Effectiveness of the "Elderly Activity Performance Intervention" on elderly patients' discharge from a short-stay unit at the emergency department: a quasi-experimental trial

Louise Moeldrup Nielsen, Thomas Maribo, Hans Kirkegaard, Kirsten Schultz Petersen, Marianne Lisby, Lisa Gregersen Oestergaard, Louise Moeldrup Nielsen, Thomas Maribo, Hans Kirkegaard, Kirsten Schultz Petersen, Marianne Lisby, Lisa Gregersen Oestergaard

Abstract

Purpose: To examine the effectiveness of the Elderly Activity Performance Intervention on reducing the risk of readmission in elderly patients discharged from a short-stay unit at the emergency department.

Patients and methods: The study was conducted as a nonrandomized, quasi-experimental trial. Three hundred and seventy-five elderly patients were included and allocated to the Elderly Activity Performance Intervention (n=144) or usual practice (n=231). The intervention consisted of 1) assessment of the patients' performance of daily activities, 2) referral to further rehabilitation, and 3) follow-up visit the day after discharge. Primary outcome was readmission (yes/no) within 26 weeks. The study was registered in ClinicalTrial.gov (NCT02078466).

Results: No between-group differences were found in readmission. Overall, 44% of the patients in the intervention group and 42% in the usual practice group were readmitted within 26 weeks (risk difference=0.02, 95% CI: [-0.08; 0.12] and risk ratio=1.05, 95% CI: [0.83; 1.33]). No between-group differences were found in any of the secondary outcomes.

Conclusion: The Elderly Activity Performance Intervention showed no effectiveness in reducing the risk of readmission in elderly patients discharged from a short-stay unit at the emergency department. The study revealed that 60% of the elderly patients had a need for further rehabilitation after discharge.

Keywords: activities of daily living; acute care; occupational therapy; performance of daily activities; rehabilitation.

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Overview of the Elderly Activity Performance Intervention. Abbreviation: OT, occupational therapist.
Figure 2
Figure 2
Flowchart of the study population.
Figure 3
Figure 3
Plots of cumulative incidence proportion for readmission within 26 weeks for the study population (N=375).

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