作者
Nicholas J Cordato, Mary Kearns, Peter Smerdely, Katrin M Seeher, Matthew D Gardiner, Henry Brodaty
发表日期
2018/3/1
期刊
Journal of the American Medical Directors Association
卷号
19
期号
3
页码范围
276. e11-276. e19
出版商
Elsevier
简介
Objectives
Rehospitalization of nursing home (NH) residents is frequent, costly, potentially avoidable and associated with diminished quality of life and poor survival. This study aims to evaluate the impact and cost-effectiveness of the Regular Early Assessment Post-Discharge (REAP) protocol of coordinated specialist geriatrician and nurse practitioner visits on rates of rehospitalization, hospital length of stay, and emergency department presentations for NH residents recently discharged from hospital.
Design
Prospective randomized controlled study of recently hospitalized NH residents.
Setting
Twenty-one of 24 eligible NHs within the geographical catchment area of St George Hospital, a 650-bed university hospital in Sydney, Australia.
Participants
NH residents from eligible facilities admitted to St George Hospital's geriatric service were enrolled prior to hospital discharge.
Intervention
REAP intervention of monthly …
学术搜索中的文章
NJ Cordato, M Kearns, P Smerdely, KM Seeher… - Journal of the American Medical Directors Association, 2018