ArticleGeriatrics (Basel, Switzerland)2018
The Acute Care for Elders Unit Model of Care.
Article in Geriatrics (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.
- Prevalence of Hospital-Associated Disability in Older Adults: A Meta-analysis.Journal of the American Medical Directors Association · 2020Pooled it
- Implementation and evaluation of a nurse-led intervention to augment an existing residential aged care facility outreach service with a visual telehealth consultation: stepped-wedge cluster randomised controlled trial.BMC health services research · 2023Trial
- Impact of ACE Units and Geriatrics Consults on Adherence to the 4Ms and Patient Outcomes.Journal of the American Geriatrics Society · 2026Article
- The Participation of Older Persons in the Adoption of Age-Friendly Care Models in Hospital Settings: A Scoping Review.Nursing & health sciences · 2026Article
- Predictive Value of Incorporating Principal Diagnosis into CGA for Short-Term Functional Recovery in an ACE Unit: A Retrospective Study.Clinical interventions in aging · 2026Article
- Factors involved in the development of hospital-acquired conditions in older patients in acute care settings: a scoping review.BMC health services research · 2025Article
- Toward Senior-Friendly Hospitals: An Overview of Programs, Their Elements and Effectiveness in Improving Care.Gerontology · 2025Review
- Effectiveness of the Sub-Acute Care for Frail Elderly (SAFE) Transitional Care Unit on Short-Term Functional Independence in Frail Older Patients Discharged from Hospital.Canadian geriatrics journal : CGJ · 2024Article
- Dementia friendly in the context of hospitalization: A concept analysis using the Walker & Avant Method.Journal of advanced nursing · 2024Review
- Article
- Exploring geriatric trauma unit experiences through patients' eyes: a qualitative study.BMC geriatrics · 2024Article
- Pre-Therapeutic Assessment of Older People in Sub-Saharan Africa: Introduction to the Comprehensive Geriatric Assessment.Journal of clinical medicine · 2024Review
- Mobility outcomes and associated factors of acute geriatric care in hospitalized older patients: results from the PAGER study.European geriatric medicine · 2024Observational
- Dementia Ideal Care: Ecosystem Map of Best Practices and Care Pathways Enhanced by Technology and Community.Journal of Alzheimer's disease : JAD · 2024Article
- Synergistic strategies: Optimizing outcomes through a multidisciplinary approach to clinical rounds.Proceedings (Baylor University. Medical Center) · 2024Article
- Hospital-associated disability due to avoidable hospitalizations among older adults.Journal of the American Geriatrics Society · 2023Article
- Awareness of and subjective needs for post-discharge healthcare services among older adult patients.BMC nursing · 2023Article
- Medication Assessment in an Older Population during Acute Care Hospitalization and Its Effect on the Anticholinergic Burden: A Prospective Cohort Study.International journal of environmental research and public health · 2023Article
- Research progress in the hospitalization-associated disability among elderly patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023Article
- Editorial: Mediterranean Diet, In-Hospital Exercise, and the Incidence of Hospital-Acquired Disability in Old Patients.The journal of nutrition, health & aging · 2023Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Older patients are at risk for loss of self-care abilities during the course of an acute medical illness that results in hospitalization. The Acute Care for Elders (ACE) Unit is a continuous quality improvement model of care designed to prevent the patient's loss of independence from admission to discharge in the performance of activities of daily living (hospital-associated disability). The ACE unit intervention includes principles of a prepared environment that encourages safe patient self-care, a set of clinical guidelines for bedside care by nurses and other health professionals to prevent patient disability and restore self-care lost by the acute illness, and planning for transitions of care and medical care. By applying a structured process, an interdisciplinary team completes a geriatric assessment, follows clinical guidelines, and initiates plans for care transitions in concert with the patient and family. Three randomized clinical trials and systematic reviews of ACE or related interventions demonstrate reduced functional disability among patients, reduced risk of nursing home admission, and lower costs of hospitalization. ACE principles could improve elderly care in any acute setting. The aim of this commentary is to describe the ACE model and the basis of its effectiveness.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.