Evaluation of the Mobile Acute Care of the Elderly (MACE) Unit
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 346
- 试验地点
- 1
- 主要终点
- Length of Hospital Stay
研究概览
简要总结
The purpose of this study is to determine if a new model of care, the Mobile Acute Care of the Elderly Unit is beneficial in improving patient outcomes for elderly patients admitted to the hospital.
详细描述
Inpatient hospitalizations for the elderly are fraught with hazards. Hospital complications such as delirium, falls, pressure ulcers are common in the elderly. These complications may be avoidable. Patient care units specializing in geriatric care, acute care of the elderly (ACE) units, were developed and tested and had demonstrated fewer patients discharged to nursing home, and improved ability of acutely ill older patients to perform basic activities of daily living at the time of discharge (1). However, ACE unit model have not been widely disseminated because of issues of financial viability and other limitations.
Mobile Acute Care of the Elderly (MACE) unit, a new model of geriatric inpatient care, was newly developed at the Mount Sinai Hospital and has been in use since July 2007.
MACE consists of a team care providers dedicated to the care of inpatient hospitalized elderly patients. The team consists of an attending geriatrician, a geriatrics fellow, a nurse practitioner, a social worker. The potential benefits of the MACE team over a general medicine medical service include specific attention to the needs of the elderly in the inpatient setting, potential complications, the avoidance of potentially harmful medications and improved communication in transition of care. Other quality outcome measures such as length of stay, re-hospitalization rates may be affected as a result of MACE care.
The purpose of the study is to evaluate patient care using quality markers including length of stay, re-hospitalization rates, patient satisfaction of patients admitted to the Mobile Acute Care of the Elderly Unit compared to a prospectively matched and propensity score matched control group from patients admitted to general medicine service.
Description of cohort group selection methods
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients admitted to general medical service either to Mobile Acute Care of the Elderly (MACE) Unit or to general medicine 75 years or older.
- •Patients or surrogates must be reachable by the phone.
- •Patient must have a Sinai affiliated physician who is identified by patient or surrogate to be primary care provider
排除标准
- •The patient is less than 75 years old.
- •The patient was admitted to specialty services including cardiology-telemetry unit, intensive care, surgery, Respiratory Care Unit (RCU).
- •The patient was previously admitted to an outside hospital and now transferred to Mount Sinai for further care.
- •The patient cannot be contacted by telephone.
结局指标
主要结局
Length of Hospital Stay
时间窗: Depending on hospital stay
次要结局
- Rehospitalization Rate(30 days)