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The Capital Region of Denmark - a part of Copenhagen University Hospital
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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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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.

Original languageEnglish
JournalClinical Rehabilitation
Volume33
Issue number9
Pages (from-to)1431-1444
Number of pages14
ISSN0269-2155
DOIs
Publication statusPublished - Sep 2019

    Research areas

  • 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

ID: 59116725