TITLE

Intermediate care at a community hospital as an alternative to prolonged general hospital care for elderly patients: a randomised controlled trial

AUTHOR(S)
Garåsen, Helge; Windspoll, Rolf; Johnsen, Roar
PUB. DATE
January 2007
SOURCE
BMC Public Health;2007, Vol. 7 Issue 1, p68
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Demographic changes together with an increasing demand among older people for hospital beds and other health services make allocation of resources to the most efficient care level a vital issue. The aim of this trial was to study the efficacy of intermediate care at a community hospital compared to standard prolonged care at a general hospital. Methods: In a randomised controlled trial 142 patients aged 60 or more admitted to a general hospital due to acute illness or exacerbation of a chronic disease 72 (intervention group) were randomised to intermediate care at a community hospital and 70 (general hospital group) to further general hospital care. Results: In the intervention group 14 patients (19.4%) were readmitted for the same disease compared to 25 patients (35.7%) in the general hospital group (p = 0.03). After 26 weeks 18 (25.0%) patients in the intervention group were independent of community care compared to seven (10.0%) in the general hospital group (p = 0.02). There were an insignificant reduction in the number of deaths and an insignificant increase in the number of days with inward care in the intervention group. The number of patients admitted to long-term nursing homes from the intervention group was insignificantly higher than from the general hospital group. Conclusion: Intermediate care at a community hospital significantly decreased the number of readmissions for the same disease to general hospital, and a significantly higher number of patients were independent of community care after 26 weeks of follow-up, without any increase in mortality and number of days in institutions.
ACCESSION #
29361957

 

Related Articles

  • Communication style and exercise compliance in physiotherapy (CONNECT). A cluster randomized controlled trial to test a theory-based intervention to increase chronic low back pain patients' adherence to physiotherapists' recommendations: study rationale, design, and methods Lonsdale, Chris; Hall, Amanda M.; Williams, Geoffrey C.; McDonough, Suzanne M.; Ntoumanis, Nikos; Murray, Aileen; Hurley, Deirdre A. // BMC Musculoskeletal Disorders;2012, Vol. 13 Issue 1, p104 

    Background: Physical activity and exercise therapy are among the accepted clinical rehabilitation guidelines and are recommended self-management strategies for chronic low back pain. However, many back pain sufferers do not adhere to their physiotherapist's recommendations. Poor patient...

  • BMJ Endgames: A New Web-Based BMJ/JGIM Collaboration. Srinivasan, Malathi; Mehta, Neil // JGIM: Journal of General Internal Medicine;Mar2014, Vol. 29 Issue 3, p423 

    An introduction is presented in which the editor discusses various reports within the issue on topics including randomized controlled trials, challenging aspects of emerging medical care and view of American Indian patients on health care institutions when compared with personal physicians.

  • Prevention of delirium (POD) for older people in hospital: study protocol for a randomised controlled feasibility trial. Young, John; Cheater, Francine; Collinson, Michelle; Fletcher, Marie; Forster, Anne; Godfrey, Mary; Green, John; Anwar, Shamaila; Hartley, Suzanne; Hulme, Claire; Inouye, Sharon K.; Meads, David; Santorelli, Gillian; Siddiqi, Najma; Smith, Jane; Teale, Elizabeth; Farrin, Amanda J. // Trials;Aug2015, Vol. 16 Issue 1, p1 

    Background: Delirium is the most frequent complication among older people following hospitalisation. Delirium may be prevented in about one-third of patients using a multicomponent intervention. However, in the United Kingdom, the National Health Service has no routine delirium prevention care...

  • Impact of medication packaging on adherence and treatment outcomes in older ambulatory patients. Schneider, Philip J.; Murphy, John E.; Pedersen, Craig A. // Journal of the American Pharmacists Association: JAPhA;Jan/Feb2008, Vol. 48 Issue 1, p58 

    Objective: To evaluate medication adherence and treatment outcomes in elderly outpatients using daily-dose blister packaging (Pill Calendar) compared with medications packaged in bottles of loose tablets. Design: Randomized controlled trial. Setting: Ambulatory care clinics at Ohio State...

  • A Matched-Pair Cluster-Randomized Trial of Guided Care for High-Risk Older Patients. Boult, Chad; Leff, Bruce; Boyd, Cynthia; Wolff, Jennifer; Marsteller, Jill; Frick, Kevin; Wegener, Stephen; Reider, Lisa; Frey, Katherine; Mroz, Tracy; Karm, Lya; Scharfstein, Daniel // JGIM: Journal of General Internal Medicine;May2013, Vol. 28 Issue 5, p612 

    BACKGROUND: Patients at risk for generating high health care expenditures often receive fragmented, low-quality, inefficient health care. Guided Care is designed to provide proactive, coordinated, comprehensive care for such patients. OBJECTIVE: We hypothesized that Guided Care, compared to...

  • Telemonitoring did not reduce hospitalizations or ED visits in high-risk elderly patients. Hall, William J. // Annals of Internal Medicine;9/18/2012, Vol. 157 Issue 6, pJC3-8 

    The article presents information on the review of the research on telemonitoring in context to the reduction in hospitalization and visits to emergency department in comparison to other care among the elderly patients. It mentions the process of Randomized controlled trial for the methodology...

  • Pharmacological management of chronic low back pain in older patients: a randomized controlled trial of the effect of pregabalin and opioid administration. Sakai, Yoshihito; Ito, Kenyu; Hida, Tetsuro; Ito, Sadayuki; Harada, Atsushi // European Spine Journal;Jun2015, Vol. 24 Issue 6, p1309 

    Purpose: Pregabalin and opioids are used to treat chronic low back pain (LBP). No previous investigations have compared the efficacy of pregabalin and that of opioids for chronic LBP. Methods: We performed a randomized controlled trial of pregabalin and opioids in 65 consecutive patients aged 65...

  • Update in Geriatric Medicine. Cayea, Danelle; Eckstrom, Elizabeth; Christmas, Colleen // JGIM: Journal of General Internal Medicine;Mar2012, Vol. 27 Issue 3, p371 

    INTRODUCTION: With an aging population, internists will provide care to a growing number of older adults, a population at risk of developing multiple chronic medical conditions and geriatric syndromes. For this update in geriatric medicine, we highlight recent key articles focused on preventive...

  • A Multicenter Phase I/II Study of Obatoclax Mesylate Administered as a 3- or 24-Hour Infusion in Older Patients with Previously Untreated Acute Myeloid Leukemia. Schimmer, Aaron D.; Raza, Azra; Carter, Thomas H.; Claxton, David; Erba, Harry; DeAngelo, Daniel J.; Tallman, Martin S.; Goard, Carolyn; Borthakur, Gautam // PLoS ONE;Oct2014, Vol. 9 Issue 10, p1 

    Purpose: An open-label phase I/II study of single-agent obatoclax determined a maximum tolerated dose (MTD) and schedule, safety, and efficacy in older patients (≥70 yr) with untreated acute myeloid leukemia (AML). Experimental Design: Phase I evaluated the safety of obatoclax infused...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics