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J Am Geriatr Soc. 2007 Dec;55(12):1995-2002. Epub 2007 Nov 2.

Postacute care for older people in community hospitals: a multicenter randomized, controlled trial.

Author information

1
Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford Institute for Health Research, Bradford, West Yorkshire, United Kingdom. john.young@bradfordhospitals.nhs.uk

Abstract

OBJECTIVES:

To compare the effects of community hospital care on independence for older people needing rehabilitation with that of general hospital care.

DESIGN:

Randomized, controlled trial.

SETTING:

Seven community hospitals and five general hospitals in the midlands and north of England.

PARTICIPANTS:

Four hundred ninety patients needing rehabilitation after hospital admission with an acute illness.

INTERVENTION:

Multidisciplinary team care for older people in community hospitals.

MEASUREMENTS:

The primary outcome was the Nottingham extended activities of daily living scale (NEADL); secondary outcomes were the Barthel Index, Nottingham Health Profile, Hospital Anxiety and Depression Scale, mortality, discharge destination, 6-month residence status, and satisfaction with services.

RESULTS:

Loss of independence at 6 months was significantly less likely in the community hospital group (mean adjusted NEADL change score group difference 3.27; 95% confidence interval 0.26-6.28; P=.03). The results for the secondary outcome measures were similar for the two groups.

CONCLUSION:

Postacute community hospital rehabilitation care for older people is associated with greater independence.

[Indexed for MEDLINE]

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