Effects of alternative interventions among hospitalized, cognitively impaired older adults

TitleEffects of alternative interventions among hospitalized, cognitively impaired older adults
Publication TypeJournal Article
Year of Publication2016
AuthorsNaylor, Mary D., Karen B. Hirschman, Alexandra L. Hanlon, Kathryn H. Bowles, Christine Bradway, Kathleen M. McCauley, and Mark V. Pauly
JournalJournal of Comparative Effectiveness Research
Volume5
Pagination259-72
ISBN Number2042-6313 (Electronic)2042-6305 (Linking)
Accession NumberPMID: 27146416
AbstractAIM: Compare within site effects of three interventions designed to enhance outcomes of hospitalized cognitively impaired elders. METHODS: Prospective, nonrandomized, confirmatory phased study. In Phase I, 183 patients received one of three interventions: augmented standard care (ASC), resource nurse care (RNC) or Transitional Care Model (TCM). In Phase II, 205 patients received the TCM. RESULTS: Time to first rehospitalization or death was longer for the TCM versus ASC group (p = 0.017). Rates for total all-cause rehospitalizations and days were significantly reduced in the TCM versus ASC group (p < 0.001, both). No differences were observed between RNC versus TCM. CONCLUSION: Findings suggest the TCM is more effective than ASC. However, potential effects of the RNC relative to the TCM warrant further study.
URLhttp://dx.doi.org/10.2217/cer-2015-0009
PMCIDPMCID: PMC4926523