Effects of hospitalist-directed interdisciplinary medicine floor service on hospital outcomes for seniors with acute medical illness

Ji Won Yoo, Haesun Seol, Sun Jung Kim, Janet Miyoung Yang, Woo Sang Ryu, Too Jae Min, Jong Bum Choi, Minkyung Kwon, Sulgi Kim

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Aim: To examine whether a hospitalist-directed interdisciplinary (ITD) team in an internal medicine residency program enhances the hospital and clinical outcomes for seniors with acute medical illness. Methods: Seniors admitted to a USA teaching hospital medical floor-teaching services were allocated to the ITD (n=379) and usual care teams (n=383). Compared with the usual care team, the ITD team physicians carried out daily "geriatric" assessment and management, and led ITD team meetings. Results: The mean probability of functional decline on hospital discharge in the ITD team (25%; 95% CI 19-30%) was significantly lower than that in the usual care team (36%; 95% CI 30-43%; OR 0.35; 95% CI 0.10-0.92; P<0.001). The mean probability of delirium in the ITD team (26%; 95% CI 20-32%) was significantly lower than that in the usual care team (34%; 95% CI 28-41%; OR 0.48; 95% CI 0.16-0.97; P=0.03). The mean probability of transition to an institution in the ITD team (18%; 95% CI 13-23%) was significantly lower than that in the usual care team (26%; 95% CI 19-32%; OR 0.41; 95% CI 0.14-0.95; P=0.01). Conclusions: Hospitalist-directed ITD team care is associated with reductions of functional decline, delirium and transition to an institution for seniors with acute medical illness.

Original languageEnglish
Pages (from-to)71-77
Number of pages7
JournalGeriatrics and Gerontology International
Volume14
Issue number1
DOIs
Publication statusPublished - 2014 Jan 1

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Hospitalists
illness
Delirium
Medicine
medicine
Geriatric Assessment
Internship and Residency
Internal Medicine
Teaching Hospitals
Teaching
Physicians
geriatric assessment

Keywords

  • Delirium
  • Hospitalist
  • Inter-professional relations
  • Interdisciplinary health teams
  • Quality of health care

ASJC Scopus subject areas

  • Health(social science)
  • Gerontology
  • Geriatrics and Gerontology

Cite this

Effects of hospitalist-directed interdisciplinary medicine floor service on hospital outcomes for seniors with acute medical illness. / Yoo, Ji Won; Seol, Haesun; Kim, Sun Jung; Yang, Janet Miyoung; Ryu, Woo Sang; Min, Too Jae; Choi, Jong Bum; Kwon, Minkyung; Kim, Sulgi.

In: Geriatrics and Gerontology International, Vol. 14, No. 1, 01.01.2014, p. 71-77.

Research output: Contribution to journalArticle

Yoo, Ji Won ; Seol, Haesun ; Kim, Sun Jung ; Yang, Janet Miyoung ; Ryu, Woo Sang ; Min, Too Jae ; Choi, Jong Bum ; Kwon, Minkyung ; Kim, Sulgi. / Effects of hospitalist-directed interdisciplinary medicine floor service on hospital outcomes for seniors with acute medical illness. In: Geriatrics and Gerontology International. 2014 ; Vol. 14, No. 1. pp. 71-77.
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AU - Ryu, Woo Sang

AU - Min, Too Jae

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AB - Aim: To examine whether a hospitalist-directed interdisciplinary (ITD) team in an internal medicine residency program enhances the hospital and clinical outcomes for seniors with acute medical illness. Methods: Seniors admitted to a USA teaching hospital medical floor-teaching services were allocated to the ITD (n=379) and usual care teams (n=383). Compared with the usual care team, the ITD team physicians carried out daily "geriatric" assessment and management, and led ITD team meetings. Results: The mean probability of functional decline on hospital discharge in the ITD team (25%; 95% CI 19-30%) was significantly lower than that in the usual care team (36%; 95% CI 30-43%; OR 0.35; 95% CI 0.10-0.92; P<0.001). The mean probability of delirium in the ITD team (26%; 95% CI 20-32%) was significantly lower than that in the usual care team (34%; 95% CI 28-41%; OR 0.48; 95% CI 0.16-0.97; P=0.03). The mean probability of transition to an institution in the ITD team (18%; 95% CI 13-23%) was significantly lower than that in the usual care team (26%; 95% CI 19-32%; OR 0.41; 95% CI 0.14-0.95; P=0.01). Conclusions: Hospitalist-directed ITD team care is associated with reductions of functional decline, delirium and transition to an institution for seniors with acute medical illness.

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