Key result
A multimodal discharge-planning intervention reduced emergency hospitalizations or ED visits at 3 months compared to control (23.0% vs 30.5%; HR 0.72; 95% CI 0.53-0.97; P=0.03).
Why the study?
Does a multimodal comprehensive discharge-planning intervention reduce emergency rehospitalizations or ED visits in inpatients aged 70 and older?
Population
665 consecutive inpatients aged 70 and older in 6 acute geriatric units.
Comparison
Multimodal comprehensive discharge-planning… vs Control group (usual care)
Design
RCT, randomized (Zelen design), open-label
Follow-up
6 months
Authors
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Supports short-term use in older inpatients; confirms RCT benefit of multimodal discharge planning but leaves 6-month durability open.
RCT (n=665)
Open-label
Zelen design
Yes
Does a multimodal comprehensive discharge-planning intervention reduce emergency rehospitalizations or ED visits in inpatients aged 70 and older?
Effect estimate: HR 0.72 (95% CI 0.53-0.97)
Absolute Event Rate: 23% vs 30.5%
p-value: p=0.03
A multimodal geriatric discharge-planning intervention significantly reduced emergency visits and rehospitalizations at 3 months, but the effect was not sustained at 6 months.
Legrain et al. (2011) conducted an RCT in Very old inpatients (n=665). Multimodal comprehensive discharge-planning intervention vs. Control group was evaluated on Emergency hospitalization or ED visit at 3 months (HR 0.72, 95% CI 0.53-0.97, p=0.03). A multimodal discharge-planning intervention reduced emergency hospitalizations or ED visits at 3 months compared to control (23.0% vs 30.5%; HR 0.72; 95% CI 0.53-0.97; P=0.03).
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