TY - JOUR
T1 - Effectiveness of the "Elderly Activity Performance Intervention" on elderly patients' discharge from a short-stay unit at the emergency department
T2 - a quasi-experimental trial
AU - Nielsen, Louise Moeldrup
AU - Maribo, Thomas
AU - Kirkegaard, Hans
AU - Petersen, Kirsten Schultz
AU - Lisby, Marianne
AU - Oestergaard, Lisa Gregersen
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
KW - Aged
KW - Aged, 80 and over
KW - Denmark/epidemiology
KW - Emergencies/epidemiology
KW - Emergency Service, Hospital/statistics & numerical data
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Incidence
KW - Male
KW - Occupational Therapy/methods
KW - Patient Discharge/trends
KW - Patient Readmission/trends
KW - Performance of daily activities
KW - Activities of daily living
KW - Acute care
KW - Occupational therapy
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85047834887&partnerID=8YFLogxK
U2 - 10.2147/CIA.S162623
DO - 10.2147/CIA.S162623
M3 - Journal article
C2 - 29731615
SN - 1178-1998
VL - 13
SP - 737
EP - 747
JO - Clinical Interventions in Aging
JF - Clinical Interventions in Aging
ER -