emma</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>The University of Queensland School of Medicine, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schwind</LastName><ForeName>Jessica S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Department of Biostatistics and Epidemiology, Medical College of Georgia, Georgia Regents University, Augusta, GA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schmucker</LastName><ForeName>Dana</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Infection Prevention and Control, Ochsner Clinic Foundation, New Orleans, LA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cutler</LastName><ForeName>Allison</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Geriatrics, Ipswich Hospital, Ipswich, Queensland, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ochsner J</MedlineTA><NlmUniqueID>101125795</NlmUniqueID><ISSNLinking>1524-5012</ISSNLinking></MedlineJournalInfo><OtherID Source="NLM">PMC4679304</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Aged</Keyword><Keyword MajorTopicYN="N">frail elderly</Keyword><Keyword MajorTopicYN="N">geriatric assessment</Keyword><Keyword MajorTopicYN="N">geriatrics</Keyword><Keyword MajorTopicYN="N">health services for the aged</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>1</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>1</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>1</Month><Day>6</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26730227</ArticleId><ArticleId IdType="pmc">PMC4679304</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>Louisiane</li></region></list><tree><country name="États-Unis"><region name="Louisiane"><name sortKey="Severinsen, Kyle D" sort="Severinsen, Kyle D" uniqKey="Severinsen K" first="Kyle D" last="Severinsen">Kyle D. Severinsen</name></region><name sortKey="Schmucker, Dana" sort="Schmucker, Dana" uniqKey="Schmucker D" first="Dana" last="Schmucker">Dana Schmucker</name><name sortKey="Schwind, Jessica S" sort="Schwind, Jessica S" uniqKey="Schwind J" first="Jessica S" last="Schwind">Jessica S. Schwind</name><name sortKey="Tufton, Anne" sort="Tufton, Anne" uniqKey="Tufton A" first="Anne" last="Tufton">Anne Tufton</name></country><country name="Australie"><noRegion><name sortKey="Hannan, Emma" sort="Hannan, Emma" uniqKey="Hannan E" first="Emma" last="Hannan">Emma Hannan</name></noRegion><name sortKey="Cutler, Allison" sort="Cutler, Allison" uniqKey="Cutler A" first="Allison" last="Cutler">Allison Cutler</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Musique/explor/OperaV1/Data/PubMed/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000099 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd -nk 000099 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Musique
|area= OperaV1
|flux= PubMed
|étape= Checkpoint
|type= RBID
|clé= pubmed:26730227
|texte= Evaluating Outcomes from an Integrated Health Service for Older Patients.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i -Sk "pubmed:26730227" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a OperaV1
| This area was generated with Dilib version V0.6.21. |  |