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Centre for Policy on Ageing | |
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| Effects of home-based interventions on unplanned readmissions and out-of-hospital deaths | | Author(s) | Simon Stewart, Sue Pearson, Colin G Luke |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 2, February 1998 |
| Pages | pp 174-180 |
| Keywords | Home visits [doctors] ; Discharged patients ; Admission [hospitals] ; Death ; Australia. |
| Annotation | This Australian study compared home-based intervention (HBI) with usual care (UC), following discharge from hospital in 762 patients selected on the basis of anticipated increased risk of unplanned readmission after home discharge. 381 patients received HBI consisting of counselling before discharge; 314 of those considered to be at high risk of readmission also had a single home visit (by a nurse and pharmacist). The primary endpoint was the number of unplanned readmissions plus out-of-hospital deaths in a 6-month follow-up. During the follow-up, the major endpoint occurred most commonly in the UC group (217 vs 155 episodes). Overall, the HBI group had fewer unplanned readmissions (154 vs 197), out-of-hospital deaths (1 vs 20), total deaths (12 vs 29), emergency department attendances (236 vs 314), and total days of hospitalisation (1452 vs 1766). Hospital-based costs of health care in the follow-up tended to be lower in the HBI group. Among high risk patients discharged from acute hospital care, HBI is beneficial in limiting unplanned readmissions and reducing risk of out-of-hospital death. It may be particularly cost-effective if applied selectively to patients with a history of frequent unplanned hospital admission. (RH). |
| Accession Number | CPA-981117008 A |
| Classmark | L5H: LFD: LD:QKH: CW: 7YA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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