Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study

Gustav Torisson,1 Lennart Minthon,1 Lars Stavenow,2 Elisabet Londos1 1Clinical Memory Research Unit, Department of Clinical Sciences, Lund University, 2Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden Background: The purpose of this study was to examine w...

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Autores principales:	Torisson G, Minthon L, Stavenow L, Londos E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Cognitive impairment Medical inpatients Hospital readmissions Intervention Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/01c7269bf16e41d68af8e4f527bbd817
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spelling	oai:doaj.org-article:01c7269bf16e41d68af8e4f527bbd8172021-12-02T02:36:10ZMultidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study1178-1998https://doaj.org/article/01c7269bf16e41d68af8e4f527bbd8172013-09-01T00:00:00Zhttps://www.dovepress.com/multidisciplinary-intervention-reducing-readmissions-in-medical-inpati-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Gustav Torisson,1 Lennart Minthon,1 Lars Stavenow,2 Elisabet Londos1 1Clinical Memory Research Unit, Department of Clinical Sciences, Lund University, 2Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden Background: The purpose of this study was to examine whether a multidisciplinary intervention targeting drug-related problems, cognitive impairment, and discharge miscommunication could reduce readmissions in a general hospital population. Methods: This prospective, non-randomized intervention study was carried out at the department of general internal medicine at a tertiary university hospital. Two hundred medical inpatients living in the community and aged over 60 years were included. Ninety-nine patients received interventions and 101 received standard care. Control/intervention allocation was determined by geographic selection. Interventions consisted of a comprehensive medication review, improved discharge planning, post-discharge telephone follow-up, and liaison with the patient's general practitioner. The main outcome measures recorded were readmissions and hospital nights 12 months after discharge. Separate analyses were made for 12-month survivors and from an intention-to-treat perspective. Comparative analyses were made between groups as well as within groups over time. Results: After 12 months, survivors in the control group had 125 readmissions in total, compared with 58 in the intervention group (Mann–Whitney U test, P = 0.02). For hospital nights, the numbers were 1,228 and 492, respectively (P = 0.009). Yearly admissions had increased from the previous year in the control group from 77 to 125 (Wilcoxon signed-rank test, P = 0.002) and decreased from 75 to 58 in the intervention group (P = 0.25). From the intention-to-treat perspective, the same general pattern was observed but was not significant (1,827 versus 1,008 hospital nights, Mann–Whitney test, P = 0.054). Conclusion: A multidisciplinary approach, targeting several different areas, could substantially lower readmissions and hospital costs in a non-terminal general hospital population. Keywords: medical inpatients, hospital readmissions, intervention, drug-related problems, cognitive impairment, hospital dischargeTorisson GMinthon LStavenow LLondos EDove Medical PressarticleCognitive impairmentMedical inpatientsHospital readmissionsInterventionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1295-1304 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cognitive impairment Medical inpatients Hospital readmissions Intervention Geriatrics RC952-954.6
spellingShingle	Cognitive impairment Medical inpatients Hospital readmissions Intervention Geriatrics RC952-954.6 Torisson G Minthon L Stavenow L Londos E Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
description	Gustav Torisson,1 Lennart Minthon,1 Lars Stavenow,2 Elisabet Londos1 1Clinical Memory Research Unit, Department of Clinical Sciences, Lund University, 2Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden Background: The purpose of this study was to examine whether a multidisciplinary intervention targeting drug-related problems, cognitive impairment, and discharge miscommunication could reduce readmissions in a general hospital population. Methods: This prospective, non-randomized intervention study was carried out at the department of general internal medicine at a tertiary university hospital. Two hundred medical inpatients living in the community and aged over 60 years were included. Ninety-nine patients received interventions and 101 received standard care. Control/intervention allocation was determined by geographic selection. Interventions consisted of a comprehensive medication review, improved discharge planning, post-discharge telephone follow-up, and liaison with the patient's general practitioner. The main outcome measures recorded were readmissions and hospital nights 12 months after discharge. Separate analyses were made for 12-month survivors and from an intention-to-treat perspective. Comparative analyses were made between groups as well as within groups over time. Results: After 12 months, survivors in the control group had 125 readmissions in total, compared with 58 in the intervention group (Mann–Whitney U test, P = 0.02). For hospital nights, the numbers were 1,228 and 492, respectively (P = 0.009). Yearly admissions had increased from the previous year in the control group from 77 to 125 (Wilcoxon signed-rank test, P = 0.002) and decreased from 75 to 58 in the intervention group (P = 0.25). From the intention-to-treat perspective, the same general pattern was observed but was not significant (1,827 versus 1,008 hospital nights, Mann–Whitney test, P = 0.054). Conclusion: A multidisciplinary approach, targeting several different areas, could substantially lower readmissions and hospital costs in a non-terminal general hospital population. Keywords: medical inpatients, hospital readmissions, intervention, drug-related problems, cognitive impairment, hospital discharge
format	article
author	Torisson G Minthon L Stavenow L Londos E
author_facet	Torisson G Minthon L Stavenow L Londos E
author_sort	Torisson G
title	Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
title_short	Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
title_full	Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
title_fullStr	Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
title_full_unstemmed	Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
title_sort	multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/01c7269bf16e41d68af8e4f527bbd817
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Multidisciplinary intervention reducing readmissions in medical inpatients: a prospective, non-randomized study

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