title: Effects of alternative interventions among hospitalized, cognitively impaired older adults.
abstract: Compare within site effects of three interventions designed to enhance outcomes of hospitalized cognitively impaired elders.
  
  
  
  Prospective, nonrandomized, confirmatory phased study. In Phase I, 183 patients received one of three interventions: augmented standard care (ASC), resource nurse care (RNC) or Transitional Care Model (TCM). In Phase II, 205 patients received the TCM.
  
  
  
  Time to first rehospitalization or death was longer for the TCM versus ASC group (p = 0.017). Rates for total all-cause rehospitalizations and days were significantly reduced in the TCM versus ASC group (p < 0.001, both). No differences were observed between RNC versus TCM.
  
  
  
  Findings suggest the TCM is more effective than ASC. However, potential effects of the RNC relative to the TCM warrant further study.
authors.affiliation: New Courtland Center for Transitions & Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.|University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA.
authors.forename: Mary D
authors.initials: MD
authors.lastname: Naylor
authors.affiliation: New Courtland Center for Transitions & Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.|University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA.
authors.forename: Karen B
authors.initials: KB
authors.lastname: Hirschman
authors.affiliation: New Courtland Center for Transitions & Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.|University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA.
authors.forename: Alexandra L
authors.initials: AL
authors.lastname: Hanlon
authors.affiliation: University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA.|Center for Integrative Science in Aging (CISA), University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
authors.forename: Kathryn H
authors.initials: KH
authors.lastname: Bowles
authors.affiliation: University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA.|Center for Integrative Science in Aging (CISA), University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Bradway
authors.affiliation: New Courtland Center for Transitions & Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.|University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA.
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: McCauley
authors.affiliation: University of Pennsylvania Wharton School, Philadelphia, PA, USA.
authors.forename: Mark V
authors.initials: MV
authors.lastname: Pauly
mesh_terms: D000368:Aged; D003072:Cognition Disorders / Q000451:nursing*; D006801:Humans; D007297:Inpatients; D005791:Patient Care; D010359:Patient Readmission; D011446:Prospective Studies
keywords: cognitive impairment; dementia; evidence-based interventions; rehospitalizations