دورية أكاديمية
Impact of geriatric co-management on outcomes in hospitalised cardiology patients aged 85 and over.
| العنوان: | Impact of geriatric co-management on outcomes in hospitalised cardiology patients aged 85 and over. |
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| المؤلفون: | Raijmann RCMA; Department of Geriatrics, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, The Netherlands. r.c.m.a.raijmann-3@umcutrecht.nl.; Department of Geriatrics, UMC Utrecht, Utrecht, The Netherlands. r.c.m.a.raijmann-3@umcutrecht.nl., Koek HL; Department of Geriatrics, UMC Utrecht, Utrecht, The Netherlands., Emmelot-Vonk MH; Department of Geriatrics, UMC Utrecht, Utrecht, The Netherlands., Swaving JGE; Medical School, Radboud University, Nijmegen, The Netherlands., Agema WRP; Department of Cardiology, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, The Netherlands., Kerckhoffs APM; Department of Geriatrics, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, The Netherlands., Keijsers CJPW; Department of Geriatrics, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, The Netherlands. |
| المصدر: | Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation [Neth Heart J] 2024 Feb; Vol. 32 (2), pp. 76-83. Date of Electronic Publication: 2023 Aug 31. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Bohn Stafleu van Loghum Country of Publication: Netherlands NLM ID: 101095458 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1568-5888 (Print) Linking ISSN: 15685888 NLM ISO Abbreviation: Neth Heart J Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Houten : Bohn Stafleu van Loghum Original Publication: Leusden, The Netherlands : Mediselect bv, c2001- |
| مستخلص: | Objective: Cardiovascular disease and frailty are common among the population aged 85+. We hypothesised these patients might benefit from geriatric co-management, as has been shown in other frail patient populations. However, there is limited evidence supporting geriatric co-management in older, hospitalised cardiology patients. Methods: A retrospective cohort study was performed in a large teaching hospital in the Netherlands. We compared patients aged 85 and over admitted to the cardiology ward before (control group) and after the implementation of standard geriatric co-management (intervention group). Data on readmission, mortality, length of stay, number of consultations, delirium, and falls were analysed. Results: The data of 1163 patients were analysed (n = 542 control, n = 621 intervention). In the intervention group, 251 patients did not receive the intervention because of logistic reasons or the treating physician's decision. Baseline characteristics were comparable in the intervention and control groups. Patients in the intervention group had a shorter length of stay (-1 day, p = 0.01) and were more often discharged to a geriatric rehabilitation facility (odds ratio [OR] 1.97, 95% confidence interval [CI] 1.10-3.54, p = 0.02) compared with the control patients. Other outcomes were not significantly different between the groups. Conclusions: After implementation of standard geriatric co-management for hospitalised cardiology patients aged 85 and over, the length of hospital stay shortened and the number of patients discharged to a geriatric rehabilitation facility increased. The adherence to geriatric team recommendations was high. Geriatric co-management would appear to optimise care for older hospitalised patients with cardiac disease. (© 2023. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Aged; Geriatric co-management; Heart diseases; Quality improvement |
| تواريخ الأحداث: | Date Created: 20230831 Latest Revision: 20240204 |
| رمز التحديث: | 20240205 |
| مُعرف محوري في PubMed: | PMC10834903 |
| DOI: | 10.1007/s12471-023-01806-y |
| PMID: | 37651030 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1568-5888 |
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| DOI: | 10.1007/s12471-023-01806-y |