Key result
Early geriatric follow-up after discharge did not significantly reduce 90-day mortality overall (23% vs 26%; HR 0.87, 95% CI 0.73-1.03), but reduced mortality among patients living at home.
Why the study?
Does early geriatric follow-up after discharge reduce mortality in geriatric patients ≥75 years admitted acutely to the hospital?
Population
2,076 geriatric patients 75 years or older, admitted to the emergency department with pneumonia, chronic…
Comparison
Follow-up visit by a geriatric team nurse and… vs Screened by hospital staff for a visit by…
Design
RCT, quasi-randomised
Follow-up
90 days
Authors
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Does not support routine early geriatric follow-up after discharge; leaves open targeted benefit in home-dwelling patients for further trials.
RCT (n=2,076)
quasi-randomised
Does early geriatric follow-up after discharge reduce mortality in geriatric patients ≥75 years admitted acutely to the hospital?
Hazard Ratio: 0.87 (95% CI 0.73–1.03)
Absolute Event Rate: 23% vs 26%
Early geriatric follow-up after discharge may reduce 90-day mortality specifically in older patients living in their own homes, though it did not significantly reduce mortality in the overall cohort.
Pedersen et al. (2017) conducted an RCT in geriatric patients admitted acutely to hospital (n=2,076). Early geriatric follow-up vs. Screening for a visit by general practitioner and community nurse 7-14 days after discharge was evaluated on 90-day mortality (HR 0.87, 95% CI 0.73-1.03). Early geriatric follow-up after discharge did not significantly reduce 90-day mortality overall (23% vs 26%; HR 0.87, 95% CI 0.73-1.03), but reduced mortality among patients living at home.
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