PMID: 15374310Jan 1, 1994Paper

Health visitor intervention to reduce days of unplanned hospital re-admission in patients recently discharged from geriatric wards: the results of a randomised controlled study

Archives of Gerontology and Geriatrics
R B DunnR W Jones

Abstract

A randomised controlled trial was conducted to assess whether a single intervention by a health visitor reduced the unplanned re-admission of elderly people discharged from geriatric wards. Two hundred and four consecutive discharges from geriatric wards were randomly allocated to receive either a single visit from the health visitor at 72 h in addition to normal follow-up services or to a control group receiving the normal follow-up services. The primary outcome measure was the unplanned re-admissions over the following 6 months. There were 40 cases and 43 control patients with unplanned re-admissions in the first 6 months. The total lengths of the unplanned re-admissions were 1237 days for cases and 1427 for controls, an average of 12.1 days for cases and 14.0 for controls (95% confidence interval -4.9 to 8.7 days, not significant). A visit by a health visitor to elderly patients after discharge from geriatric wards is unlikely to be of sufficient benefit to the patients for the service to be funded from a saving in unplanned re-admissions.

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Citations

Dec 4, 2004·Aging Clinical and Experimental Research·Iain CarpenterRoberto Bernabei
May 26, 1999·Australian and New Zealand Journal of Medicine·I Scott
Sep 24, 2014·BMC Health Services Research·Robert E BurkeGregory J Misky
Jul 11, 2001·Current Treatment Options in Cardiovascular Medicine·Anne M. Joseph, Lawrence C. An
Nov 12, 2002·The British Journal of Nutrition·Geraldine McNeillIsobel MacPherson
May 31, 2012·Current Gerontology and Geriatrics Research·Glaucia Akiko Kamikado PiviRodrigo Rizek Schultz
Jul 14, 2017·The Cochrane Database of Systematic Reviews·Peter LanghorneUNKNOWN Early Supported Discharge Trialists
May 4, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Hannes HentzeAlbrecht Wendel
Jan 5, 2011·Biomedical Chromatography : BMC·Wenkui LiFrancis L S Tse

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