One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; "Continuum of care for frail older people"

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Eklund, Kajsa,1952Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Centrum för åldrande och hälsa (AgeCap),Institute of Health and Care Sciences,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation,Centre for Ageing and Health (Agecap) (författare)

One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; "Continuum of care for frail older people"

Artikel/kapitelEngelska2013

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2013-07-22
Springer Science and Business Media LLC,2013
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LIBRIS-ID:oai:lup.lub.lu.se:1ef3d952-21e0-4a06-9597-b6e3644b066d
https://lup.lub.lu.se/record/4025933URI
https://doi.org/10.1186/1471-2318-13-76DOI
https://gup.ub.gu.se/publication/182400URI

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Språk:engelska
Sammanfattning på:engelska

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Background: The intervention; "Continuum of Care for Frail Older People", was designed to create an integrated continuum of care from the hospital emergency department through the hospital and back to the older person's own home. The aim of this study is to evaluate the effects of the intervention on functional ability in terms of activities of daily living (ADL). Methods: The study is a non-blinded controlled trial with participants randomised to either the intervention group or a control group with follow-ups at three-, six- and 12 months. The intervention involved collaboration between a nurse with geriatric competence at the emergency department, the hospital wards and a multi-professional team for care and rehabilitation of the older people in the municipality with a case manager as the hub. Older people who sought care at the emergency department at Sahlgrenska University Hospital/Molndal and who were discharged to their own homes in the municipality of Molndal, Sweden were asked to participate. Inclusion criteria were age 80 and older or 65 to 79 with at least one chronic disease and dependent in at least one ADL. Analyses were made on the basis of the intention-to-treat principle. Outcome measures were ADL independence and eight frailty indicators. These were analysed, using Chi-square and odds ratio (OR). Results: A total of 161 participated in the study, 76 persons allocated to the control group and 85 to the intervention group were analysed throughout the study. There were no significant differences between the groups with regards to change in frailty compared to baseline at any follow-up. At both the three-and twelve-month follow-ups the intervention group had doubled their odds for improved ADL independence compared to the control (OR 2.37, 95% CI; 1.20 - 4.68) and (2.04, 95% CI; 1.03 - 4.06) respectively. At six months the intervention group had halved their odds for decreased ADL independence (OR 0.52, 95% CI; 0.27 - 0.98) compared to the control group. Conclusions: The intervention has the potential to reduce dependency in ADLs, a valuable benefit both for the individual and for society.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
Integrated care
Health care chain
Rehabilitation
Independence
Aging
in place
Frail older people

Biuppslag (personer, institutioner, konferenser, titlar ...)

Wilhelmson, Katarina,1958Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Centrum för åldrande och hälsa (AgeCap),Institute of Medicine, School of Public Health and Community Medicine,Centre for Ageing and Health (Agecap)(Swepub:gu)xwilka (författare)
Gustafsson, Helena,1962Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institutionen för neurovetenskap och fysiologi,Institute of Medicine,Institute of Neuroscience and Physiology(Swepub:gu)xghelx (författare)
Landahl, StenGothenburg University,Göteborgs universitet,Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Centrum för åldrande och hälsa (AgeCap),Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Centre for Ageing and Health (Agecap),Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation(Swepub:gu)xlstek (författare)
Dahlin-Ivanoff, SynneveGothenburg University,Göteborgs universitet,Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Centrum för åldrande och hälsa (AgeCap),Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Centre for Ageing and Health (Agecap),Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation(Swepub:gu)xdahsy (författare)
Göteborgs universitetInstitutionen för vårdvetenskap och hälsa (creator_code:org_t)

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Ingår i:BMC Geriatrics: Springer Science and Business Media LLC131471-2318

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Av författaren/redakt...: Eklund, Kajsa, 1 ...; Wilhelmson, Kata ...; Gustafsson, Hele ...; Landahl, Sten; Dahlin-Ivanoff, ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Geriatrik

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap

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Av lärosätet: Lunds universitet; Göteborgs universitet

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