Effect of Discharge Via an Intermediate Care Unit
Can Discharge Via an Intermediate Care Unit Prevent Aggravation of Disease and Loss of Functionality, Without Increasing the Level of Cost? A Controlled Observational Study
The main goal is to investigate the following topics:
- Can discharge via the Intermediate Care Unit in Stjørdal, compared to direct discharge to Verdal Municipality, be equally effective in preventing aggravation of disease and loss of function for patients over 60 years that have been hospitalized in Levanger hospital?
- Are the cost by discharge to the Intermediate Care Unit in Stjørdal, when the hospital is not located in the same Municipality, comparable to the cost by direct discharge to the Municipality of Verdal, for patients over 60 years that have been hospitalized in Levanger hospital?
- Which issues are considered important by patients and health personnel during discharge, arrival and follow up in the Municipality, to ensure an optimal interaction between the involved units.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Levanger, Norway
- Sykehuset Levanger
-
Stjørdal, Norway
- Distriksmedisinsk Senter
-
Stjørdal, Norway
- Stjørdal Kommune
-
Verdal, Norway
- Verdal kommune
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Patients 60 years old or older from Stjørdal- or Verdal municipality,
- given consent,
- admitted from their home,
- diagnostics completed and necessary treatment started
- the patient need not less than 3-4 days institutionalization for treatment/rehabilitation/care
Exclusion Criteria:
- Patients with severe dementia
- Patients with severe disease who cannot give consent
- Patients with severe disease with short life expectancy (including severe cancer)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intermediate care unit
Follow-up treatment and care in a intermediate care unit after discharge from hospital
|
|
|
Active Comparator: Local health care 1
Discharge from hospital to usual care as provided by the local health and social care (Verdal)
|
|
|
Active Comparator: Local health care 2
Discharge from hospital to usual care as provided by the local health and social care (Stjørdal)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hospital readmission
Time Frame: 30 days
|
Acute admission to hospital within 30 days from previous discharge
|
30 days
|
|
Use of local health care services
Time Frame: up to 1 year
|
up to 1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
death
Time Frame: up to 1 year
|
up to 1 year
|
|
hospital admission
Time Frame: up to 1 year
|
up to 1 year
|
|
functional assessment status
Time Frame: up to 6 months
|
up to 6 months
|
|
Health service cost
Time Frame: up to 1 year
|
up to 1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Roar Johnsen, PhD, Norwegian University of Science and Technology
Publications and helpful links
General Publications
- Dahl U, Johnsen R, Saetre R, Steinsbekk A. The influence of an intermediate care hospital on health care utilization among elderly patients--a retrospective comparative cohort study. BMC Health Serv Res. 2015 Feb 1;15:48. doi: 10.1186/s12913-015-0708-4.
- Dahl U, Steinsbekk A, Jenssen S, Johnsen R. Hospital discharge of elderly patients to primary health care, with and without an intermediate care hospital - a qualitative study of health professionals' experiences. Int J Integr Care. 2014 Apr 30;14:e011. doi: 10.5334/ijic.1156. eCollection 2014 Apr.
- Dahl U, Steinsbekk A, Johnsen R. Effectiveness of an intermediate care hospital on readmissions, mortality, activities of daily living and use of health care services among hospitalized adults aged 60 years and older--a controlled observational study. BMC Health Serv Res. 2015 Aug 28;15:351. doi: 10.1186/s12913-015-1022-x.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 2009/1697
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