Frail Elderly Clinical Trial
Official title:
Geriatric Education and Its Effect on Certain Aspects of Hospital Care of the Nursing Home Patients
Nursing home patients admitted to the hospital pose a significant challenge for health care providers. Geriatric teaching pays particular attention to these admissions and related problems. However, it is yet to be proven, whether geriatric training helps to overcome any of these issues in a better way than through non-geriatric education. The study aims to prove that geriatric training provides advantages over non-geriatric training in caring for nursing home patients admitted to the hospital.
Context: Nursing home patients admitted to the hospital pose a significant challenge for
health care providers. Geriatric age, frailty, multiple readmissions, prolonged length of
stay, and high mortality are just a few attributes of nursing home patients in the hospital.
Geriatric teaching pays particular attention to these challenging problems. However, it is
yet to be proven, whether geriatric training helps to overcome any of these issues in a
better way than through non-geriatric education.
Objective: To test the hypothesis that geriatric care provides advantages over non-geriatric
training in caring for nursing home patients admitted to the hospital in regards to length
of stay, rate of expirations and rate of readmissions. The secondary objective is to compare
expirations and readmissions among patients cared for by geriatricians and
non-geriatricians.
Design, Setting, and Participants: Retrospective cohort study of patients admitted from
Metropolitan Jewish Geriatric Nursing Home (MJGNH) to Maimonides Medical Center (MMC) over a
certain period of time and under the care of geriatricians, non-geriatric internists, and
surgeons. Comparison of the three study groups by age, sex, expiration rate, length of
hospital stay (LOS) and readmission rate. Comparison of expired patients by age, sex and
average LOS. Comparison of readmissions, expiration rate, by preservation of continuity of
care, and by emergency room visits without admission.
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