Abstract
Hospitalization is a sentinel event in the life of an older person. Despite appropriate treatment for the reason for admission to the hospital, older adults suffer high rates of hospitalization-associated disability (HAD) and other complications such as delirium, falls, and pressure ulcers with long-term consequences. HAD carries a poor prognosis for further disability, nursing home placement, and increased mortality and confers significant costs to patients, families, and society. Patients at risk for HAD can be identified and hospital processes of care that contribute to HAD are well known. The Acute Care for Elders (ACE) model of care addresses both patient and hospital-level risk factors and has demonstrated its effectiveness in reducing HAD, improving patient satisfaction, while reducing costs compared to usual care. The ACE model of care achieves the triple aim of improving care, improving patient satisfaction, and reducing costs.
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- ACE:
-
Acute Care for Elders
- ADE:
-
Adverse drug event
- ADL:
-
Activity of daily living
- AHRQ:
-
Agency for Healthcare Research and Quality
- EPESE:
-
Established Populations for Epidemiologic Studies of the Elderly
- HAD:
-
Hospitalization-associated disability
- HARP:
-
Hospital admission risk profile
- HAPU:
-
Hospital-acquired pressure ulcer
- IADL:
-
Instrumental activity of daily living
- LSA:
-
Life-Space Assessment
- PEP:
-
Precipitating Events Project
- PIM:
-
Potentially inappropriate Medication
- RCT:
-
Randomized controlled trial
- RN:
-
Registered nurse
- SNF:
-
Skilled nursing facility
- PRODIGE:
-
PROgettoDImissioni in GEriatria Study
- STRATIFY:
-
St. Thomas Risk Assessment Tool in Falling Elderly
- STOPP:
-
Screening Tool of Older Persons’ potentially inappropriate Prescriptions
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Pierluissi, E., Francis, D.C., Covinsky, K.E. (2014). Patient and Hospital Factors That Lead to Adverse Outcomes in Hospitalized Elders. In: Malone, M., Capezuti, E., Palmer, R. (eds) Acute Care for Elders. Aging Medicine. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1025-0_3
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