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A targeted assessment and intervention at the time of discharge reduced the risk of readmissions for short-term hospitalized older patients: a randomized controlled study

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@article{562ecfa6627545788fe205cf28b68567,
title = "A targeted assessment and intervention at the time of discharge reduced the risk of readmissions for short-term hospitalized older patients: a randomized controlled study",
abstract = "OBJECTIVE: The aim of this study was to test and compare the effect of (1) a systematic discharge assessment with targeted advice and (2) a motivational interview followed by a home visit.DESIGN: This was a three-armed randomized controlled study.SETTING: This study was conducted in the Medical department in a university hospital.SUBJECTS: Patients ⩾65 years of age with health problems at discharge participated in the study.INTERVENTIONS: Group A (n = 117): patients were informed of health problems and self-care interventions; Group B (n = 116): a motivational conversation targeting activities of daily living with a home care nurse and a home visit.MAIN MEASURES: The main measures of this study were readmissions, handgrip strength, chair-to-stand test, health-related quality of life, depression signs, mortality, and call on municipality services.RESULTS: Risk of readmission was reduced for intervention groups by 30% (A; P = 0.26) and 22 % (B; P = 0.46). Mean number of days to first readmission was 49.5 (±51.0) days for the control group (n = 116) and 57.9 (±53.6) and 67.2 (±58.1) days for the intervention groups A (P = 0.43) and B (P = 0.10), respectively. Mean loss of handgrip strength was 10.6 (±16.6) kg for men in the control group and 7 (±19.2) and 1.4 (±17.1) kg for the intervention groups A (P = 0.38) and B (P = 0.01), respectively. Health-related quality of life improved with 0.3 (±23.7) points in the control group and 7.4 (±24.4) and 3.2 (±22.3) points in the intervention groups A (P = 0.04) and B (P = 0.37), respectively. In total, 17 (16.3%) in the control group were provided with assistive devices after three months and 8 (7.3%) and 19 (17.6%) in the intervention groups A (P = 0.04) and B (P = 0.81), respectively.CONCLUSION: The interventions reduced the risk of readmission and improved handgrip strength, quality of life, and use of assistive devices.",
keywords = "Aged, Denmark, Female, Hand Strength, Home Care Services, Hospital-Based, Hospitals, University, Humans, Male, Motivational Interviewing, Patient Discharge, Patient Education as Topic, Patient Readmission/statistics & numerical data, Quality of Life, Self-Help Devices/statistics & numerical data, Self-Management",
author = "Tove Lindhardt and Loevgreen, {Susan Mai} and Brigitte Bang and Catja Bigum and Klausen, {Tobias W}",
year = "2019",
month = sep,
doi = "10.1177/0269215519845032",
language = "English",
volume = "33",
pages = "1431--1444",
journal = "Clinical Rehabilitation",
issn = "0269-2155",
publisher = "Sage Science Press (UK)",
number = "9",

}

RIS

TY - JOUR

T1 - A targeted assessment and intervention at the time of discharge reduced the risk of readmissions for short-term hospitalized older patients

T2 - a randomized controlled study

AU - Lindhardt, Tove

AU - Loevgreen, Susan Mai

AU - Bang, Brigitte

AU - Bigum, Catja

AU - Klausen, Tobias W

PY - 2019/9

Y1 - 2019/9

N2 - OBJECTIVE: The aim of this study was to test and compare the effect of (1) a systematic discharge assessment with targeted advice and (2) a motivational interview followed by a home visit.DESIGN: This was a three-armed randomized controlled study.SETTING: This study was conducted in the Medical department in a university hospital.SUBJECTS: Patients ⩾65 years of age with health problems at discharge participated in the study.INTERVENTIONS: Group A (n = 117): patients were informed of health problems and self-care interventions; Group B (n = 116): a motivational conversation targeting activities of daily living with a home care nurse and a home visit.MAIN MEASURES: The main measures of this study were readmissions, handgrip strength, chair-to-stand test, health-related quality of life, depression signs, mortality, and call on municipality services.RESULTS: Risk of readmission was reduced for intervention groups by 30% (A; P = 0.26) and 22 % (B; P = 0.46). Mean number of days to first readmission was 49.5 (±51.0) days for the control group (n = 116) and 57.9 (±53.6) and 67.2 (±58.1) days for the intervention groups A (P = 0.43) and B (P = 0.10), respectively. Mean loss of handgrip strength was 10.6 (±16.6) kg for men in the control group and 7 (±19.2) and 1.4 (±17.1) kg for the intervention groups A (P = 0.38) and B (P = 0.01), respectively. Health-related quality of life improved with 0.3 (±23.7) points in the control group and 7.4 (±24.4) and 3.2 (±22.3) points in the intervention groups A (P = 0.04) and B (P = 0.37), respectively. In total, 17 (16.3%) in the control group were provided with assistive devices after three months and 8 (7.3%) and 19 (17.6%) in the intervention groups A (P = 0.04) and B (P = 0.81), respectively.CONCLUSION: The interventions reduced the risk of readmission and improved handgrip strength, quality of life, and use of assistive devices.

AB - OBJECTIVE: The aim of this study was to test and compare the effect of (1) a systematic discharge assessment with targeted advice and (2) a motivational interview followed by a home visit.DESIGN: This was a three-armed randomized controlled study.SETTING: This study was conducted in the Medical department in a university hospital.SUBJECTS: Patients ⩾65 years of age with health problems at discharge participated in the study.INTERVENTIONS: Group A (n = 117): patients were informed of health problems and self-care interventions; Group B (n = 116): a motivational conversation targeting activities of daily living with a home care nurse and a home visit.MAIN MEASURES: The main measures of this study were readmissions, handgrip strength, chair-to-stand test, health-related quality of life, depression signs, mortality, and call on municipality services.RESULTS: Risk of readmission was reduced for intervention groups by 30% (A; P = 0.26) and 22 % (B; P = 0.46). Mean number of days to first readmission was 49.5 (±51.0) days for the control group (n = 116) and 57.9 (±53.6) and 67.2 (±58.1) days for the intervention groups A (P = 0.43) and B (P = 0.10), respectively. Mean loss of handgrip strength was 10.6 (±16.6) kg for men in the control group and 7 (±19.2) and 1.4 (±17.1) kg for the intervention groups A (P = 0.38) and B (P = 0.01), respectively. Health-related quality of life improved with 0.3 (±23.7) points in the control group and 7.4 (±24.4) and 3.2 (±22.3) points in the intervention groups A (P = 0.04) and B (P = 0.37), respectively. In total, 17 (16.3%) in the control group were provided with assistive devices after three months and 8 (7.3%) and 19 (17.6%) in the intervention groups A (P = 0.04) and B (P = 0.81), respectively.CONCLUSION: The interventions reduced the risk of readmission and improved handgrip strength, quality of life, and use of assistive devices.

KW - Aged

KW - Denmark

KW - Female

KW - Hand Strength

KW - Home Care Services, Hospital-Based

KW - Hospitals, University

KW - Humans

KW - Male

KW - Motivational Interviewing

KW - Patient Discharge

KW - Patient Education as Topic

KW - Patient Readmission/statistics & numerical data

KW - Quality of Life

KW - Self-Help Devices/statistics & numerical data

KW - Self-Management

U2 - 10.1177/0269215519845032

DO - 10.1177/0269215519845032

M3 - Journal article

C2 - 31032629

VL - 33

SP - 1431

EP - 1444

JO - Clinical Rehabilitation

JF - Clinical Rehabilitation

SN - 0269-2155

IS - 9

ER -

ID: 59116725