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Evaluation of the acute care for elders (ACE) care model in elderly patients with chronic obstructive pulmonary
Huan Chen1, Lunji Zhang1, Wenling Han1
1Department of Geriatrics, Bazhong Central Hospital, Bazhong City, Sichuan Province 636000, China.
Background:
Chronic obstructive pulmonary disease (COPD) significantly impacts the elderly. The Acute Care for Elders (ACE) model may enhance management outcomes, but its efficacy for COPD remains unclear.
Objective:
To assess whether the ACE model improves outcomes for elderly COPD patients compared to standard care, focusing on COPD knowledge, symptom burden, functional status, exercise capacity, and satisfaction.
Methods:
This randomized controlled trial involved 84 COPD patients (60-80 years) admitted to a geriatric ward. Patients were assigned to the ACE group (n = 42) or standard care (n = 42). Outcomes, including COPD knowledge, CAT scores, Barthel Index, 6MWD, and satisfaction, were evaluated at admission, discharge, and 30 days post-discharge.
Results:
The ACE group demonstrated significant improvements in all outcomes at 30 days post-discharge, with superior COPD knowledge, reduced symptom burden, and enhanced functional status.
Conclusion:
The ACE model effectively improves outcomes for elderly COPD patients, supporting its implementation in geriatric wards.
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