ArticleJournal of the American Geriatrics Society2025
Age-Friendly Care and Mobility in Hospitalized Older Adults With Cognitive Impairment: A Feasibility Quality Improvement Initiative.
Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Age-Friendly Care and Mobility in Hospitalized Older Adults With Cognitive Impairment: A Feasibility Quality Improvement Initiative.Journal of the American Geriatrics Society · 2025Article
- An Observational Study of Nursing Delivery of Mobility Assistance in Acute Care.Journal of the American Medical Directors Association · 2025Observational
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundHospitalized older adults with cognitive impairment (CI) have an increased risk for adverse outcomes. Acute Care for Elders (ACE) Units were developed to reduce functional decline in hospitalized older adults.
interventionWe developed a quality improvement (QI) initiative to disseminate ACE care processes to non-ACE units, converting them into "Virtual ACE" units. The aim of this evaluation is to examine the impact of this intervention on the mobilization of patients with CI. POPULATION: Older adults with CI admitted to a study unit (ACE Unit or seven Virtual ACE units).
methodsWe conducted a pre/post-intervention evaluation of the proportion of informed respondents answering "yes" to the Acute Care Mobility Assessment (ACMA) interview item: "In the past 24 hours did the patient move from the bed to the chair, walk in the room, walk in the hallway?"
resultsThere were no significant differences in patient demographics, baseline activities of daily living (ADL) performance, history of falls, or consults to physical or occupational therapy between the total pre- (n = 56) versus post- (n = 135) intervention cohorts. The ACE Unit patients were significantly older (82.9 ± 7.5 vs. 75.5 ± 7.7 years, p < 0.05) and significantly more impaired in baseline ADL performance based on Katz Index scores (6.4 ± 4.4 vs. 8.5 ± 4.4, p < 0.05) compared to patients on Virtual ACE units. The proportion of patients with CI reported on ACMA interview to have mobilized from bed to chair (29% vs. 51%, p < 0.05) and ambulated into the hallway (13% vs. 27%, p < 0.05) in the prior 24 hours significantly increased post-intervention. Similar benefits were seen in the ACE and Virtual ACE patients evaluated separately.
conclusionThis QI intervention demonstrated that disseminating ACE care processes to non-ACE units was associated with increased mobilization of hospitalized older adults with CI. Studies with larger sample sizes are needed to confirm findings.
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