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Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up

BACKGROUND: Intermediate care is intended to reduce hospital admissions and facilitate early discharge. In Norway, a model was developed with transfer to intermediate care shortly after hospital admission. Efficacy and safety of this model have not been studied previously. In a parallel-group random...

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Autores principales: Herfjord, Jo Kåre, Heggestad, Torhild, Ersland, Håkon, Ranhoff, Anette Hylen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295396/
https://www.ncbi.nlm.nih.gov/pubmed/25487353
http://dx.doi.org/10.1186/1756-0500-7-889
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author Herfjord, Jo Kåre
Heggestad, Torhild
Ersland, Håkon
Ranhoff, Anette Hylen
author_facet Herfjord, Jo Kåre
Heggestad, Torhild
Ersland, Håkon
Ranhoff, Anette Hylen
author_sort Herfjord, Jo Kåre
collection PubMed
description BACKGROUND: Intermediate care is intended to reduce hospital admissions and facilitate early discharge. In Norway, a model was developed with transfer to intermediate care shortly after hospital admission. Efficacy and safety of this model have not been studied previously. In a parallel-group randomized controlled trial, patients over 70 years living at home before admission were eligible if clinically stable, without need for surgical treatment and deemed suited for intermediate care by attending physician. Intervention group patients were transferred to a nursing home unit with increased staff and multidisciplinary assessment, for a maximum stay of three weeks. Patients in the control group received usual care in hospital. Blinding to group assignment was not possible. The primary outcome was number of days living at home in a follow-up period of 365 days. Secondary outcomes were mortality, hospital admissions, need for residential care and home care services. Data were obtained from patient records and registers. RESULTS: 376 patients were included, 74 % female and mean age 84 years. There was no significant differences between intervention (n = 190) and control group (n = 186) for number of days living at home (253.7 vs 256.5, p = 0.80) or days in hospital (10.4 vs 10.5, p = 0.748). Intervention group patients spent less time in nursing home (40.6 days vs. 55.0, p = 0.046), and more patients lived independently without home health care services (31.6 % vs 19.9 %, p = 0.007). For orthopaedic patients (n = 128), mortality was higher in the intervention group; 15 intervention patients and 7 controls died (25.1 % vs 10.3 %, p = 0.049). There was no significant difference in one-year mortality for medical patients (n = 150) or the total study population. CONCLUSIONS: This model of rapid transfer to intermediate care did not significantly influence number of days living at home during one year follow-up, but reduced demand for nursing home care and need for home health care services. In post-hoc analysis mortality was increased for orthopedic patients. TRIAL REGISTRATION: The trial was registered 26. July 2013 at Current Controlled Trials and assigned with registration number ISRCTN21608185.
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spelling pubmed-42953962015-01-16 Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up Herfjord, Jo Kåre Heggestad, Torhild Ersland, Håkon Ranhoff, Anette Hylen BMC Res Notes Research Article BACKGROUND: Intermediate care is intended to reduce hospital admissions and facilitate early discharge. In Norway, a model was developed with transfer to intermediate care shortly after hospital admission. Efficacy and safety of this model have not been studied previously. In a parallel-group randomized controlled trial, patients over 70 years living at home before admission were eligible if clinically stable, without need for surgical treatment and deemed suited for intermediate care by attending physician. Intervention group patients were transferred to a nursing home unit with increased staff and multidisciplinary assessment, for a maximum stay of three weeks. Patients in the control group received usual care in hospital. Blinding to group assignment was not possible. The primary outcome was number of days living at home in a follow-up period of 365 days. Secondary outcomes were mortality, hospital admissions, need for residential care and home care services. Data were obtained from patient records and registers. RESULTS: 376 patients were included, 74 % female and mean age 84 years. There was no significant differences between intervention (n = 190) and control group (n = 186) for number of days living at home (253.7 vs 256.5, p = 0.80) or days in hospital (10.4 vs 10.5, p = 0.748). Intervention group patients spent less time in nursing home (40.6 days vs. 55.0, p = 0.046), and more patients lived independently without home health care services (31.6 % vs 19.9 %, p = 0.007). For orthopaedic patients (n = 128), mortality was higher in the intervention group; 15 intervention patients and 7 controls died (25.1 % vs 10.3 %, p = 0.049). There was no significant difference in one-year mortality for medical patients (n = 150) or the total study population. CONCLUSIONS: This model of rapid transfer to intermediate care did not significantly influence number of days living at home during one year follow-up, but reduced demand for nursing home care and need for home health care services. In post-hoc analysis mortality was increased for orthopedic patients. TRIAL REGISTRATION: The trial was registered 26. July 2013 at Current Controlled Trials and assigned with registration number ISRCTN21608185. BioMed Central 2014-12-09 /pmc/articles/PMC4295396/ /pubmed/25487353 http://dx.doi.org/10.1186/1756-0500-7-889 Text en © Herfjord et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Herfjord, Jo Kåre
Heggestad, Torhild
Ersland, Håkon
Ranhoff, Anette Hylen
Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up
title Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up
title_full Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up
title_fullStr Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up
title_full_unstemmed Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up
title_short Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up
title_sort intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295396/
https://www.ncbi.nlm.nih.gov/pubmed/25487353
http://dx.doi.org/10.1186/1756-0500-7-889
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