Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
Torisson, Gustav LU
; Minthon, Lennart
LU
; Stavenow, Lars
and Londos, Elisabet
LU
(2013)
In Clinical Interventions in Aging
8.
p.1295-1304
- Abstract
- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4102035
- author
- Torisson, Gustav
LU
; Minthon, Lennart
LU
; Stavenow, Lars
and Londos, Elisabet
LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- medical inpatients, hospital readmissions, intervention, drug-related, problems, cognitive impairment, hospital discharge
- in
- Clinical Interventions in Aging
- volume
- 8
- pages
- 1295 - 1304
- publisher
- Dove Medical Press Ltd.
- external identifiers
-
- wos:000324792500001
- pmid:24106422
- scopus:84884677848
- pmid:24106422
- ISSN
- 1178-1998
- DOI
- 10.2147/CIA.S49133
- language
- English
- LU publication?
- yes
- id
- e9eb263c-ebfd-4b48-9c5f-ba5810754528 (old id 4102035)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/24106422?dopt=Abstract
- date added to LUP
- 2016-04-01 10:10:37
- date last changed
- 2022-04-27 19:21:16
@article{e9eb263c-ebfd-4b48-9c5f-ba5810754528,
abstract = {{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.}},
author = {{Torisson, Gustav and Minthon, Lennart and Stavenow, Lars and Londos, Elisabet}},
issn = {{1178-1998}},
keywords = {{medical inpatients; hospital readmissions; intervention; drug-related; problems; cognitive impairment; hospital discharge}},
language = {{eng}},
pages = {{1295--1304}},
publisher = {{Dove Medical Press Ltd.}},
series = {{Clinical Interventions in Aging}},
title = {{Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study}},
url = {{https://lup.lub.lu.se/search/files/1627409/4254945}},
doi = {{10.2147/CIA.S49133}},
volume = {{8}},
year = {{2013}},
}