An interventional study of Acute Care of Elders focused geriatric care in Delirium, Age-Related Cognitive Decline and Frail Elderly, sponsored by Oregon Health and Science University. Status unknown at 1 site in United States. Per ClinicalTrials.gov, last updated 2019-11-04.
Sponsored by Oregon Health and Science University · Not applicable, Interventional, and Health services research
The purpose of this investigation is to assess the effectiveness of a multi-disciplinary Acute Care for Elders (ACE) program dedicated to the care of patients age 70 and older admitted to Oregon Health \& Science University's hospital medicine service. The ACE program will aim to improve the quality of care of older patients in the investigators hospital by implementing focused interventions and recommendations specific to geriatric needs and syndromes, including: reduced fall rate, decreased incidence and duration of delirium, early recognition and treatment of impaired mobility and function, careful minimization of medication use, prevention of unnecessary catheter and restraint use, decreased hospital readmission rates, improved transitional care following hospital discharge, and high levels of patient and referring physician satisfaction. Additionally, the ACE program aims to improve resident and student competence in treating geriatric syndromes, and to improve staff and learner satisfaction with caring for older adults. ACE programs have been well studied at other institutions, so the investigators will be implementing a program that is already standard of care, and studying the elements that are unique to OHSU.
This will be a quality improvement project. Study participants will be a convenience sample of OHSU faculty, staff, residents and students who are employed by or on rotation with General Medicine Team 1 of the Medicine Teaching Service. Faculty, staff, and learners (ACE team members) will receive the ACE training. Study personnel will conduct prospective and retrospective chart review of patients admitted to the ACE service to determine outcomes as noted above.
1,057 studies on the registry are indexed under Delirium; 238 are open to participants now.
This study's planned enrollment of 300 is above the median of 120 across 599 interventional studies indexed under Delirium.
Browse Delirium studies →Oregon Health and Science University is the lead sponsor of 676 studies on the registry; 136 are open to participants now.
Of its 49 completed or terminated interventional studies of FDA-regulated products, 36 (73%) have results posted.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria (ACE faculty, health care providers and students):
Inclusion Criteria (patients):
Exclusion Criteria (ACE faculty, health care providers and students):
Exclusion Criteria (patients):
Admission to the Acute Care for Elders (General Medicine Team 1) service. (See Intervention, below)
Other: Acute Care of Elders focused geriatric care
Admission to one of the 4 non-ACE general medicine teaching teams at OHSU.
Patients admitted to the ACE Service will receive standard care as well as additional use of geriatric-specific order sets and protocols and oversight of care by a geriatric-trained Advanced Practice Provider (APP).
Number of geriatric patients with adverse events
Incidence and duration of delirium (source: hospital problem list); incidence of hospital-acquired pressure ulcers (source: nursing documentation, problem list); number of prescriptions for Beers List medications during hospitalization and upon discharge (source: MAR)
Time frame: During hospitalization, an expected average of 6 days
Resident confidence in treating geriatric syndromes
As measured by the Post-ACE Survey resident questionnaire, which includes 17 metrics of confidence (e.g. management of pain, identification of fall risk factors, delivering bad news, discussion of hospice care, performing a complete skin exam, documenting advanced directives, managing insomnia, performing bedside cognitive assessments.)
Time frame: After 3 week rotation on the Acute Care for Elders service
This study is status unknown, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.
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Oregon Health and Science University