Randomized Trial of an ICU Based Early Discharge Planning Intervention for Critically Ill Elderly Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/161562
Type:
Presentation
Title:
Randomized Trial of an ICU Based Early Discharge Planning Intervention for Critically Ill Elderly Patients
Abstract:
Randomized Trial of an ICU Based Early Discharge Planning Intervention for Critically Ill Elderly Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Kleinpell, Ruth, PhD
P.I. Institution Name:Rush University
Title:Associate Professor
Contact Address:College of Nursing, 600 South Paulina, Suite 1080, Chicago, IL, 60612-3873, USA
Contact Telephone:312.942.2320
Background: Although several studies have examined discharge planning interventions after critical illness, only a few have targeted the elderly and monitored outcomes of care. Objectives: The purpose of this study was to pilot test an ICU based nursing screening intervention to assist in identifying discharge needs and outcomes for critically ill elderly patients. Method: A randomized clinical trial with the use of in-hospital and mailed questionnaires was used. Patients aged 65 and older who were hospitalized in one of two ICU settings at two Midwestern university-affiliated medical centers were recruited for the study. Control patients (n=53) received usual discharge planning while experimental patients (n=47) were screened in the ICU with the Discharge Planning Questionnaire (DPQ, Bull, 1994). Both groups were assessed for discharge readiness at hospital discharge and followed with a 2-week home survey. Results: One hundred subjects aged 65 to 90 (Mean=73. SD=5.78) completed the study. Sixty six percent were male and 34% were female. There were no differences between groups with regard to age, race, sex, severity of illness as measured by APACHE III scores, ICU length of stay, hospital length of stay, education level, or income. Patients receiving early discharge planning with referral to discharge planners who used the screening information reported they were more ready for discharge (p=.06). These patients were also more likely to report they had adequate information, had less concern about managing their care at home, knew their medicines, and knew danger signals indicating potential complications. Conclusion: ICU based early discharge planning has an impact on elderly patient's preparation for discharge.
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.titleRandomized Trial of an ICU Based Early Discharge Planning Intervention for Critically Ill Elderly Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161562-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Randomized Trial of an ICU Based Early Discharge Planning Intervention for Critically Ill Elderly Patients</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">Kleinpell, Ruth, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Rush University</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">College of Nursing, 600 South Paulina, Suite 1080, Chicago, IL, 60612-3873, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">312.942.2320</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rkleinpell@rushu.rush.du</td></tr><tr><td colspan="2" class="item-abstract">Background: Although several studies have examined discharge planning interventions after critical illness, only a few have targeted the elderly and monitored outcomes of care. Objectives: The purpose of this study was to pilot test an ICU based nursing screening intervention to assist in identifying discharge needs and outcomes for critically ill elderly patients. Method: A randomized clinical trial with the use of in-hospital and mailed questionnaires was used. Patients aged 65 and older who were hospitalized in one of two ICU settings at two Midwestern university-affiliated medical centers were recruited for the study. Control patients (n=53) received usual discharge planning while experimental patients (n=47) were screened in the ICU with the Discharge Planning Questionnaire (DPQ, Bull, 1994). Both groups were assessed for discharge readiness at hospital discharge and followed with a 2-week home survey. Results: One hundred subjects aged 65 to 90 (Mean=73. SD=5.78) completed the study. Sixty six percent were male and 34% were female. There were no differences between groups with regard to age, race, sex, severity of illness as measured by APACHE III scores, ICU length of stay, hospital length of stay, education level, or income. Patients receiving early discharge planning with referral to discharge planners who used the screening information reported they were more ready for discharge (p=.06). These patients were also more likely to report they had adequate information, had less concern about managing their care at home, knew their medicines, and knew danger signals indicating potential complications. Conclusion: ICU based early discharge planning has an impact on elderly patient's preparation for discharge.</td></tr></table>en_GB
dc.date.available2011-10-26T23:23:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:23:24Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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