The development, implementation and evaluation of a transitional care programme to improve outcomes of frail older patients after hospitalisation.

Background: fragmented healthcare systems are poorly suited to treat the increasing number of older patients with multimorbidity.

Objective: to report on the development, implementation and evaluation of a regional transitional care programme, aimed at improving the recovery rate of frail hospitalised older patients.

Methods: the programme was drafted in co-creation with organisations representing older adults, care providers and knowledge institutes.

Optimal screening for increased risk for adverse outcomes in hospitalised older adults.

Background: Screening for frailty might help to prevent adverse outcomes in hospitalised older adults.

Objective: To identify the most predictive and efficient screening tool for frailty.

Design And Setting: Two consecutive observational prospective cohorts in four hospitals in the Netherlands.

Functional decline of older patients 1 year after cardiothoracic surgery followed by intensive care admission: a prospective longitudinal cohort study.

Background: there is a growing demand for cardiothoracic surgery in patients' aged ≥65 years.

Objective: : to explore which variables were independently associated with functional decline 12 months after cardiothoracic surgery followed by intensive care admission.

Design: prospective cohort study.