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Titre : | Octogenarians' post-acute care use after cardiac valve surgery and recovery : clinical implications (2018) |
Auteurs : | Elizabeth Edmiston ; Mary Dolansky A. ; Melissa Zullo ; Daniel E. Forman |
Type de document : | Article |
Dans : | Geriatric Nursing (Vol. 39, n°4, July/August 2018) |
Article en page(s) : | p. 371-375 |
Note générale : | DOI: https://doi.org/10.1016/j.gerinurse.2017.11.005 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Soins de suite ; Soins gériatriques ; Sortie du patient ; Sujet âgé ; Valves cardiaques |
Résumé : | Octogenarians receiving cardiac valve surgery is increasing and recovery is challenging. Post-acute care (PAC) services assist with recovery, yet services provided in facilities do not provide adequate cardiac-focused care or long-term self-management support. The purpose of the paper was to report post-acute care discharge rates in octogenarians and propose clinical implications to improve PAC services. Using a 2003 Medicare Part A database, we studied post-acute care service use in octogenarians after cardiac valve surgery. We propose expansion of the Geriatric Cardiac Care model to include broader clinical therapy dynamics. The sample (n = 10,062) included patients over 80 years discharged from acute care following valve surgery. Post-acute care services were used by 68% of octagarians following cardiac valve surgery (1% intermediate rehabilitation, 35% skilled nursing facility, 32% home health). The large percentage of octagarians using PAC point to the importance of integrating geriatric cardiac care into post-acute services to optimize recovery outcomes. |
Disponible en ligne : | Non |
Exemplaires (2)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |