Age and ageing
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Randomized Controlled Trial Multicenter Study
Structured re-assessment system at 6 months after a disabling stroke: a randomised controlled trial with resource use and cost study.
national policy recommends routine re-assessment of disabled patients and their carers at 6 months after stroke onset. The clinical and resource outcomes of this policy were investigated. ⋯ the structured, systematic re-assessment for patients and their carers was not associated with any clinically significant evidence of benefit at 12 months. Health and social care resource use and mean cost per patient were broadly similar in both groups.
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Randomized Controlled Trial Multicenter Study Comparative Study
Post-acute care for older people in community hospitals--a cost-effectiveness analysis within a multi-centre randomised controlled trial.
to compare the cost effectiveness of post-acute care for older people provided in community hospitals with general hospital care. ⋯ the cost effectiveness of post-acute rehabilitation for older people was similar in community hospitals and general hospitals.
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Multicenter Study
Incidence and main factors associated with early unplanned hospital readmission among French medical inpatients aged 75 and over admitted through emergency units.
among elderly patients, readmission in the month following hospital discharge is a frequent occurrence which involves a risk of functional decline, particularly among frail subjects. While previous studies have identified risk factors of early readmission, geriatric syndromes, as markers of frailty have not been assessed as potential predictors. ⋯ markers of frailty (poor overall condition, pressure sores, prior hospitalisation) or severe disability (for self-feeding) were the most important predictors of early readmission among elderly medical inpatients. Early identification could facilitate preventive strategies in risk group.
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Multicenter Study Historical Article
National audit of continence care for older people: management of urinary incontinence.
the Department of Health report 'Good practice in continence services' highlights the need for proper assessment and management of urinary incontinence. The National Service Framework for Older People required service providers to establish integrated continence services by April 2004. A national audit was conducted to assess the quality of continence care for older people and whether these requirements have been met. ⋯ the results of this audit indicate that the requirement for integrated continence services has not yet been met. Assessment and care by professionals directly looking after the older person were often lacking. There is an urgent need to re-establish the fundamentals of continence care into the practice of medical and nursing staff and action needs to be taken with regard to the establishment of truly integrated, quality services in this neglected area of practice.