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Peer-reviewedCC BY 4.0Frontiers in Public Health

Effect of discharge planning rooted in the integrated Care for Older People Concept on the maintenance of intrinsic capacity in older adults

  • Danni Zheng1
  • Ren Xu1
  • Shuhong Cai1
  • Danfeng Pang1
  • Xuemin Zhang1
  • Yunxuan Zhu1
  • Min Zhao1
  1. 1Department of Geriatrics, The First Affiliated Hospital of Ningbo University
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Abstract

Objective: To assess how integrated care for older people (ICOPE)-based discharge planning (DP) affects older patients’ intrinsic capacity (IC).

Methods: Between December 2023 and June 2024, 112 geriatric inpatients were randomly assigned to control (routine care) or Experimental (routine care + ICOPE discharge services) groups. Intrinsic capacity domains were evaluated using the Short Physical Performance Battery, Saint Louis University Mental Status, Geriatric Depression Scale-Short Form and Mini Nutritional Assessment-Short Form tools and self-report at discharge and 3 months post-discharge. Analysis of covariance and binary logistic regression were used, with baseline scores, living status and gender as covariates. The primary analysis was supplemented by a sensitivity analysis using continuous domain scores as separate outcomes to verify the robustness of the composite score findings.

Results: 108 patients completed follow-up. Intrinsic capacity decline was lower in the experimental group (1.2 ± 0.2) than in the control group (3.1 ± 0.3; mean difference: –1.9, 95% CI: −2.5 to −1.3, p < 0.001). Motor, cognitive, psychological and nutritional domains improved more in the Experimental group (all p < 0.001); sensory function showed no difference ( p = 0.267).

Conclusion: The ICOPE-based DP approach slows IC decline and enhances multiple functional domains, offering a valuable reference for transitional care for older adults.

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Cite

BibTeXRIS
BibTeX
@article{zheng2026effect,
  title = {{Effect of discharge planning rooted in the integrated Care for Older People Concept on the maintenance of intrinsic capacity in older adults}},
  author = {Danni Zheng and Ren Xu and Shuhong Cai and Danfeng Pang and Xuemin Zhang and Yunxuan Zhu and Min Zhao},
  journal = {Frontiers in Public Health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.1838558},
  url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.1838558/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Effect of discharge planning rooted in the integrated Care for Older People Concept on the maintenance of intrinsic capacity in older adults
AU  - Danni Zheng
AU  - Ren Xu
AU  - Shuhong Cai
AU  - Danfeng Pang
AU  - Xuemin Zhang
AU  - Yunxuan Zhu
AU  - Min Zhao
PY  - 2026
DA  - 2026/10/16
JO  - Frontiers in Public Health
DO  - 10.3389/fpubh.2026.1838558
UR  - https://www.frontiersin.org/articles/10.3389/fpubh.2026.1838558/full
AB  - Objective: To assess how integrated care for older people (ICOPE)-based discharge planning (DP) affects older patients’ intrinsic capacity (IC).  Methods: Between December 2023 and June 2024, 112 geriatric inpatients were randomly assigned to control (routine care) or Experimental (routine care + ICOPE discharge services) groups. Intrinsic capacity domains were evaluated using the Short Physical Performance Battery, Saint Louis University Mental Status, Geriatric Depression Scale-Short Form and Mini Nutritional Assessment-Short Form tools and self-report at discharge and 3 months post-discharge. Analysis of covariance and binary logistic regression were used, with baseline scores, living status and gender as covariates. The primary analysis was supplemented by a sensitivity analysis using continuous domain scores as separate outcomes to verify the robustness of the composite score findings.  Results: 108 patients completed follow-up. Intrinsic capacity decline was lower in the experimental group (1.2 ± 0.2) than in the control group (3.1 ± 0.3; mean difference: –1.9, 95% CI: −2.5 to −1.3, p < 0.001). Motor, cognitive, psychological and nutritional domains improved more in the Experimental group (all p < 0.001); sensory function showed no difference ( p = 0.267).  Conclusion: The ICOPE-based DP approach slows IC decline and enhances multiple functional domains, offering a valuable reference for transitional care for older adults.
SN  - 2296-2565
ER  -