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Effect of an Inpatient Geriatric Consultation Team on Functional Outcome, Mortality, Institutionalization, and Readmission Rate in Older Adults with Hip Fracture: A Controlled Trial.
- Source :
-
Journal of the American Geriatrics Society . Jul2011, Vol. 59 Issue 7, p1299-1308. 10p. 4 Charts. - Publication Year :
- 2011
-
Abstract
- OBJECTIVES: To evaluate the effect of an inpatient geriatric consultation team (IGCT) on end points of interest in people with hip fracture: length of stay, functional status, mortality, new nursing home admission, and hospital readmission. DESIGN: Controlled trial based on assignment by convenience. SETTING: Trauma ward in a university hospital. PARTICIPANTS: One hundred seventy-one people with hip fracture aged 65 and older. INTERVENTION: Participants were assigned to a multidisciplinary geriatric intervention (n=94) or usual care (n=77) during hospitalization after hip fracture. MEASUREMENTS: End points were functional status, length of stay, mortality, new nursing home admission, and hospital readmission 6 weeks, 4 months, and 12 months after surgery. RESULTS: Mean length of stay was 11.1 ± 5.1 days in the intervention group and 12.4 ± 8.5 days in the control groups (P=.24). Complete adherence to IGCT recommendations was 56.8%. A significant benefit of intervention on functional status in univariate analyses (P=.02) 8 days after surgery disappeared in a linear mixed model. Participants with dementia had better functional status in a linear mixed model than those without (P=.03), but this effect was no longer significant after Bonferroni correction for multiple testing. After 6 weeks, 4 months, and 12 months, no between-group differences could be documented for mortality, new nursing home admission, or readmission rate. CONCLUSION: This trial could not document functional benefits of an IGCT intervention in people with hip fracture. More research is needed to investigate whether a more-intensive approach with more-direct control over patient management, more-specific recommendations, and more-intense education would be effective. [ABSTRACT FROM AUTHOR]
- Subjects :
- *OLDER people
*ELDER care
*ANALYSIS of variance
*CLINICAL trials
*COMPUTER software
*DEPRESSION in old age
*MENTAL depression
*DIAGNOSIS
*BONE fractures
*HEALTH care teams
*HIP joint injuries
*LENGTH of stay in hospitals
*HOSPITALS
*HOSPITAL admission & discharge
*LIFE skills
*MEDICAL consultants
*DEATH rate
*PROBABILITY theory
*PSYCHOLOGICAL tests
*STATISTICS
*COMORBIDITY
*SAMPLE size (Statistics)
*DATA analysis
*ACTIVITIES of daily living
*REPEATED measures design
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 59
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 62951657
- Full Text :
- https://doi.org/10.1111/j.1532-5415.2011.03488.x