2.50
Hdl Handle:
http://hdl.handle.net/10755/161560
Type:
Presentation
Title:
Pilot Test of a Gapn Care Model to Improve Elders' Hip Fracture Outcomes
Abstract:
Pilot Test of a Gapn Care Model to Improve Elders' Hip Fracture Outcomes
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Krichbaum, Kathleen
P.I. Institution Name:University of Minnesota
Title:Associate Professor
Contact Address:School of Nursing, 6-101 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA
Contact Telephone:612.624.2489
Hip fracture is a costly problem that will increase as the number of elders increases. The purpose of this randomized clinical trial was to test the effectiveness of a model that uses a GAPN as care manager for elderly clients for 6 months following hip fracture to improve health, function, depression and institutionalization outcomes. The GAPN used an Extended Care Pathway ( ECP), tested in an earlier pilot, to coordinate care across settings. Thirty three patients over age 65 admitted from home (not nursing home[NH]) for surgery to repair hip fracture were followed for one year. Analyses, using non-parametric statistical tests, revealed that the treatment group had less difficulty with selected ADLs at 3 months post fracture. There was less depression in the treatment group at 3 weeks, though not significant. Only 2 patients (6%) were in NHs at 12 months. Mortality was comparable in both groups, though <19%. Costs were <$400 per patient. Potential of the model to improve quality and continuity of care for elders following hip fracture was demonstrated, but requires further testing that includes a more thorough analysis of costs and benefits. Grant funding: NINR K01-NR00094
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePilot Test of a Gapn Care Model to Improve Elders' Hip Fracture Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161560-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pilot Test of a Gapn Care Model to Improve Elders' Hip Fracture Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Krichbaum, Kathleen</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Minnesota</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 6-101 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN, 55455, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">612.624.2489</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">krich001@umn.edu</td></tr><tr><td colspan="2" class="item-abstract">Hip fracture is a costly problem that will increase as the number of elders increases. The purpose of this randomized clinical trial was to test the effectiveness of a model that uses a GAPN as care manager for elderly clients for 6 months following hip fracture to improve health, function, depression and institutionalization outcomes. The GAPN used an Extended Care Pathway ( ECP), tested in an earlier pilot, to coordinate care across settings. Thirty three patients over age 65 admitted from home (not nursing home[NH]) for surgery to repair hip fracture were followed for one year. Analyses, using non-parametric statistical tests, revealed that the treatment group had less difficulty with selected ADLs at 3 months post fracture. There was less depression in the treatment group at 3 weeks, though not significant. Only 2 patients (6%) were in NHs at 12 months. Mortality was comparable in both groups, though &lt;19%. Costs were &lt;$400 per patient. Potential of the model to improve quality and continuity of care for elders following hip fracture was demonstrated, but requires further testing that includes a more thorough analysis of costs and benefits. Grant funding: NINR K01-NR00094</td></tr></table>en_GB
dc.date.available2011-10-26T23:23:22Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:23:22Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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