Supported Discharge Teams for older people in hospital acute care: A randomised controlled trial

Show simple item record Parsons, Matthew en Parsons, John en Rouse, Antony en Pilai, A en Mathieson, S en Parsons, R en Smith, C en Kenealy, Timothy en 2018-10-11T01:50:05Z en 2018-03-01 en
dc.identifier.issn 0002-0729 en
dc.identifier.uri 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. en
dc.publisher Oxford University Press en
dc.relation.ispartofseries Age and Ageing en
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 en
dc.title Supported Discharge Teams for older people in hospital acute care: A randomised controlled trial en
dc.type Journal Article en
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 en
pubs.subtype Article en
pubs.elements-id 614526 en Business and Economics en Accounting and Finance en Medical and Health Sciences en Nursing en School of Medicine en Medicine Department en Science en Statistics en
dc.identifier.eissn 1468-2834 en
pubs.record-created-at-source-date 2017-02-23 en 2017-11-14 en
pubs.dimensions-id 29145548 en

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