title: Integrated approach to prevent functional decline in hospitalized elderly: the Prevention and Reactivation Care Program (PReCaP).
abstract: BACKGROUND
  Hospital related functional decline in older patients is an underestimated problem. Thirty-five procent of 70-year old patients experience functional decline during hospital admission in comparison with pre-illness baseline. This percentage increases considerably with age.
  
  
  METHODS
  To address this issue, the Vlietland Ziekenhuis in The Netherlands has implemented an innovative program (PReCaP), aimed at reducing hospital related functional decline among elderly patients by offering interventions that are multidisciplinary, integrated and goal-oriented at the physical, social, and psychological domains of functional decline.
  
  
  CONCLUSIONS
  This paper presents a detailed description of the intervention, which incorporates five distinctive elements: (1) Early identification of elderly patients with a high risk of functional decline, and if necessary followed by the start of the reactivation treatment within 48 h after hospital admission; (2) Intensive follow-up treatment for a selected patient group at the Prevention and Reactivation Centre (PRC); (3) Availability of multidisciplinary geriatric expertise; (4) Provision of support and consultation of relevant professionals to informal caregivers; (5) Intensive follow-up throughout the entire chain of care by a casemanager with geriatric expertise. Outcome and process evaluations are ongoing and results will be published in a series of future papers.
  
  
  BACKGROUND
  The Netherlands National Trial Register: NTR2317.
authors.affiliation: Institute of Health Policy and Management, Erasmus University Rotterdam, P,O, Box 1738, 3000 DR Rotterdam, The Netherlands. a.devos@bmg.eur.nl
authors.forename: Annemarie J B M
authors.initials: AJ
authors.lastname: de Vos
authors.forename: Kirsten J E
authors.initials: KJ
authors.lastname: Asmus-Szepesi
authors.forename: Ton J E M
authors.initials: TJ
authors.lastname: Bakker
authors.forename: Paul L
authors.initials: PL
authors.lastname: de Vreede
authors.forename: Jeroen D H
authors.initials: JD
authors.lastname: van Wijngaarden
authors.forename: Ewout W
authors.initials: EW
authors.lastname: Steyerberg
authors.forename: Johan P
authors.initials: JP
authors.lastname: Mackenbach
authors.forename: Anna P
authors.initials: AP
authors.lastname: Nieboer
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D019033:Delivery of Health Care, Integrated / Q000379:methods* / Q000639:trends; D005500:Follow-Up Studies; D015577:Geriatric Assessment / Q000379:methods*; D006760:Hospitalization / Q000639:trends; D006801:Humans; D009426:Netherlands / Q000453:epidemiology; D009483:Neuropsychological Tests; D010348:Patient Care Team / Q000639:trends; D010865:Pilot Projects; D011315:Preventive Medicine / Q000379:methods* / Q000639:trends; D020127:Recovery of Function / Q000502:physiology*