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Intermediate care at a community hospital as an alternative to prolinged general hospital care for eldery patients: a randomised controlled trial

Garåsen, Helge; Windspoll, Rolf; Johnsen, Roar
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/300397
Date
2007
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  • Institutt for samfunnsmedisin og sykepleie [1761]
  • Publikasjoner fra CRIStin - NTNU [20842]
Original version
BMC Public Health 2007, 7::68   10.1186/1471-2458-7-68
Abstract
Background: Demographic changes together with an increasing demand among older people for

hospital beds and other health services make allocation of resources to the most efficient care level

a vital issue. The aim of this trial was to study the efficacy of intermediate care at a community

hospital compared to standard prolonged care at a general hospital.

Methods: In a randomised controlled trial 142 patients aged 60 or more admitted to a general

hospital due to acute illness or exacerbation of a chronic disease 72 (intervention group) were

randomised to intermediate care at a community hospital and 70 (general hospital group) to further

general hospital care.

Results: In the intervention group 14 patients (19.4%) were readmitted for the same disease

compared to 25 patients (35.7%) in the general hospital group (p = 0.03). After 26 weeks 18 (25.0%)

patients in the intervention group were independent of community care compared to seven

(10.0%) in the general hospital group (p = 0.02). There were an insignificant reduction in the

number of deaths and an insignificant increase in the number of days with inward care in the

intervention group. The number of patients admitted to long-term nursing homes from the

intervention group was insignificantly higher than from the general hospital group.

Conclusion: Intermediate care at a community hospital significantly decreased the number of

readmissions for the same disease to general hospital, and a significantly higher number of patients

were independent of community care after 26 weeks of follow-up, without any increase in mortality

and number of days in institutions.
Publisher
BioMed Central
Journal
BMC Public Health

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