Introduction Nursing home residents have a high risk of being readmitted after hospitalisation. The objective of this study is to test whether an early geriatric follow-up visit can reduce readmissions among nursing home residents without increasing mortality. The main components of the intervention will also be quantified. Materials and method A quasi-randomised controlled design. A population of nursing-home residents aged 75 years or older admitted to hospital with one of nine medical diagnoses. All patients received comprehensive geriatric assessment before discharge. The intervention comprised a visit by a nurse and a doctor from a geriatric team the first weekday after discharge. Control group patients were offered a follow-up visit by their general practitioner 7–14 days after discharge. Results Six hundred and forty-eight patients were included in the study between June 1st 2014 and December 15th 2016. In the intervention group, 13% were readmitted within 30 days after discharge, compared to 19% in the control group (p = 0.04). Adjusted hazard ratio = 0.63 (95% CI 0.42–0.95). The median length of hospital stay was 1 day for both groups. Neither 30 nor 90-day mortality were affected by the intervention. The most commonly registered intervention element was direct person-to-person contact between hospital and nursing home staff or relatives, followed
European Geriatric Medicine – Springer Journals
Published: Apr 9, 2018
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