Document Detail


Long-term patients' outcomes after intermediate care at a community hospital for elderly patients: 12-month follow-up of a randomized controlled trial.
MedLine Citation:
PMID:  18519285     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Developing a better understanding of if, and when, patients need care at a general hospital is an urgent challenge, as the proportion of general hospital beds being occupied by older patients is continuously increasing. METHODS: In a randomized controlled trial, of 142 patients aged 60 years or more admitted to a city general hospital due to acute illness or exacerbation of a chronic disease, 72 (intervention group) were randomized to intermediate care at a community hospital, and 70 (general hospital group) to further general hospital care. The patients were followed up for 12 months. The need for long-term home care and nursing homes, mortality and the number of admissions and days in general hospital for all diseases were monitored. RESULTS: Thirty-five patients, 13 (18.1%) of the patients included in the intervention group and 22 (31.4%) in the general hospital group, died within 12 months (p=0.03). Patients in the intervention group were observed for a longer period of time than those in the general hospital group; 335.7 (95% confidence interval (CI) 312.0-359.4) vs. 292.8 (95% CI 264.1-321.5) days (p=0.01). There were statistically no differences in the need for long-term primary-level care or in the number of admissions or days spent in general hospital beds. CONCLUSIONS: Intermediate care at the community hospital in Trondheim is an equal alternative to ordinary prolonged care at the city general hospital, as fewer patients were in need of community care services, and significantly fewer patients died during the 12-month follow-up time.
Authors:
Helge Garåsen; Rolf Windspoll; Roar Johnsen
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of public health     Volume:  36     ISSN:  1403-4948     ISO Abbreviation:  Scand J Public Health     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883503     Medline TA:  Scand J Public Health     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  197-204     Citation Subset:  IM    
Affiliation:
Department of Public Health and General Practice, Faculty of Medicine, The Norwegian University of Science and Technology (NTNU), Trondheim, Norway. helge.garasen@ntnu.no
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Aged
Community Health Services
Female
Follow-Up Studies
Health Services Needs and Demand*
Hospitals, Community
Hospitals, General
Humans
Intermediate Care Facilities*
Length of Stay
Long-Term Care*
Male
Middle Aged
Norway
Outcome Assessment (Health Care)*
Patient Admission
Patient Discharge
Patient Transfer
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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