Acute Care for Elders (ACE) Program at OHSU Hospital

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2020-12-20

Brief Summary

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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.

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Detailed Description

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Conditions

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Delirium Age-Related Cognitive Decline Frail Elderly Hospital Acquired Pressure Ulcer Drug-Related Side Effects and Adverse Reactions

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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ACE Service

Admission to the Acute Care for Elders (General Medicine Team 1) service. (See Intervention, below)

Group Type ACTIVE_COMPARATOR

Acute Care of Elders focused geriatric care

Intervention Type OTHER

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).

Standard care (other General Medicine teams)

Admission to one of the 4 non-ACE general medicine teaching teams at OHSU.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Acute Care of Elders focused geriatric care

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).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* employed by OHSU or enrolled in one of OHSU's schools (medicine, nursing, pharmacy)
* share in the care of older adults on the General Medicine Team 1 service.

* admitted to the internal medicine service during the time frame of the study
* age 70 or older at time of hospital admission