Implementing a multidisciplinary rapid geriatric observation unit for non-critical older patients referred to hospital: observational study on real-world data

Nouvenne, Antonio; Ticinesi, Andrea; Cerundolo, Nicoletta; Prati, Beatrice; Parise, Alberto; Chiussi, Giulia; Frosio, Laura; Guerra, Angela; Brianti, Ettore; Fabi, Massimo; Meschi, Tiziana

doi:10.1007/s40520-021-01967-z

Cited by 5 publications

(4 citation statements)

References 54 publications

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“…Twenty-two primary studies were included in the review, including fourteen quantitative [ 12 , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] ], four qualitative [ 30 , [55] , [56] , [57] ], and four mixed methods studies [ 29 , [58] , [59] , [60] ] ( Table 3 ). The included studies were published between 2003 and 2023 and were conducted in the UK ( n = 7), the USA ( n = 4), Australia ( n = 4), Canada ( n = 3), New Zealand, Finland, Italy, and Germany.…”

Section: Resultsmentioning

confidence: 99%

Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review

Xiong,

Bailey,

Prudon

et al. 2024

International Journal of Nursing Sciences

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Section: Resultsmentioning

confidence: 99%

Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review

Xiong,

Bailey,

Prudon

et al. 2024

International Journal of Nursing Sciences

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“…Six of these articles (16.2%) used a single outcome measure from the physical domain, with other outcome measures from other domains. The single outcome measures used were: POMA [32], the MDS-PAC instrument [9], WHODAS [3], the Short Physical Performance Battery test (SPPB) [37], the Hand-Grip Strength Test (HGS) [38] and the Timed Up and Go test (TUG) [4]. The remaining articles used multiple physical assessments.…”

Section: Assessments Used For Geriatric Rehabilitationmentioning

confidence: 99%

Assessment Tools for the Admission of Older Adults to Inpatient Rehabilitation: A Scoping Review

Muscat

Camilleri

Attard

et al. 2023

JCM

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(1) Objective: To identify the assessment tools and outcome measures used to assess older adults for inpatient rehabilitation. (2) Design: Scoping review. (3) Data sources: ProQuest, PEDro, PubMed, CINAHL Plus with full text (EBSCO), Cochrane Library and reference lists from included studies. (4) Review method: The inclusion of studies covering patients aged >60, focusing on rehabilitation assessments delivered in hospitals in community settings. Studies reporting on rehabilitation specifically designed for older adults—testing for at least one domain that affects rehabilitation or assessments for admission to inpatient rehabilitation—were also included. Results were described both quantitatively and narratively. (5) Results: 1404 articles were identified through selected databases and registers, and these articles underwent a filtering process intended to identify and remove any duplicates. This process reduced the number to 1186 articles. These, in turn, were screened for inclusion criteria, as a result of which 37 articles were included in the final review. The majority of assessments for geriatric rehabilitation were carried out by a multidisciplinary team. Multiple studies considered more than one domain during assessment, with a high percentage evaluating a specific outcome measure used in geriatric rehabilitation. The most common domains assessed were function, cognition and medical status—with communication, vision and pain being the least common. A total of 172 outcome measures were identified in this review, with MMSE, BI, FIM and CCI being the most frequent. (6) Conclusions: This review highlights the lack of standardised approaches in existing assessment processes. Generally, older-adult-rehabilitation assessments struggle to capture rehabilitation potential in a holistic manner. Hence, a predictive model of rehabilitation for assessing patients at the initial stages would be useful in planning a patient-specific programme aimed at maximising functional independence and, thus, quality of life.

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“…The provision of tailored bed-based in-patient care for frail adults as a direct alternative to treatment on a general medical ward was described in 32 articles derived from 24 studies. This included 8 articles [15][16][17][18][19][20][21][22] reporting results from 6 randomised controlled trials, 1 trial protocol without results [23], 11 observational studies with a comparator group reported across 15 articles [24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] and 8 descriptive studies without a comparator [39][40][41][42][43][44][45][46]. A detailed description of the care models is provided in Supplementary Table 2A.…”

Section: Bedded Acute Frailty Units Modelsmentioning

confidence: 99%

Acute care models for older people living with frailty: a systematic review and taxonomy

Knight,

Kamwa,

Atkin

et al. 2023

BMC Geriatr

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Background The need to improve the acute care pathway to meet the care needs of older people living with frailty is a strategic priority for many healthcare systems. The optimal care model for this patient group is unclear. Methods A systematic review was conducted to derive a taxonomy of acute care models for older people with acute medical illness and describe the outcomes used to assess their effectiveness. Care models providing time-limited episodes of care (up to 14 days) within 48 h of presentation to patients over the age of 65 with acute medical illness were included. Care models based in hospital and community settings were eligible. Searches were undertaken in Medline, Embase, CINAHL and Cochrane databases. Interventions were described and classified in detail using a modified version of the TIDIeR checklist for complex interventions. Outcomes were described and classified using the Core Outcome Measures in Effectiveness Trials (COMET) taxonomy. Risk of bias was assessed using RoB2 and ROBINS-I. Results The inclusion criteria were met by 103 articles. Four classes of acute care model were identified, acute-bed based care, hospital at home, emergency department in-reach and care home models. The field is dominated by small single centre randomised and non-randomised studies. Most studies were judged to be at risk of bias. A range of outcome measures were reported with little consistency between studies. Evidence of effectiveness was limited. Conclusion Acute care models for older people living with frailty are heterogenous. The clinical effectiveness of these models cannot be conclusively established from the available evidence. Trial registration PROSPERO registration (CRD42021279131).

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Implementing a multidisciplinary rapid geriatric observation unit for non-critical older patients referred to hospital: observational study on real-world data

Cited by 5 publications

References 54 publications

Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review

Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review

Assessment Tools for the Admission of Older Adults to Inpatient Rehabilitation: A Scoping Review

Acute care models for older people living with frailty: a systematic review and taxonomy

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