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Effects of alternative interventions among hospitalized, cognitively impaired older adults.

AIM
Compare within site effects of three interventions designed to enhance outcomes of hospitalized cognitively impaired elders.


METHODS
Prospective, nonrandomized, confirmatory phased study. In Phase I, 183 patients received one of three interventions: augmented standard care (ASC), resource nurse care (RNC) or Transitional Care Model (TCM). In Phase II, 205 patients received the TCM.


RESULTS
Time to first rehospitalization or death was longer for the TCM versus ASC group (p = 0.017). Rates for total all-cause rehospitalizations and days were significantly reduced in the TCM versus ASC group (p < 0.001, both). No differences were observed between RNC versus TCM.


CONCLUSION
Findings suggest the TCM is more effective than ASC. However, potential effects of the RNC relative to the TCM warrant further study.