Show simple item record

dc.contributor.authorChen, Cheryl Chia-Hui
dc.contributor.authorChen, Chiung-Nien
dc.contributor.authorLai, I-Rue
dc.contributor.authorHuang, Guan-Hua
dc.contributor.authorSaczynski, Jane S.
dc.contributor.authorInouye, Sharon
dc.date.accessioned2017-08-15T15:58:43Z
dc.date.issued2014
dc.identifierQuick submit: 2014-12-20T00:05:06-05:00
dc.identifier.citationChen, Cheryl Chia-Hui, Chiung-Nien Chen, I-Rue Lai, Guan-Hua Huang, Jane S. Saczynski, and Sharon K. Inouye. 2014. “Effects of a Modified Hospital Elder Life Program on Frailty in Individuals Undergoing Major Elective Abdominal Surgery.” J Am Geriatr Soc 62 (2) (January 17): 261–268. doi:10.1111/jgs.12651.en_US
dc.identifier.issn0002-8614en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:33750335
dc.description.abstractObjectives To test the effects of a modified Hospital Elder Life Program (mHELP) on frailty. Design Matched and unmatched analyses of data from a before-and-after study. Setting Hospital, inpatient. Participants Participants aged 65 years and older ((N = 189) undergoing elective, major abdominal surgery at a medical center in Taiwan. Intervention The mHELP included three nursing interventions: early mobilization, oral and nutritional assistance, and orienting communication. Measurements Frailty rate and transitions between frailty states from hospital discharge to 3 months after discharge, using Fried's phenotype criteria categorized as: non-frail (0 or 1 criteria present), pre-frail (2 or 3 criteria present), and frail (4 or 5 criteria present). Results Among matched pairs, participants who received the mHELP interventions were significantly less likely to be frail at discharge (19.2% vs. 65.4% for controls; adjusted OR = .10, 95% CI = .02 to .39) than their matched controls. Transitions to states of greater frailty during hospitalization were more common for participants in the control group. At 3 months post-discharge, participants who received the mHELP intervention during hospitalization were less likely to be frail than the matched controls (17.3% versus 23.1%; adjusted OR = .73; 95% CI = .21 to 2.56), although this difference did not achieve statistical significance. Conclusion The mHELP intervention is effective in reducing frailty by hospital discharge but the benefit is diminished by 3 months post-discharge. Thus, the mHELP provides a useful approach to manage in-hospital frailty for older patients undergoing major abdominal surgery.en_US
dc.language.isoen_USen_US
dc.publisherWiley-Blackwellen_US
dc.relation.isversionofdoi:10.1111/jgs.12651en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pubmed/24437990en_US
dash.licenseLAA
dc.subjectfrailtyen_US
dc.subjectageden_US
dc.subjectintervention studiesen_US
dc.subjectsurgeryen_US
dc.subjectgeriatric syndromesen_US
dc.titleEffects of a Modified Hospital Elder Life Program on Frailty in Individuals Undergoing Major Elective Abdominal Surgeryen_US
dc.typeJournal Articleen_US
dc.date.updated2014-12-20T05:05:06Z
dc.description.versionAccepted Manuscripten_US
dc.rights.holderChen CC, Chen C, Lai I, Huang G, Saczynski JS, Inouye SK
dc.relation.journalJournal of the American Geriatrics Societyen_US
dash.depositing.authorInouye, Sharon
dc.date.available2017-08-15T15:58:43Z
dc.identifier.doi10.1111/jgs.12651*
dash.authorsorderedfalse
dash.contributor.affiliatedInouye, Sharon


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record