Efficacy of acute care pathways for older patients: a systematic review and meta-analysis

Abtin Ijadi Maghsoodi (), Valery Pavlov (), Paul Rouse (), Cameron G. Walker () and Matthew Parsons ()
Additional contact information
Abtin Ijadi Maghsoodi: University of Auckland
Valery Pavlov: University of Auckland
Paul Rouse: University of Auckland
Cameron G. Walker: University of Auckland
Matthew Parsons: University of Waikato

European Journal of Ageing, 2022, vol. 19, issue 4, No 59, 1585 pages

Abstract: Abstract Meeting the needs of acute geriatric patients is often challenging, and although evidence shows that older patients need tailored care, it is still unclear which interventions are most appropriate. The objective of this study is to systematically evaluate the hospital-wide acute geriatric models compared with conventional pathways. The design of the study includes hospital-wide geriatric-specific models characterized by components including patient-centered care, frequent medical review, early rehabilitation, early discharge planning, prepared environment, and follow‐up after discharge. Primary and secondary outcomes were considered, including functional decline, activities of daily living (ADL), length-of-stay (LoS), discharge destination, mortality, costs, and readmission. A systematic review and meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A total of 20 studies reporting on 15 trials and acutely admitted patients with an average age of 79, complex conditions and comorbidities to acute geriatric-specific pathways (N = 13,595) were included. Geriatric-specific models were associated with lower costs (weighted mean difference, WMD = − $174.98, 95% CI = -$332.14 to − $17.82; P = 0.03), and shorter LoS (WMD = − 1.11, 95% CI = − 1.39 to − 0.83; P

Keywords: Acute geriatric pathways; Acute care for older persons; Meta-analysis; Systematic literature review; Randomized controlled trial (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s10433-022-00743-w Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:eujoag:v:19:y:2022:i:4:d:10.1007_s10433-022-00743-w

Ordering information: This journal article can be ordered from
https://www.springer ... iences/journal/10433

DOI: 10.1007/s10433-022-00743-w

Access Statistics for this article

European Journal of Ageing is currently edited by Marja Aartsen, Susanne Iwarsson and Prof. Dr. Matthias Kliegel

More articles in European Journal of Ageing from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().