Encyclopedia of Gerontology and Population Aging

Living Edition
| Editors: Danan Gu, Matthew E. Dupre

Acute Care

  • T. R. GettingerEmail author
  • C. L. Wallace
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-69892-2_875-1

Synonyms

Definition

Reporting a “fragmented health system” due to a lack of consistency in definitions, the World Health Organization (WHO) defines acute care in the context of an aging population of individuals living with multiple chronic illnesses and an increasing demand for acute services (Hirshon et al. 2013). Focusing on the time-sensitive nature of needs requiring rapid intervention, the definition consists of services “whose primary purpose is to improve health” (Hirshon et al. 2013: 386) with inclusion of health system components and functions, such as emergency, trauma, surgery, urgent care, intensive care, short-term stabilization, and prehospital care (ambulance or community care prior to transfer). Ideally, acute care functions in a health-system paradigm along with preventative and primary care, although research is needed to best integrate acute care across healthcare systems and better coordination is needed between...

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References

  1. Ahmed NN, Pearce SE (2010) Acute care for the elderly: a literature review. Popul Health Manag 13(4):219–225.  https://doi.org/10.1089/pop.2009.0058CrossRefGoogle Scholar
  2. Alvarez R, Ginsburg J, Grabowski J et al (2016) The social work role in reducing 30-day readmissions: the effectiveness of the Bridge Model of transitional care. J Gerontol Soc Work 59(3):222–227.  https://doi.org/10.1080/01634372.2016.1195781CrossRefGoogle Scholar
  3. Berges IM, Amr S, Abraham DS et al (2015) Associations between depressive symptoms and 30-day hospital readmissions among older adults. J Depress Anxiety.  https://doi.org/10.4172/2167-1044.1000185
  4. Bernacki RE, Block SD. American College of Physicians high value care task force(2014) Communication about serious illness care goals: a review and synthesis of best practices. JAMA Intern Med 174(12):1994–2003.  https://doi.org/10.1001/jamainternmed.2014.5271CrossRefGoogle Scholar
  5. Chong E, Ho E, Baldevarona-Llego J et al (2018) Frailty in hospitalized older adults: comparing different frailty measures in predicting short- and long-term patient outcomes. J Am Med Dir Assoc 19(5):450–457.  https://doi.org/10.1016/j.jamda.2017.10.006CrossRefGoogle Scholar
  6. Counsell SR (2011) Integrating medical and social services with GRACE. Generations 35(1):56–59Google Scholar
  7. de Gelder J, Lucke JA, de Groot B et al (2018) Predictors and outcomes of revisits in older adults discharged from the emergency department. J Am Geriatr Soc 66(4):735–741.  https://doi.org/10.1111/jgs.15301CrossRefGoogle Scholar
  8. Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood RH, Conroy SP, Kircher T, Somme D, Saltvedt I, Wald H, O’Neill D, Robinson D, Shepperd S (2017) Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev, Issue 9. Art. No.: CD006211.  https://doi.org/10.1002/14651858.CD006211.pub3
  9. Ferdinand AO, Cheon O, Bako AT et al (2019) Interventions aimed at addressing unplanned hospital readmissions in the US: a systematic review. J Hosp Admin 8(1):16–26.  https://doi.org/10.5430/jha.v8n1p16CrossRefGoogle Scholar
  10. Finlasyon E, Maselli J, Steinman MA et al (2011) Inappropriate medication use in older adults undergoing surgery: a national study. J Am Geriatr Soc 59(11):2139–2144.  https://doi.org/10.1111/j.1532-5415.2011.03567.xCrossRefGoogle Scholar
  11. Flood K, MacLennan PA, McGrew D et al (2013) Effects of an acute care for elders unit on costs and 30-day readmissions. JAMA Intern Med 173(11):981–987.  https://doi.org/10.1001/jamainternmed.2013.524CrossRefGoogle Scholar
  12. Fogg C, Griffiths P, Meredith P et al (2018) Hospital outcomes of older people with cognitive impairment: an integrative review. Int J Geriatr Psychiatry 33:1177–1197.  https://doi.org/10.1002/gps.4919CrossRefGoogle Scholar
  13. Fox MT, Persaud M, Maimets I et al (2012) Effectiveness of acute geriatric unit care using acute care for elders components: a systematic review and meta-analysis. J Am Geriatr Soc 60(12):2237–2245.  https://doi.org/10.1111/jgs.12028CrossRefGoogle Scholar
  14. Gentry MT, Lapid MI, Rummans TA (2019) Geriatric telepsychiatry: systematic review and policy considerations. Am J Geriatr Psychiatry 27(2):109–127.  https://doi.org/10.1016/j.jagp.2018.10.009CrossRefGoogle Scholar
  15. Goldstein J, McVey J, Ackroyd-Stolarz S (2016) The role of emergency medical services in geriatrics: bridging the gap between primary and acute care. Can J Emerg Med 18(1):54–61.  https://doi.org/10.1017/cem.2015.73CrossRefGoogle Scholar
  16. Gupta S, Perry JA, Kozar R (2019) Transitions of care in geriatric medicine. Clin Geriatr Med 35:45–52.  https://doi.org/10.1016/j.cger.2018.08.005CrossRefGoogle Scholar
  17. Hartjes TM (2015) Making the case for palliative care in critical care. Crit Care Nurs Clin North Am 27(3):289–295.  https://doi.org/10.1016/j.cnc.2015.05.004CrossRefGoogle Scholar
  18. Hickman L, Newton P, Halcomb EJ et al (2007) Best practice interventions to improve the management of older people in acute care settings: a literature review. J Adv Nurs 60(2):113–126.  https://doi.org/10.1111/j.1365-2648.2007.04417.xCrossRefGoogle Scholar
  19. Hirshon JM, Risko N, Calvello E et al (2013) Health systems and services: the role of acute care. Bull World Health Organ 91:386–388.  https://doi.org/10.2471/BLT.12.112664CrossRefGoogle Scholar
  20. Hung WW, Ross JS, Farber J et al (2013) Evaluation of the mobile acute care of the elderly (MACE) service. JAMA Intern Med 173(11):990–996.  https://doi.org/10.1001/jamainternmed.2013.478CrossRefGoogle Scholar
  21. Hwang U, Shah MN, Han JH (2013) Transforming emergency care for older adults. Health Aff (Millwood) 32(12):2116–2121.  https://doi.org/10.1377/hlthaff.2013.0670CrossRefGoogle Scholar
  22. Inouye SK, Stuenski S, Tinetti ME et al (2007) Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc 55(5):780–791.  https://doi.org/10.1111/j.1532-5415.2007.01156.xCrossRefGoogle Scholar
  23. Kansagara D, Englander H, Salanitro A et al (2011) Risk prediction models for hospital readmission: a systematic review. JAMA 306(15):1688–1698.  https://doi.org/10.1001/jama.2011.1515CrossRefGoogle Scholar
  24. Karlekar MB, Maxwell CA, Dietrich MS et al (2017) Creating new opportunities to educate families on the impact of frailty and cognitive impairment in a trauma intensive care unit: results of a quality improvement project. J Palliat Med 20(2):193–196.  https://doi.org/10.1089/jpm.2016.0244CrossRefGoogle Scholar
  25. Kruser JM, Taylor LJ, Campbell TC et al (2017) “Best-case/worse case”: training surgeons to use a novel communication tool for high-risk acute surgical problems. J Pain Symptom Manag 53(4):711–719.  https://doi.org/10.1016/j.jpainsymman.2016.11.014CrossRefGoogle Scholar
  26. Lovelace D, Hancock D, Hughes SS et al (2016) A patient-centered transitional care case management program: taking case management to the streets and beyond. Prof Case Manag 21(6):277–290.  https://doi.org/10.1097/NCM.0000000000000158CrossRefGoogle Scholar
  27. Mogul AS, Cline DM, Gabbard J et al (2019) Missed opportunities: integrating palliative care into the emergency department for older adults presenting as level 1 triage priority from long-term care facilities. J Emerg Med 56(2):145–512.  https://doi.org/10.1016/j.jemermed.2018.10.020CrossRefGoogle Scholar
  28. Mollers T, Stocker H, Wei W et al (2019) Length of hospital stay and dementia: a systematic review of observational studies. Int J Geriatr Psychiatry 34:8–21.  https://doi.org/10.1002/gps.4993CrossRefGoogle Scholar
  29. Nothelle SK, Sharma R, Oakes AH et al (2017) Determinants of potentially inappropriate medication use in long-term and acute care settings: a systematic review. J Am Med Dir Assoc 18:806.e1.  https://doi.org/10.1016/j.jamda.2017.06.005CrossRefGoogle Scholar
  30. Ouchi E, George N, Schuur JD et al (2019) Goals-of-care conversations for older adults with serious illness in the emergency department: challenges and opportunities. Ann Emerg Med.  https://doi.org/10.1016/j.annemergmed.2019.01.003CrossRefGoogle Scholar
  31. Perry A, Tejada M, Melady D (2018) An approach to the older patient in the emergency department. Clin Geriatr Med 34(3):299–311.  https://doi.org/10.1016/j.cger.2018.03.001CrossRefGoogle Scholar
  32. Romero-Ortuno R, Forsyth DR, Wilson KJ et al (2017) The association of geriatric syndromes with hospital outcomes. J Hosp Med 12(2):83–89.  https://doi.org/10.12788/jhm.2685CrossRefGoogle Scholar
  33. Schubert C, Parks R, Coffing JM et al (2018) Lessons and outcomes of mobile acute care for elders consultation in a veterans affairs medical center. J Am Geriatr Soc 67:818.  https://doi.org/10.1111/jgs.15730CrossRefGoogle Scholar
  34. Shah MN, Gillespie SM, Wood N et al (2013) High-intensity telemedicine-enhanced acute care for older adults: an innovative healthcare delivery model. J Am Geriatr Soc 61(11):2000–2007.  https://doi.org/10.1111/jgs.12523CrossRefGoogle Scholar
  35. Sheikh F, Gathecha E, Bellantoni M et al (2018) A call to bridge across silos during care transitions. Jt Comm J Qual Patient Saf 44(5):270–278.  https://doi.org/10.1016/j.jcjq.2017.10.006CrossRefGoogle Scholar
  36. Soares Menezes KVR, Auger C, de Souza Menezes WR et al (2017) Instruments to evaluate mobility capacity of older adults during hospitalization: a systematic review. Arch Gerontol Geriatr 72:67–79.  https://doi.org/10.1016/j.archger.2017.05.009CrossRefGoogle Scholar
  37. Stockwell-Smith G, Moyle W, Marshall AP (2018) Hospital discharge processes involving older adults living with dementia: an integrated literature review. J Clin Nurs 27:e712.  https://doi.org/10.1111/jocn.14144CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Saint Louis University School of Social WorkSt. LouisUSA

Section editors and affiliations

  • Karen L. Fortuna
    • 1
  • Nazmi Sari
    • 2
  1. 1.Geisel School of MedicineDartmouth CollegeHanoverUSA
  2. 2.Department of EconomicsUniversity of SaskatchewanSaskatoonCanada