Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 57, Issue 3, Pages 395-402Publisher
WILEY
DOI: 10.1111/j.1532-5415.2009.02138.x
Keywords
patient readmission; exercise; health promotion; frail elderly
Categories
Funding
- Australian Research Council Discovery
Ask authors/readers for more resources
To evaluate the effect of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency health service utilization and quality of life. Randomized controlled trial. Tertiary metropolitan hospital in Australia. One hundred twenty-eight patients (64 intervention, 64 control) with an acute medical admission, aged 65 and older and with at least one risk factor for readmission (multiple comorbidities, impaired functionality, aged >= 75, recent multiple admissions, poor social support, history of depression). Comprehensive nursing and physiotherapy assessment and individualized program of exercise strategies and nurse-conducted home visit and telephone follow-up commencing in the hospital and continuing for 24 weeks after discharge. Emergency health service utilization (emergency hospital readmissions and visits to emergency department, general practitioner (GP), or allied health professional) and health-related quality of life (Medical Outcomes Study 12-item Short Form Survey (SF-12v2((TM))) collected at baseline and 4, 12, and 24 weeks after discharge. The intervention group required significantly fewer emergency hospital readmissions (22% of intervention group, 47% of control group, P=.007) and emergency GP visits (25% of intervention group, 67% of control group, P <.001). The intervention group also reported significantly greater improvements in quality of life than the control group as measured using SF-12v2((TM)) Physical Component Summary scores (F (3, 279)=30.43, P <.001) and Mental Component Summary scores (F (3, 279)=7.20, P <.001). Early introduction of an individualized exercise program and long-term telephone follow-up may reduce emergency health service utilization and improve quality of life of older adults at risk of hospital readmission.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available