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Related Experiment Video

Updated: Jun 19, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Exploring ICOPE's Impact on Delaying Elderly Disability Management.

Ming-Chun Wu1, Lin Li1, Chun-Yu He1

  • 1Lo-Hsu Medical Foundation, Lotung Poh-Ai Hospital, Yilan, Taiwan.

Studies in Health Technology and Informatics
|July 25, 2024
PubMed
Summary

The Integrated care for older people (ICOPE) system effectively screens hospitalized elderly patients for potential disabilities. This system enables timely referrals and management, improving their quality of life post-discharge.

Keywords:
Implementing information assessment systemcase managementdelaying disability

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Area of Science:

  • Geriatric Medicine
  • Health Informatics
  • Public Health

Background:

  • Hospitalized elderly patients often face complex health challenges, including functional decline and disability.
  • Effective screening and management systems are crucial for improving outcomes in this population.

Purpose of the Study:

  • To evaluate the initial benefits of implementing the Integrated care for older people (ICOPE) information assessment system.
  • To assess the system's effectiveness in managing hospitalized elderly patients in a Taiwanese teaching hospital.

Main Methods:

  • Implementation of the ICOPE information assessment system for case screening and referral.
  • Clinical ICOPE assessments followed by systematic follow-up and case management.
  • Data collection on screening numbers, abnormal rates, referral, rescreening, and completion rates.

Main Results:

  • Screened 3424 cases, averaging 311 ICOPE screenings monthly.
  • Identified an average of 48 abnormal screenings per month (15% rate).
  • Achieved a 79% referral rate, 91% rescreening rate, and 71% case management completion rate.

Conclusions:

  • The ICOPE system facilitates rapid identification of potential disability in hospitalized elderly patients.
  • Timely referral and case management through ICOPE can lead to appropriate interventions.
  • Implementation of the ICOPE system shows potential for improving elderly patients' quality of life after returning home.