Evaluating the Impact of a Specialized Inpatient Geriatric Unit Amongst an Asian and Pacific Islander Population: A Pilot Study.

RRehabilitation programs targeting hospitalized geriatric patients reduce functional decline and 30-day readmission rates. Limited data exist regarding using rehabilitation programs with Native Hawaiian and Other Pacific Islander (NHPI) and Asian populations. In the current study, the Acute Care for Elders (ACE) program was implemented to help minimize delirium, prevent deconditioning, and secure appropriate discharge. Utilizing a multidisciplinary team protocol, patients older than age 60 with an Activity Measure for Post-Acute Care (AMPAC) score of at least 18 and admitted within the preceding 3 days were eligible for inclusion. Via retrospective chart review, outcomes and demographic data were compared among those who completed the program (Completed), disenrolled prematurely (Early Termination), or declined enrollment (Declined). The median age was 73 years (25%ile, 75%ile: 68, 80) with 49% Asian, 19% NHPI, and 32% White or other race. Median Length of Stay (LOS) for Completed, Early Termination, and Declined groups were 3.9, 9.9 and 4.0 days respectively (P=.003). Discharge disposition varied significantly, with 90% of Completed patients returning home versus 46% in the Early Termination group (P=.002). Completion of the ACE protocol was significantly associated with reduced LOS and higher rates of home discharge among Asian populations (P=.033).