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Title: Implementation of discharge management for geriatric patients at risk of readmission or institutionalization
Authors: Steeman, Els ×
Moons, Philip
Milisen, Koen
De Bal, Nele
De Geest, Sabina
De Froidmont, Cécile
Tellier, Véronique
Gosset, Christiane
Abraham, Ivo #
Issue Date: Oct-2006
Publisher: Pergamon
Series Title: International Journal for Quality in Health Care vol:18 issue:5 pages:352-8
Abstract: OBJECTIVE: To evaluate whether implementation of discharge management by trained social workers or nurses reduces hospital readmissions and institutionalizations of geriatric patients in a real-world setting. DESIGN: Quasi-experimental design. SETTING: Six general hospitals in Belgium. PARTICIPANTS: A representative sample of 824 patients, 355 of whom were assigned to the experimental group receiving comprehensive discharge management and 469 to the control group receiving usual care. Inclusion criteria were patients admitted to a geriatric, rehabilitation, or internal medicine ward, not residing in a nursing home, and showing risk of readmission or institutionalization on admission in the hospital. INTERVENTION: In-hospital discharge planning according to a case management protocol allowing for adjustment to participating hospitals' case mix and patients' and families' specific needs. MAIN OUTCOME MEASURES: Hospital readmission within 15 and 90 days post discharge; institutionalization at discharge and within 15 and 90 days post discharge. RESULTS: Discharge management resulted in fewer institutionalizations (n = 53; 14.9%) compared with usual care (n = 130; 23.7%) (adjusted odds ratio = 0.47; CI 95% = 0.31-0.70). Readmission rates between the intervention and usual care group were not significantly different. CONCLUSIONS: This implementation project showed that a discharge planning intervention can reduce institutionalization rates of elderly patients in real-life settings.
ISSN: 1353-4505
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Academic Centre for Nursing and Midwifery
Interfaculty Centre for Biomedial Ethics and Law
× corresponding author
# (joint) last author

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