Restructuring Care for Older Adults Undergoing Surgery: Preliminary Data from the Co-Management of Older Operative Patients En Route Across Treatment Environments (CO-OPERATE) Model of Care

2014 ◽  
Vol 62 (11) ◽  
pp. 2185-2190 ◽  
Author(s):  
Lisa M. Walke ◽  
Ronnie A. Rosenthal ◽  
Mark Trentalange ◽  
Melissa F. Perkal ◽  
Maria Maiaroto ◽  
...  
2016 ◽  
Vol 64 (10) ◽  
pp. 2149-2153 ◽  
Author(s):  
Márlon J. R. Aliberti ◽  
Claudia K. Suemoto ◽  
Sileno Q. Fortes-Filho ◽  
Juliana A. Melo ◽  
Carolina B. Trindade ◽  
...  

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505114p1-7512505114p1
Author(s):  
Meredith H. Lee

Abstract Date Presented 04/20/21 Most research studying fall experiences and fall prevention program preferences focuses on older adults, overlooking the falls that occur in midlife. This pilot study gathered preliminary data on fall experiences, consequences, and fall prevention preferences of adults in midlife. Almost all participants experienced functional consequences from their fall and had interest in learning about fall prevention, suggesting that fall prevention programs could be beneficial for middle-aged adults. Primary Author and Speaker: Meredith H. Lee Additional Authors and Speakers: Rachel Reed Contributing Authors: Samantha Grant, Jodi Thomas, and Roy St. Laurent


2012 ◽  
Vol 18 (Suppl 1) ◽  
pp. A185.2-A185
Author(s):  
Ruelas-González Ma Guadalupe ◽  
Pelcastre V Blanca ◽  
Reyes M Hortensia
Keyword(s):  

2019 ◽  
Vol 67 (9) ◽  
pp. 1946-1952
Author(s):  
Andrea M. Morris ◽  
Jessa K. Engelberg ◽  
Brenda Schmitthenner ◽  
David Dosa ◽  
Emily Gadbois ◽  
...  

2019 ◽  
Author(s):  
Marica Cassarino ◽  
Katie Robinson ◽  
Íde O’Shaughnessy ◽  
Eimear Smalle ◽  
Stephan White ◽  
...  

Abstract Background Older people are frequent Emergency Department (ED) users who present with complex issues that are linked to poorer health outcomes post-index visit, often have increased ED length of stay and tend to have raised healthcare costs. Encouraging evidence suggests that ED teams involving health and social care professionals (HSCPs) can contribute to enhanced patient flow and improved patient experience by improving care decision-making and thus promoting timely and effective care. However, the evidence supporting the impact of HSCPs teams assessing and intervening with older adults in the ED is limited and identifies important methodological limitations, highlighting the need for more robust and comprehensive investigations of this model of care. This study aims to evaluate the impact of a dedicated ED-based HSCP team on the quality, safety, clinical and cost-effectiveness of care of older adults when compared to usual care. Methods The study is a single-site randomised controlled trial whereby patients aged ≥65 years who present to the ED of a large Irish hospital will be randomised to the experimental group (ED-based HSCP assessment and intervention) or the control group (usual ED care). The recruitment target is 320 participants. The HSCP team will provide a comprehensive functional assessment as well as interventions to promote a safe discharge for the patient. The primary outcomes include ED length of stay (from arrival to discharge) and incidence of inpatient admissions from the ED. Secondary outcomes include: ED re-visits, unplanned hospital admissions and healthcare utilisation at 30-days and six-month follow-up; patient functional status and quality of life (at baseline and follow-up); patient satisfaction; costs-effectiveness in terms of costs associated with ED-based HSCP compared to usual care; and perceptions on implementation by ED staff members. Discussion This is the first randomised controlled trial testing the impact of HSCPs working in teams in the ED on the quality, safety, clinical and cost-effectiveness of care for older patients. The findings of the study will provide important information on the effectiveness of this model of care for future implementation.


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