Key result
Palliative home nursing care linked to ~48% fewer 30-day readmissions vs standard care.
Why the study?
The impact of palliative home nursing care on hospital 30-day readmission rates among home care patients was unclear.
Does palliative home nursing care reduce hospital 30-day readmissions in home care patients discharged from urban teaching hospitals?
Population
1282 home care patients discharged from three urban teaching hospitals
Comparison
Palliative home nursing care vs standard home care
Design
Electronic health record based retrospective propensity score matched cohort study
Follow-up
30 days
Authors
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Hypothesis-generating for palliative home nursing; prospective trials needed before practice change.
Cohort (n=1,282)
Yes
Does palliative home nursing care reduce hospital 30-day readmissions in home care patients discharged from urban teaching hospitals?
Absolute Risk Reduction: 8.3 (95% CI 8–8.6)
Absolute Event Rate: 9.1% vs 17.4%
Absolute Risk Reduction: 8.3%
Palliative home nursing care significantly reduces 30-day hospital readmissions compared to standard home care.
Ranganathan et al. (2013) conducted a cohort in Home care patients discharged from hospital (n=1,282). Palliative home nursing care vs. Standard home care was evaluated on Hospital readmissions within 30 days of hospital discharge (ATT 8.3%, 95% CI 8.0%-8.6%). Palliative home nursing care was associated with a lower 30-day readmission probability compared to standard home care (9.1% vs 17.4%; ATT 8.3%, 95% CI 8.0%-8.6%).
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