Centre for Policy on Ageing



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
Author(s)	Steven R Counsell, Carolyn M Holder, Laura L Liebenauer
Journal title	Journal of the American Geriatrics Society, vol 48, no 12, December 2000
Pages	pp 1572-1581
Keywords	In-patients ; Management [care] ; Quality ; United States of America.
Annotation	Older people frequently experience a decline in function following an acute illness and hospitalisation. Acute Care for Elders (ACE) is designed to help patients maintain or achieve independence in basic activities of daily living (ADLs) through the combined effects of four elements: a specially designed environment; patient-centred care; planning for patient discharge to home; and review of medical care. A large randomised trial using ACE with some 1,500 patients aged 70+ living in the community, admitted to hospital with acute medical illness during a 3-year period provided evidence of improved process of care and patient and provider satisfaction without increasing costs or length of stay in hospital. A lower frequency of the composite outcome ADL decline or nursing home placement may indicate potentially beneficial effects on patient outcomes. (RH).
Accession Number	CPA-010214213 B
Classmark	LF7: QA: 59: 7T
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.