Effect of a Transitional Care Intervention From Hospital to Home on Readmissions Among Older Medical Patients: a Quasi-experimental Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,266
- 试验地点
- 2
- 主要终点
- Readmission
研究概览
简要总结
The objective of this study is to evaluate the effect of a transitional care intervention on readmissions among older medical patients.
The proportion of older people is rapidly growing. These changes represent a challenge for healthcare systems. 20% of all hospital admitted patients ≥ 65 years are readmitted within the first 30 days after discharge. Prior transitional care research has mainly focused on either hospital-based or community-based interventions with no or little intervention elements in both settings. The results show different effects on readmission rates. This calls for new research on trans-sectorial interventions with both pre- and post-discharge elements.
详细描述
Design:
Non-randomized controlled trial.
Participants For eligibility criteria - see elsewhere. Intervention group • Patients living in Odder, Skanderborg or Hedensted municipality
Control group
• Patients living in Horsens municipality
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
盲法说明
Intervention group: living in three predefined municipality Control group: living in one predefined municipality
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged ≥75 years
- •Living in the municipalities of Odder, Skanderborg, Hedensted or Horsens
- •Admitted for ≥48 hours
- •Discharged from Medical Ward 1 (MSA1) at Horsens Regional Hospital (HRH)
排除标准
- •Terminally ill patients
- •Patients with cerebrovascular events
- •Readmitted to another hospital
- •Not able to speak and understand Danish
结局指标
主要结局
Readmission
时间窗: Readmission will be assessed at 30 days after hospital discharge in both intervention and control group
Unplanned all-cause readmission
次要结局
- Mortality(Mortality will be assessed at 30 days after hospital discharge in both intervention and control group)