dc.contributor.author |
Parsons, Matthew |
en |
dc.contributor.author |
Parsons, John |
en |
dc.contributor.author |
Rouse, Antony |
en |
dc.contributor.author |
Pilai, A |
en |
dc.contributor.author |
Mathieson, S |
en |
dc.contributor.author |
Parsons, R |
en |
dc.contributor.author |
Smith, C |
en |
dc.contributor.author |
Kenealy, Timothy |
en |
dc.date.accessioned |
2018-10-11T01:50:05Z |
en |
dc.date.issued |
2018-03-01 |
en |
dc.identifier.issn |
0002-0729 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/40740 |
en |
dc.description.abstract |
Background: Supported Discharge Teams aim to help with the transition from hospital to home, whilst reducing hospital length-of-stay. Despite their obvious attraction, the evidence remains mixed, ranging from strong support for disease-specific interventions to less favourable results for generic services. Objective: To determine whether older people referred to a Supported Discharge Team have: (i) reduced length-of-stay in hospital; (ii) reduced risk of hospital readmission; and (iii) reduced healthcare costs. Methods: Randomised controlled trial with follow-up to 6 months; 103 older women and 80 men (n = 183) (mean age 79), in hospital, were randomised to receive either Supported Discharge Team or usual care. Home-based rehabilitation was delivered by trained Health Care Assistants up to four times a day, 7 days a week, under the guidance of registered nurses, allied health and geriatricians for up to 6 weeks. Results: Participants randomised to the Supported Discharge Team spent less time in hospital during the index admission (mean 15.7 days) in comparison to usual care (mean 21.6 days) (mean difference 5.9: 95% CI 0.6, 11.3 days: P = 0.03) and spent less time in hospital in the 6 months following discharge home. Supported discharge group costs were calculated at mean NZ$10,836 (SD NZ$12,087) compared to NZ$16,943 (SD NZ$22,303) in usual care. Conclusion: A Supported Discharge Team can provide an effective means of discharging older people home early from hospital and can make a cost-effective contribution to managing increasing demand for hospital beds. |
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dc.publisher |
Oxford University Press |
en |
dc.relation.ispartofseries |
Age and Ageing |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
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dc.title |
Supported Discharge Teams for older people in hospital acute care: A randomised controlled trial |
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dc.type |
Journal Article |
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dc.identifier.doi |
10.1093/ageing/afx169 |
en |
pubs.issue |
2 |
en |
pubs.begin-page |
288 |
en |
pubs.volume |
47 |
en |
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
29145548 |
en |
pubs.end-page |
294 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
614526 |
en |
pubs.org-id |
Business and Economics |
en |
pubs.org-id |
Accounting and Finance |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Nursing |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Statistics |
en |
dc.identifier.eissn |
1468-2834 |
en |
pubs.record-created-at-source-date |
2017-02-23 |
en |
pubs.online-publication-date |
2017-11-14 |
en |
pubs.dimensions-id |
29145548 |
en |