Reduction of Rehospitalization with Addition of Geriatrics/Transitions of Care Consult Service

IF 4.2 2区 医学 Q2 GERIATRICS & GERONTOLOGY Journal of the American Medical Directors Association Pub Date : 2024-09-26 DOI:10.1016/j.jamda.2024.105287
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Abstract

Older adults are at high risk of rehospitalization after an acute event and at even higher risk of permanently losing an activity of daily living with each hospitalization. This is especially true in those with encephalopathy, delirium, dementia, falls, and failure to thrive. Although it is widely known that rehospitalization rates are higher in patients who discharge to skilled nursing and long-term care facilities, geriatrics consultations have not been shown to consistently decrease this risk. In this study, we added a novel component specific to transitions of care alongside a traditional geriatrics consultation for patients discharging to a skilled nursing or long-term care facility. Results show evidence of significant rehospitalization reduction for patients with markers of cognitive impairment and frailty.
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增加老年病学/护理过渡咨询服务,减少再住院率。
老年人在急性病后再次住院的风险很高,而每次住院后永久丧失日常生活能力的风险甚至更高。尤其是那些患有脑病、谵妄、痴呆、跌倒和发育不良的患者。尽管众所周知,出院后转入专业护理机构和长期护理机构的患者再次住院率较高,但老年医学咨询并没有证明能持续降低这种风险。在这项研究中,我们在为出院到专业护理机构或长期护理机构的患者提供传统的老年医学咨询的同时,还增加了一项专门针对护理过渡的新内容。结果表明,有证据表明存在认知障碍和虚弱标记的患者再住院率明显降低。
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来源期刊
CiteScore
11.10
自引率
6.60%
发文量
472
审稿时长
44 days
期刊介绍: JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality
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