Delirium and transition to a nursing home of hospitalized older adults: A controlled trial of assessing the interdisciplinary team-based "geriatric" care and care coordination by non-geriatrics specialist physicians

作者：Yoo Ji Won^*; Nakagawa Shunichi; Kim Sulgi

来源：Geriatrics and Gerontology International, 2013, 13(2): 342-350.

DOI：10.1111/j.1447-0594.2012.00905.x

• delirium
• frail older adults
• nursing homes
• outcome assessment
• patient care team

Aim: To examine whether a team-based inpatient geriatric care model provided by non-geriatrics specialist physicians was associated with changes in the occurrence of delirium and transition to a nursing home. Methods: We carried out an intervention (interdisciplinary; ITD group) control (usual care group) study comparing the outcomes of hospitalized older adults cared for by non-geriatrics specialist physicians. Compared with the usual care group, the ITD intervention group provided additional value: geriatric care and care coordination by leading daily ITD team meetings. Results: After adjusting for patient demographics and clinical characteristics, the probability of transition to a nursing home in the ITD intervention group was significantly lower (odds ratio 0.52; 95% confidence intervals, 0.160.94; P=0.008) than that in the usual care group. However, there was no significant difference in the predicted probabilities of delirium between the ITD intervention and usual care groups. Conclusion: As compared with the usual care group, a significantly lower probability of transition to a nursing home was observed in the ITD intervention group, but the probabilities of delirium between the ITD intervention and usual care groups did not differ significantly. Geriatr Gerontol Int 2013; 13: 342350.

• 出版日期2013-4