dc.contributor.author | Garåsen, Helge | |
dc.contributor.author | Windspoll, Rolf | |
dc.contributor.author | Johnsen, Roar | |
dc.date.accessioned | 2015-09-11T12:05:28Z | |
dc.date.accessioned | 2015-09-17T08:15:47Z | |
dc.date.available | 2015-09-11T12:05:28Z | |
dc.date.available | 2015-09-17T08:15:47Z | |
dc.date.issued | 2007 | |
dc.identifier.citation | BMC Public Health 2007, 7::68 | nb_NO |
dc.identifier.issn | 1471-2458 | |
dc.identifier.uri | http://hdl.handle.net/11250/300397 | |
dc.description.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. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | BioMed Central | nb_NO |
dc.title | Intermediate care at a community hospital as an alternative to prolinged general hospital care for eldery patients: a randomised controlled trial | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | en_GB |
dc.date.updated | 2015-09-11T12:05:28Z | |
dc.source.volume | 7 | nb_NO |
dc.source.journal | BMC Public Health | nb_NO |
dc.identifier.doi | 10.1186/1471-2458-7-68 | |
dc.identifier.cristin | 370730 | |
dc.description.localcode | © 2007 Garåsen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. | nb_NO |