Angina Pectoris, Asthma, Congestive Heart Failure, Fractures, Pneumonia
Conditions
Keywords
Treatment of elderly., Nursing home., Rehabilitation., Readmissions.
Brief summary
To study the efficacy of multicomponent treatment and care for patients with acute illness or deterioration of a chronic disease at a nursing home in primary health care compared to traditional treatment at hospital.
Detailed description
Managers at St. Olavs University Hospital and the City of Trondheim local authority decided in 2001 to establish a reinforced department at a nursing home with a multicomponent approach to patient treatment. In the study treatment at a nursing home will be compared with conventional treatment in ordinary hospital beds in medical, surgical and orthopedic departments at a hospital. Participating doctors at the hospital together with general practitioners shall develope inclusion criteria through Delphi technique. Eligible participants will be hospitalized from their ordinary home and expected to return to home after treatment. When an eligible patient is identified and accepted for inclusion, randomization will be performed by the Clinical Research Department at the Faculty of Medicine.
Interventions
Specialized care in preparing recharge to home
Usual recharge directly from hospital to home
Sponsors
Study design
Eligibility
Inclusion criteria
* Participating doctors at the hospital together with general practitioners shall develope inclusion criteria through Delphi technique.
Exclusion criteria
* Participating doctors at the hospital together with general practitioners shall develope
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of readmissions | Within 60 days |
| Number of deaths | Within 12 months |
| Need of home nursing services | within 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Costs | Within 12 months |
Countries
Norway