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- Title
Delirium and transition to a nursing home of hospitalized older adults: A controlled trial of assessing the interdisciplinary team-based 'geriatric' care and care coordination by non-geriatrics specialist physicians.
- Authors
Yoo, Ji Won; Nakagawa, Shunichi; Kim, Sulgi
- Abstract
Aim: To examine whether a team-based inpatient 'geriatric' care model provided by non-geriatrics specialist physicians was associated with changes in the occurrence of delirium and transition to a nursing home. Methods: We carried out an intervention (interdisciplinary; ITD group) control (usual care group) study comparing the outcomes of hospitalized older adults cared for by non-geriatrics specialist physicians. Compared with the usual care group, the ITD intervention group provided additional value: geriatric care and care coordination by leading daily ITD team meetings. Results: After adjusting for patient demographics and clinical characteristics, the probability of transition to a nursing home in the ITD intervention group was significantly lower (odds ratio 0.52; 95% confidence intervals, 0.16-0.94; P = 0.008) than that in the usual care group. However, there was no significant difference in the predicted probabilities of delirium between the ITD intervention and usual care groups. Conclusion: As compared with the usual care group, a significantly lower probability of transition to a nursing home was observed in the ITD intervention group, but the probabilities of delirium between the ITD intervention and usual care groups did not differ significantly. Geriatr Gerontol Int 2013; 13: 342-350.
- Subjects
OHIO; RISK of delirium; HOSPITAL care of older people; CHI-squared test; CLINICAL trials; COMPARATIVE studies; CONFIDENCE intervals; EPIDEMIOLOGY; GERIATRICS; HEALTH care teams; HOSPITAL admission &; discharge; EVALUATION of medical care; MEDICAL specialties &; specialists; NURSING care facilities; GENERAL practitioners; PROBABILITY theory; REGRESSION analysis; STATISTICS; DATA analysis; SOCIAL services case management; CONTROL groups; TRANSITIONAL programs (Education); DESCRIPTIVE statistics
- Publication
Geriatrics & Gerontology International, 2013, Vol 13, Issue 2, p342
- ISSN
1444-1586
- Publication type
Article
- DOI
10.1111/j.1447-0594.2012.00905.x