Postacute Care for Older People in Community Hospitals: A Multicentre Randomised, Controlled Trial
Publication date
2007Author
Young, J.Green, J.R.
Forster, A.
Small, Neil A.
Lowson, K.
Bogle, S.
George, J.
Heseltine, D.
Jayasuriya, T.
Rowe, J.
Peer-Reviewed
YesOpen Access status
closedAccess
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OBJECTIVES: To compare the effects of community hospital care on independence for older people needing rehabilitation with that of general hospital care. DESIGN: Randomized, controlled trial. SETTING: Seven community hospitals and five general hospitals in the midlands and north of England. PARTICIPANTS: Four hundred ninety patients needing rehabilitation after hospital admission with an acute illness. INTERVENTION: Multidisciplinary team care for older people in community hospitals. MEASUREMENTS: The primary outcome was the Nottingham extended activities of daily living scale (NEADL); secondary outcomes were the Barthel Index, Nottingham Health Profile, Hospital Anxiety and Depression Scale, mortality, discharge destination, 6-month residence status, and satisfaction with services. RESULTS: Loss of independence at 6 months was significantly less likely in the community hospital group (mean adjusted NEADL change score group difference 3.27; 95% confidence interval 0.26–6.28; P=.03). The results for the secondary outcome measures were similar for the two groups. CONCLUSION: Postacute community hospital rehabilitation care for older people is associated with greater independence.Version
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Young J, Green J, Forster A et al (2007) Postacute Care for Older People in Community Hospitals: A Multicentre Randomised, Controlled Trial. Journal of the American Geriatrics Society. 55(12): 1995-2002.Link to Version of Record
https://doi.org/10.1111/j.1532-5415.2007.01456.xType
Articleae974a485f413a2113503eed53cd6c53
https://doi.org/10.1111/j.1532-5415.2007.01456.x