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  metatag-keywords=(Soins, Organisation, Hopital, Aigu, CSG)

  metatag-og:title=(Two European Examples of Acute Geriatric Units Located Outside of a General Hospital for Older Adults With Exacerbated Chronic Conditions. Ribbink ME, et al, J Am Med Dir Assoc 2021.)
  metatag-description=(Two European Examples of Acute Geriatric Units Located Outside of a General Hospital for Older Adults With Exacerbated Chronic Conditions. Ribbink ME, et al, J Am Med Dir Assoc 2021.)

  metatag-og:type=article
  metatag-article:published_time=2021-02-09
  metatag-article:modified_time=2021-03-07

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{{pmid>addtt:33524341|Two European Examples of Acute Geriatric Units Located Outside of a General Hospital for Older Adults With Exacerbated Chronic Conditions.}}
{{pmid>addhash_fr:33524341|Soins, Organisation, Hopital, Aigu, CSG}}

====== Two European Examples of Acute Geriatric Units Located Outside of a General Hospital for Older Adults With Exacerbated Chronic Conditions. Ribbink ME, et al, J Am Med Dir Assoc 2021. ======

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{{tag>Organisation, Hopital, Aigu, CSG}}
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  * **Proposé le :** 09/02/2021 22:30:41
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===== Résumé et points clés =====



 **Objective:** Throughout Europe, the number of older adults requiring acute hospitalization is increasing. Admission to an acute geriatric unit outside of a general hospital could be an alternative. In this model of acute medical care, comprehensive geriatric assessment and rehabilitation are provided to selected older patients. This study aims to compare patients' diagnoses, characteristics, and outcomes of 2 European sites where this care occurs.

 **Design:** Exploratory cohort study. SETTING AND

 **Participants:** Subacute Care Unit (SCU), introduced in 2012 in Spain, and the Acute Geriatric Community Hospital (AGCH), introduced in 2018 in the Netherlands. The main admission criteria for older patients were acute events or exacerbations of chronic conditions, hemodynamic stability on admission, and no requirement for complex diagnostics. MEASURES: We compared setting, characteristics, and outcomes between patients admitted to the 2 units.

 **Results:** Data from 909 patients admitted to SCU and 174 to AGCH were available. Patients were admitted from the emergency department or from home. The mean age was 85.8 years [standard deviation (SD) = 6.7] at SCU and 81.9 years (SD = 8.5) (P < .001) at AGCH. At SCU, patients were more often delirious (38.7% vs 22.4%, P < .001) on admission. At both units, infection was the main admission diagnosis. Other diagnoses included heart failure or chronic obstructive pulmonary disease. Five percent or less of patients were readmitted to general hospitals. Average length of stay was 8.8 (SD = 4.4) days (SCU) and 9.9 (SD = 7.5) days (AGCH).

 **Conclusions and implications:** These acute geriatric units are quite similar and both provide an alternative to admission to a general hospital. We encourage the comparison of these units to other examples in Europe and suggest multicentric studies comparing their performance to usual hospital care.

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===== Références =====

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