| Participants |
Inclusion criteria: aged ≥ 75 years, in need of in‐hospital treatment, and with ≥ 2 of the following FRail Elderly Support researcH group (FRESH) criteria: general fatigue, tiredness from a short walk, dependence in shopping, frequent falls/anticipation of falls, or ≥ 3 more visits to the emergency ward during the last 12 months
Exclusion criteria: person clearly suited for care in a conventional acute medical care unit due to the severity and type of condition: acute stroke, acute myocardial infarction, sepsis, or other acute life‐threatening conditions; patient declined participation in study; informed consent could not be obtained from the patient (and it was not possible to obtain informed consent from a relative); or the patient was a previously defined MÄVA (acute elderly care CGA units) patient
Exercise arm
Control arm
|
| Interventions |
Exercise arm
TIDieR item 1: (brief name: provide the name or a phrase that describes the intervention): CGA and care units. TIDieR item 2: (why: describe any rationale, theory or goal of the elements essential to the intervention): CGA units are believed to be associated with less functional decline at discharge, lower mortality and higher probability of living at home. TIDieR item 3: (what (materials): describe any physical or informational materials used in the intervention, including those provided to participants or used in intervention delivery or in training of intervention providers): not specified. TIDieR item 4: (what (procedures): describe each of the procedures, activities or processes (or a combination) used in the intervention, including any enabling or support activities): participants were admitted directly to the CGA ward from the ambulance. Participants received interdisciplinary assessment (CGA), early discharge planning, mobility and ADL assessment early in their admission. Participants were provided with appropriate assistive devices, and had ad hoc counselling regarding exercise postdischarge. Daily team conferences to discuss progress occurred. TIDieR item 5: (who provided: for each category of intervention provider (e.g. psychologist, nursing assistant), describe their expertise, background and any specific training given): the CGA unit was staffed by physicians specialising in internal medicine, family medicine or geriatrics (or a combination of these), licenced practising nurses, including specialised admission and discharge nurses, OTs and PTs. Nutritionists available for "counselling only". TIDieR item 6: (how: describe the modes of delivery (such as face‐to‐face or by some other mechanism, such as Internet or telephone) of the intervention and whether it was provided individually or in a group): face‐to‐face. TIDieR item 7: (where: describe the type(s) of location(s) where the intervention occurred, including any necessary infrastructure or relevant features): 2 MÄVA (acute elderly care CGA units) wards with total of 48 beds; 1, 2, or 4‐bedded rooms. Wards already in existence for 4 years prior to study. TIDieR item 8: (when and how much: describe the number of times the intervention was delivered and over what period of time including the number of sessions, their schedule, and their duration, intensity or dose): not specified. TIDieR item 9: (tailoring: if the intervention was planned to be personalised, titrated or adapted, then describe what, why, when and how): care adjusted to needs of individuals as per CGA and multidisciplinary working. TIDieR item 10: (modifications: if the intervention was modified during the course of the study, describe the changes (what, why, when and how)): not specified. TIDieR item 11: (how well (planned): if intervention adherence or fidelity was assessed, describe how and by whom, and if any strategies were used to maintain or improve fidelity, describe them): not specified. TIDieR item 12: (how well (actual): if intervention adherence or fidelity was assessed, describe the extent to which the intervention was delivered as planned): not specified.
Control arm
TIDieR item 1: acute medical care unit. TIDieR item 2: not specified. TIDieR item 3: not specified. TIDieR item 4: participants were admitted via the emergency department and received routine care as per clinical guidelines. TIDieR item 5: acute medicinal care units staffed by physicians specialising in internal medicine, and licenced practising nurses. Physiotherapists, OTs and nutritionists available for counselling only. TIDieR item 6: face‐to‐face. TIDieR item 7: wards of internal and emergency medicine; 1, 2, or 4‐bedded rooms. TIDieR item 8: not specified. TIDieR item 9: not specified. TIDieR item 10: not specified. TIDieR item 11: not specified. TIDieR item 12: not specified.
|
