The current landscape of Acute Care for Elders units in the United States.
The current landscape of Acute Care for Elders units in the United States.
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DOI：
10.1111/jgs.17892
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发表时间：
2022-10
影响因子：
6.3
通讯作者：
Palmer, Robert M.
中科院分区：
文献类型：
--
作者：
Rogers, Stephanie E.;Flood, Kellie L.;Kuang, Qiao Yu;Harrison, James D.;Malone, Michael L.;Cremer, Julia;Palmer, Robert M.
关键词：
老年人急性护理(ACE)单位的临床益处已经确立超过25年。然而，在美国，ACE单元的传播范围有多广，以及对这种护理模式的关键要素的忠诚度尚不清楚。我们的目标是确定美国现有的所有ACE单位，并获得有关执行情况变化的详细信息。识别当前ACE单位的战略始于使用专业协会和工作组的联系人进行在线搜索和滚雪球抽样。接下来，向国家医院数据库中列出的其余美国医院发送关于ACE单位存在的信息的请求。向确定的ACE单位联系人发送了一份在线调查，以获取关于执行特点和ACE单位的五个关键要素的信息。数据库中有3692家医院，其中2055家(56%)医院报告有或没有ACE单位。我们确定了68家医院(3.3%)有现有或以前的血管紧张素转换酶单位。在这68家医院中，50家(75%)完成了调查，并报告说，43家ACE病房目前正在开放，7家已经关闭。在目前开放的43个ACE病房中，大多数附属于一家学术医院，五个关键ACE要素的实施情况各不相同(从70%到98%不等)。在完成调查的50家医院中，确定了43个当前的ACE单位，对关键要素的保真度各不相同。由于近一半的医院没有回应国家调查请求，对ACE单位的流行率和对关键要素的保真度的估计受到限制。
The clinical benefits of Acute Care for Elders (ACE) units have been established for over 25 years. However, how widely disseminated ACE units are in the United States and the degree of fidelity to the key elements of this model of care are unknown. Our objective was to identify all existing ACE units in the United States and to obtain detailed information about variations in implementation. The strategy to identify current ACE units began with online searches and snowball sampling using contacts from professional societies and workgroups. Next, a request for information regarding the existence of ACE units was sent to the remaining US hospitals listed in a national hospital database. An online survey was sent to identified ACE unit contacts to capture information on implementation characteristics and the five key elements of ACE units. There were 3692 hospitals in the database with responses from 2055 (56%) hospitals reporting the presence or absence of an ACE unit. We identified 68 hospitals (3.3%) with an existing or previous ACE unit. Of these 68 hospitals, 50 (75%) completed the survey and reported that 43 ACE units were currently open and 7 had been closed. Of the 43 currently open ACE units, most are affiliated with an academic hospital and there is variable implementation of each of the five key ACE elements (from 70–98%). Among the 50 hospitals to complete the survey, 43 current ACE units were identified, with variable fidelity to the key elements. Estimates of prevalence of ACE units and fidelity to key elements are limited by non-responses to the national survey request by nearly half of hospitals.
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DOI：
10.1016/j.jamcollsurg.2012.06.017
发表时间：
2012-10-01
影响因子：
5.2
作者：
Chow, Warren B.;Rosenthal, Ronnie A.;Esnaola, Nestor F.
通讯作者：
Esnaola, Nestor F.
影响因子：
6.3
作者：
Fox, Mary T.;Sidani, Souraya;O'Brien, Kelly
通讯作者：
O'Brien, Kelly
影响因子：
2.5
作者：
Ahmed, Nasiya;Taylor, Kimberlee;Dyer, Carmel B.
通讯作者：
Dyer, Carmel B.
影响因子：
9.7
作者：
Barnes, Deborah E.;Palmer, Robert M.;Landefeld, C. Seth
通讯作者：
Landefeld, C. Seth
影响因子：
4.3
作者：
Borenstein, Jeff Edward;Aronow, Harriet Udin;Braunstein, Glenn David
通讯作者：
Braunstein, Glenn David