Abstract
Purpose: To examine the effectiveness of the Elderly Activity Performance Intervention on reducing the risk of readmission in elderly patients discharged from a short-stay unit at the emergency department.
Patients and methods: The study was conducted as a nonrandomized, quasi-experimental trial. Three hundred and seventy-five elderly patients were included and allocated to the Elderly Activity Performance Intervention (n=144) or usual practice (n=231). The intervention consisted of 1) assessment of the patients' performance of daily activities, 2) referral to further rehabilitation, and 3) follow-up visit the day after discharge. Primary outcome was readmission (yes/no) within 26 weeks. The study was registered in ClinicalTrial.gov (NCT02078466).
Results: No between-group differences were found in readmission. Overall, 44% of the patients in the intervention group and 42% in the usual practice group were readmitted within 26 weeks (risk difference=0.02, 95% CI: [-0.08; 0.12] and risk ratio=1.05, 95% CI: [0.83; 1.33]). No between-group differences were found in any of the secondary outcomes.
Conclusion: The Elderly Activity Performance Intervention showed no effectiveness in reducing the risk of readmission in elderly patients discharged from a short-stay unit at the emergency department. The study revealed that 60% of the elderly patients had a need for further rehabilitation after discharge.
Original language | English |
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Journal | Clinical Interventions in Aging |
Volume | 13 |
Pages (from-to) | 737-747 |
Number of pages | 11 |
DOIs | |
Publication status | Published - 2018 |
Keywords
- Aged
- Aged, 80 and over
- Denmark/epidemiology
- Emergencies/epidemiology
- Emergency Service, Hospital/statistics & numerical data
- Female
- Follow-Up Studies
- Humans
- Incidence
- Male
- Occupational Therapy/methods
- Patient Discharge/trends
- Patient Readmission/trends
- Performance of daily activities
- Activities of daily living
- Acute care
- Occupational therapy
- Rehabilitation