Designing a System of Case Management for a Rural Nursing Clinic for Elderly Patients With Depression

We aim to test whether the association between glucose control and cognitive function still holds true in elderly patients with diabetes mellitus (DM) and Alzheimer disease (AD) under health-care case management. We enrolled 100 patients with DM (mean age: 74.6 years; male: 49%) and 102 patients with AD (mean age: 77.9 years; male: 41.2%) consecutively from the Diabetes Shared Care Program and the memory clinic. These patients were followed up every 3 months with scheduled examinations. Most patients with AD were at early stage and DM was a common comorbidity (n = 42). In the DM group, there were 76 patients with subjective cognitive decline and 19 patients with mild cognitive impairment, but none sought further consultation. After adjusting for age, sex, education, and comorbidity, higher levels of glycated hemoglobin (HbA1C) were not associated with lower Mini-Mental State Examination (MMSE) scores in the DM group (coefficient: 0.03; 95% confidence interval [CI]: −0.44 to 0.50) and lower MMSE scores were not associated with higher HbA1C in the AD group either (coefficient: −0.05; 95% CI: −0.11 to 0.01). When additionally accounting for the variability of HbA1C in the DM group, higher standard deviation of HbA1C was associated with poor clock drawing test scores, but not MMSE. The coexistence of AD-DM was common, but the association between hyperglycemia and cognitive impairment was not seen in patients under regular health monitoring.

Download Full-text

Cost-effectiveness of nurse-based case management versus usual care for elderly patients with myocardial infarction: results from the KORINNA study

The European Journal of Health Economics ◽

10.1007/s10198-014-0623-3 ◽

2014 ◽

Vol 16 (6) ◽

pp. 671-681 ◽

Cited By ~ 7

Author(s):

Hildegard Seidl ◽

Matthias Hunger ◽

Reiner Leidl ◽

Christa Meisinger ◽

Rupert Wende ◽

...

Keyword(s):

Myocardial Infarction ◽

Cost Effectiveness ◽

Elderly Patients ◽

Case Management ◽

Usual Care

Download Full-text

The 3-Year Cost-Effectiveness of a Nurse-Based Case Management versus Usual Care for Elderly Patients with Myocardial Infarction: Results from the KORINNA Follow-Up Study

Value in Health ◽

10.1016/j.jval.2016.10.001 ◽

2017 ◽

Vol 20 (3) ◽

pp. 441-450 ◽

Cited By ~ 6

Author(s):

Hildegard Seidl ◽

Matthias Hunger ◽

Christa Meisinger ◽

Inge Kirchberger ◽

Bernhard Kuch ◽

...

Keyword(s):

Myocardial Infarction ◽

Cost Effectiveness ◽

Elderly Patients ◽

Case Management ◽

Usual Care ◽

Follow Up Study

Download Full-text

Case management for at-risk elderly patients in the English integrated care pilots: observational study of staff and patient experience and secondary care utilisation

International Journal of Integrated Care ◽

10.5334/ijic.850 ◽

2012 ◽

Vol 12 (5) ◽

Cited By ~ 30

Author(s):

Martin Roland ◽

Richard Lewis ◽

Adam Steventon ◽

Gary Abel ◽

John Adams ◽

...

Keyword(s):

At Risk ◽

Observational Study ◽

Elderly Patients ◽

Case Management ◽

Integrated Care ◽

Patient Experience ◽

Secondary Care ◽

Care Utilisation

Download Full-text

Application Effect of Case Management Mode Combined with ERAS in Elderly Patients with Hip Fracture

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2021/1175020 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Na Peng ◽

Jing Li

Keyword(s):

Hip Fracture ◽

Elderly Patients ◽

Case Management ◽

Perioperative Complications ◽

Management Mode ◽

Control Group ◽

Observation Group ◽

Activity Time ◽

Hospitalization Time ◽

Harris Score

Objective. To explore the effect of the case management mode combined with enhanced recovery after surgery (ERAS) in elderly patients with hip fracture. Methods. A total of 102 elderly hip fracture patients admitted to our hospital from June 2018 to December 2019 were selected. The patients with hip fracture were divided into the control group (n = 51) and the observation group (n = 51) by the random number table method. The control group adopts the conventional nursing mode, and the observation group adopts the case management mode combined with ERAS. The bed activity time, hospitalization time, total hospitalization expenses, and the satisfaction of patients were observed. The numeric rating scale (NRS) was used to assess the patient’s pain before treatment and at 1, 3, and 5 days after treatment. The Harris score was used to assess the patient’s joint motor function before treatment and at the 8th week after treatment. The perioperative complications of the two groups were compared. Result. After treatment, the observation group was better than the control group in terms of out of bed activity time, hospitalization time, total hospitalization expenses, and the satisfaction of patients ( P < 0.05 ). Before treatment, there was no significant difference in NRS scores between the two groups ( P > 0.05 ). After treatment, the NRS scores of the two groups were lower than before treatment, and on days 1, 3, and 5 after treatment, the NRS scores of the observation group were lower than those of the control group ( P < 0.05 ). Before treatment, there was no difference in the Harris score between the two groups ( P > 0.05 ). At the 8th week after treatment, the Harris scores of the two groups were higher than those before treatment, and the Harris scores of the observation group were higher than those of the control group ( P < 0.05 ). The total incidence of perioperative complications in the observation group (4/51) was lower than that in the control group (13/51) ( P < 0.05 ). Conclusion. The application of the case management mode combined with ERAS nursing in elderly patients with hip fracture can improve the clinical symptoms of patients, improve the therapeutic effect, and reduce the occurrence of complications, which is worthy of clinical application.

Download Full-text