Substitutive âHospital at Homeâ Versus Inpatient Care for Elderly Patients with Exacerbations of Chronic Obstructive Pulmonary Disease: A Prospective Randomized, Controlled Trial
| Autor: | Renata Marinello, Mario Molaschi, Carla Scarafiotti, Mauro Zanocchi, Vittoria Tibaldi, Nicoletta Aimonino Ricauda, Bruce Leff |
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| Rok vydání: | 2008 |
| Předmět: |
Geriatrics
medicine.medical_specialty COPD Acute exacerbation of chronic obstructive pulmonary disease Exacerbation Inpatient care business.industry medicine.disease law.invention Quality of life Randomized controlled trial law Emergency medicine Physical therapy Medicine Geriatrics and Gerontology business Cohort study |
| Zdroj: | Journal of the American Geriatrics Society. 56:493-500 |
| ISSN: | 1532-5415 0002-8614 |
| DOI: | 10.1111/j.1532-5415.2007.01562.x |
| Popis: | OBJECTIVES: To evaluate hospital readmission rates and mortality at 6-month follow-up in selected elderly patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). DESIGN: Prospective randomized, controlled, single-blind trial with 6-month follow-up. SETTING: San Giovanni Battista Hospital of Torino. PARTICIPANTS: One hundred four elderly patients admitted to the hospital for acute exacerbation of COPD were randomly assigned to a general medical ward (GMW, n=52) or to a geriatric home hospitalization service (GHHS, n=52). MEASUREMENTS: Measurements of baseline sociodemographic information; clinical data; functional, cognitive, and nutritional status; depression; and quality of life were obtained. RESULTS: There was a lower incidence of hospital readmissions for GHHS patients than for GMW patients at 6-month follow-up (42% vs 87%, P |
| Databáze: | OpenAIRE |
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