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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 K.
dc.date2022-08-11T08:09:24.000
dc.date.accessioned2022-08-23T16:29:38Z
dc.date.available2022-08-23T16:29:38Z
dc.date.issued2014-02-01
dc.date.submitted2014-10-03
dc.identifier.citationJ Am Geriatr Soc. 2014 Feb;62(2):261-8. doi: 10.1111/jgs.12651. <a href="http://dx.doi.org/10.1111/jgs.12651">Link to article on publisher's site</a>
dc.identifier.issn0002-8614 (Linking)
dc.identifier.doi10.1111/jgs.12651
dc.identifier.pmid24437990
dc.identifier.urihttp://hdl.handle.net/20.500.14038/37289
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 and older (n = 189) undergoing major elective 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 nonfrail (0 or 1 criteria present), prefrail (2 or 3 criteria present), and frail (4 or 5 criteria present). RESULTS: In matched pairs, participants who received the mHELP interventions were significantly less likely to be frail at discharge (19.2%) than matched controls (65.4%) (adjusted odds ratio (AOR) = 0.10, 95% CI = 0.02-0.39). Transitions to states of greater frailty during hospitalization were more common for participants in the control group. Three months after discharge, participants who received the mHELP intervention during hospitalization were less likely to be frail (17.3%) than matched controls (23.1%) (AOR = 0.73, 95% CI = 0.21-2.56), 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 after discharge. Thus, the mHELP provides a useful approach to manage in-hospital frailty for older adults undergoing major abdominal surgery. Geriatrics Society.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=24437990&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1111/jgs.12651
dc.subjectAbdomen
dc.subject*Activities of Daily Living
dc.subjectAged
dc.subjectFemale
dc.subjectFrail Elderly
dc.subjectGeriatric Assessment
dc.subjectHospitalization
dc.subjectHumans
dc.subjectMale
dc.subjectOdds Ratio
dc.subjectPostoperative Care
dc.subjectPostoperative Complications
dc.subject*Surgical Procedures, Elective
dc.subjectTaiwan
dc.subjectGeriatrics
dc.subjectHealth Services Administration
dc.subjectSurgery
dc.titleEffects of a modified Hospital Elder Life Program on frailty in individuals undergoing major elective abdominal surgery
dc.typeJournal Article
dc.source.journaltitleJournal of the American Geriatrics Society
dc.source.volume62
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/meyers_pp/702
dc.identifier.contextkey6201264
html.description.abstract<p>OBJECTIVES: To test the effects of a modified Hospital Elder Life Program (mHELP) on frailty.</p> <p>DESIGN: Matched and unmatched analyses of data from a before-and-after study.</p> <p>SETTING: Hospital, inpatient.</p> <p>PARTICIPANTS: Participants aged 65 and older (n = 189) undergoing major elective abdominal surgery at a medical center in Taiwan.</p> <p>INTERVENTION: The mHELP included three nursing interventions: early mobilization, oral and nutritional assistance, and orienting communication.</p> <p>MEASUREMENTS: Frailty rate and transitions between frailty states from hospital discharge to 3 months after discharge using Fried's phenotype criteria categorized as nonfrail (0 or 1 criteria present), prefrail (2 or 3 criteria present), and frail (4 or 5 criteria present).</p> <p>RESULTS: In matched pairs, participants who received the mHELP interventions were significantly less likely to be frail at discharge (19.2%) than matched controls (65.4%) (adjusted odds ratio (AOR) = 0.10, 95% CI = 0.02-0.39). Transitions to states of greater frailty during hospitalization were more common for participants in the control group. Three months after discharge, participants who received the mHELP intervention during hospitalization were less likely to be frail (17.3%) than matched controls (23.1%) (AOR = 0.73, 95% CI = 0.21-2.56), although this difference did not achieve statistical significance.</p> <p>CONCLUSION: The mHELP intervention is effective in reducing frailty by hospital discharge, but the benefit is diminished by 3 months after discharge. Thus, the mHELP provides a useful approach to manage in-hospital frailty for older adults undergoing major abdominal surgery. Geriatrics Society.</p>
dc.identifier.submissionpathmeyers_pp/702
dc.contributor.departmentMeyers Primary Care Institute
dc.contributor.departmentDepartment of Medicine, Division of Geriatric Medicine
dc.source.pages261-8


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