Academic Journal
Two European Examples of Acute Geriatric Units Located Outside of a General Hospital for Older Adults With Exacerbated Chronic Conditions
| العنوان: | Two European Examples of Acute Geriatric Units Located Outside of a General Hospital for Older Adults With Exacerbated Chronic Conditions |
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| المؤلفون: | Ribbink, Marthe E, Gual Tarrada, Neus, MacNeil-Vroomen, Janet L, Ars Ricart, Joan, Buurman, Bianca M, Inzitari, Marco |
| المساهمون: | Institut Català de la Salut, Ribbink ME, MacNeil-Vroomen JL Amsterdam University Medical Center, University of Amsterdam, Department of Internal Medicine, Section of Geriatric Medicine, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands. Gual N, Ars Ricart J, Inzitari M RE-FIT Barcelona research group, Parc Sanitari Pere Virgili, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain. Buurman BM Amsterdam University Medical Center, University of Amsterdam, Department of Internal Medicine, Section of Geriatric Medicine, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands. ACHIEVE- Center of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands, Vall d'Hebron Barcelona Hospital Campus |
| المصدر: | Scientia |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Persones grans - Assistència hospitalària, Malalties cròniques, HEALTH SURVEILLANCE::Health Surveillance of Health Services::Health Facilities::Hospitals::Geriatric Hospitals, DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Acute Disease, PUBLIC HEALTH::Health Care (Public Health)::Health Services::Health Services for the Aged, VIGILANCIA SANITARIA::vigilancia sanitaria de los servicios de salud::centros sanitarios::hospitales::hospitales geriátricos, ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::atributos de la enfermedad::enfermedad aguda, SALUD PÚBLICA::atención a la salud (salud pública)::servicios de salud::Servicios de Salud para Ancianos |
| الوصف: | Geriatria; Atenció aguda; Model d’atenció ; Geriatría; Cuidados agudos; Modelo de cuidado ; Geriatrics; Acute care; Model of care ; Objective Throughout Europe, the number of older adults requiring acute hospitalization is increasing. Admission to an acute geriatric unit outside of a general hospital could be an alternative. In this model of acute medical care, comprehensive geriatric assessment and rehabilitation are provided to selected older patients. This study aims to compare patients' diagnoses, characteristics, and outcomes of 2 European sites where this care occurs. Design Exploratory cohort study. Setting and participants Subacute Care Unit (SCU), introduced in 2012 in Barcelona, Spain, and the Acute Geriatric Community Hospital (AGCH), introduced in 2018 in Amsterdam, the Netherlands. The main admission criteria for older patients were acute events or exacerbations of chronic conditions, hemodynamic stability on admission, and no requirement for complex diagnostics. Measures We compared setting, characteristics, and outcomes between patients admitted to the 2 units. Results Data from 909 patients admitted to SCU and 174 to AGCH were available. Patients were admitted from the emergency department or from home. The mean age was 85.8 years [standard deviation (SD) = 6.7] at SCU and 81.9 years (SD = 8.5) ( P < .001) at AGCH. At SCU, patients were more often delirious (38.7% vs 22.4%, P < .001) on admission. At both units, infection was the main admission diagnosis. Other diagnoses included heart failure or chronic obstructive pulmonary disease. Five percent or less of patients were readmitted to general hospitals. Average length of stay was 8.8 (SD = 4.4) days (SCU) and 9.9 (SD = 7.5) days (AGCH). Conclusions and Implications These acute geriatric units are quite similar and both provide an alternative to admission to a general hospital. We encourage the comparison of these units to other examples in Europe and suggest multicentric studies comparing their performance to usual hospital care. ; The ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| ردمك: | 978-0-00-659464-2 0-00-659464-6 |
| تدمد: | 1525-8610 |
| Relation: | Journal of the American Medical Directors Association;22(6); https://linkinghub.elsevier.com/retrieve/pii/S1525861020311014; Ribbink ME, Gual N, MacNeil-Vroomen JL, Ricart JA, Buurman BM, Inzitari M, et al. Two European Examples of Acute Geriatric Units Located Outside of a General Hospital for Older Adults With Exacerbated Chronic Conditions. J Am Med Dir Assoc. 2021 Jun;22(6):1228-1234.; https://hdl.handle.net/11351/6129; 000659464600023 |
| DOI: | 10.1016/j.jamda.2020.12.034 |
| الاتاحة: | https://hdl.handle.net/11351/6129 https://doi.org/10.1016/j.jamda.2020.12.034 |
| Rights: | Attribution 4.0 International ; http://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.4F54A1 |
| قاعدة البيانات: | BASE |
| ردمك: | 9780006594642 0006594646 |
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| تدمد: | 15258610 |
| DOI: | 10.1016/j.jamda.2020.12.034 |