Geriatric-based versus general wards for older acute medical patients: A randomized comparison of outcomes and use of resources.

Examined the effects of residence in an acute geriatrics-based ward (AGW) with emphasis on early rehabilitation and discharge planning for older patients with acute medical illnesses. Outcome and use of resources were compared with those of patients treated in general medical wards (MWs). A per-protocol rather than intention-to-treat analysis was performed. Ss were a total of 190 patients (aged 70+ yrs) who were randomized to an acute geriatrics-based ward, and 223 patients who were randomized to general medical wards. The length of stay was shorter in the AGW. The proportion of patients in geriatric or other hospital wards or in nursing homes did not differ, but the proportion of AGW patients in sheltered living tended to be lower. At the follow-up, case fatality, ADL function, psychological well-being, need for daily personal assistance, drug consumption, need for readmission to hospital and total health care costs after discharge did not differ between the 2 groups. Poor global outcome was observed in 37% of AGW and 34% of MW patients. (PsycInfo Database Record (c) 2022 APA, all rights reserved)