A prospective baseline study of frail older people before the introduction of an intermediate care service

Autor:	Jon Fear, Sue Chell, Stephen Chaplin, Mike Robinson, John Young, Diana Sanderson, Eileen Burns
Rok vydání:	2005
Předmět:	Gerontology Activities of daily living Sociology and Political Science Frail Elderly medicine.medical_treatment Intermediate Care Facility Humans Medicine Community Health Services Prospective Studies Prospective cohort study Geriatric Assessment Aged Aged 80 and over Service (business) Rehabilitation business.industry Health Policy Mortality rate Public Health Environmental and Occupational Health Distress England General Health Questionnaire Intermediate Care Facilities business Social Sciences (miscellaneous)
Zdroj:	Health and Social Care in the Community. 13:307-312
ISSN:	1365-2524 0966-0410
DOI:	10.1111/j.1365-2524.2005.00555.x
Popis:	This paper describes the first part of a two-stage research project designed to investigate the clinical and service outcomes of a comprehensive intermediate care service. It is a baseline study of patients presenting to two elderly care departments as emergencies with the clinical syndromes of falls, incontinence, confusion or poor mobility before the introduction of a city-wide intermediate care service. The outcome measures were: mortality; disability (Barthel Index, BI); social activities (Nottingham Extended Activities of Daily Living); service use; and carer distress (General Health Questionnaire -28). These were measured at 3, 6 and 12 months after recruitment. Eight hundred and twenty-three patients were recruited (median age = 84 years; proportion of women = 70%; proportion with cognitive impairment = 45%; median BI score = 15). There was a high mortality rate (36%), evidence for incomplete recovery, a gradual decline in independence over 12 months and a high degree of carer stress. There was little use of rehabilitation services (< 5%), about 25% required readmission to hospital by each assessment point and there was a gradual increase in institutional care admissions. These findings support a needs-based argument for a more comprehensive community service for frail older people.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c6d9d18c7e13392424ff949616f3461f https://doi.org/10.1111/j.1365-2524.2005.00555.x Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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