id:"swepub:oai:lup.lub.lu.se:e9eb263c-ebfd-4b48-9c5f-ba5810754528"
Search: id:"swepub:oai:lup.lub.lu.se:e9eb263c-ebfd-4b48-9c5f-ba5810754528" > Multidisciplinary i...
- 1 of 1
- Previous record
- Next record
- To hitlist
- Torisson, GustavLund University,Lunds universitet,Klinisk minnesforskning,Forskargrupper vid Lunds universitet,Clinical Memory Research,Lund University Research Groups (author)
Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
- Article/chapterEnglish2013
Publisher, publication year, extent ...
- 2013
- electronicrdacarrier
Numbers
- LIBRIS-ID:oai:lup.lub.lu.se:e9eb263c-ebfd-4b48-9c5f-ba5810754528
- https://lup.lub.lu.se/record/4102035URI
- https://doi.org/10.2147/CIA.S49133DOI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- Background: The purpose of this study was to examine whether a multidisciplinary intervention targeting drug-related problems, cognitive impairment, and discharge miscommunication could reduce readmissions in a general hospital population. Methods: This prospective, non-randomized intervention study was carried out at the department of general internal medicine at a tertiary university hospital. Two hundred medical inpatients living in the community and aged over 60 years were included. Ninety-nine patients received interventions and 101 received standard care. Control/intervention allocation was determined by geographic selection. Interventions consisted of a comprehensive medication review, improved discharge planning, post-discharge telephone follow-up, and liaison with the patient's general practitioner. The main outcome measures recorded were readmissions and hospital nights 12 months after discharge. Separate analyses were made for 12-month survivors and from an intention-to-treat perspective. Comparative analyses were made between groups as well as within groups over time. Results: After 12 months, survivors in the control group had 125 readmissions in total, compared with 58 in the intervention group (Mann-Whitney U test, P = 0.02). For hospital nights, the numbers were 1,228 and 492, respectively (P = 0.009). Yearly admissions had increased from the previous year in the control group from 77 to 125 (Wilcoxon signed-rank test, P = 0.002) and decreased from 75 to 58 in the intervention group (P = 0.25). From the intention-to-treat perspective, the same general pattern was observed but was not significant (1,827 versus 1,008 hospital nights, Mann-Whitney test, P = 0.054). Conclusion: A multidisciplinary approach, targeting several different areas, could substantially lower readmissions and hospital costs in a non-terminal general hospital population.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
- medical inpatients
- hospital readmissions
- intervention
- drug-related
- problems
- cognitive impairment
- hospital discharge
Added entries (persons, corporate bodies, meetings, titles ...)
- Minthon, LennartLund University,Lunds universitet,Klinisk minnesforskning,Forskargrupper vid Lunds universitet,Clinical Memory Research,Lund University Research Groups(Swepub:lu)psyk-lmi (author)
- Stavenow, Lars (author)
- Londos, ElisabetLund University,Lunds universitet,Klinisk minnesforskning,Forskargrupper vid Lunds universitet,Clinical Memory Research,Lund University Research Groups(Swepub:lu)pski-elo (author)
- Klinisk minnesforskningForskargrupper vid Lunds universitet (creator_code:org_t)
Related titles
- In:Clinical Interventions in Aging8, s. 1295-13041178-1998
Internet link
Find in a library
- Clinical Interventions in Aging (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Torisson, Gustav
- Minthon, Lennart
- Stavenow, Lars
- Londos, Elisabet
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Neurology
- Articles in the publication
- Clinical Interve ...
- By the university
- Lund University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
