Trial reportBMJ (Clinical research ed.)2001
Therapeutic nursing or unblocking beds? A randomised controlled trial of a post-acute intermediate care unit.
Trial report in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of intermediate care in nursing-led in-patient units.The Cochrane database of systematic reviews · 2007Pooled it
- Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up.BMC research notes · 2014Trial
- The HIM (Health for Izhevsk Men) trial protocol.BMC health services research · 2008Trial
- A cost effectiveness analysis within a randomised controlled trial of post-acute care of older people in a community hospital.BMJ (Clinical research ed.) · 2006Trial
- Transitional care facility for elderly people in hospital awaiting a long term care bed: randomised controlled trial.BMJ (Clinical research ed.) · 2005Trial
- Understanding transitional care programs for older adults who experience delayed discharge: a scoping review.BMC geriatrics · 2021Article
- Effectiveness and analysis of factors predictive of discharge to home in a 4-year cohort in a residential transitional care unit.Aging medicine (Milton (N.S.W)) · 2019Article
- Higher 30-day and 60-day readmissions among patients who refuse post acute care services.The American journal of managed care · 2015Article
- Coaching Older Adults and Carers to have their preferences Heard (COACH): A randomised controlled trial in an intermediate care setting (study protocol).The Australasian medical journal · 2012Article
- Intermediate care for older people in the U.K.Clinical medicine (London, England) · 2010Article
- Intermediate care: for better or worse? Process evaluation of an intermediate care model between a university hospital and a residential home.BMC health services research · 2005Article
- Economic evaluation of nurse led intermediate care versus standard care for post-acute medical patients: cost minimisation analysis of data from a randomised controlled trial.BMJ (Clinical research ed.) · 2005Article
- Nurse led care.BMJ (Clinical research ed.) · 2005Article
- Cluster randomisation or randomised consent as an appropriate methodology for trials in palliative care: a feasibility study [ISRCTN60243484].BMC palliative care · 2004Article
- The role of an intermediate unit in a clinical pathway.International journal of integrated careArticle
- Misleading at Best: A Critical Appraisal of "Nurse-Physician Substitution in Hospital Settings".Missouri medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare post-acute intermediate care in an inpatient nurse-led unit with conventional post-acute care on general medical wards of an acute hospital and to examine the model of care in a nurse-led unit.
designRandomised controlled trial with six month follow up.
settingUrban teaching hospital and surrounding area, including nine community hospitals.
participants238 patients accepted for admission to nurse-led unit.
interventionsCare in nurse-led unit or usual post-acute care.
main outcome measuresPatients' length of stay, functional status, subsequent move to more dependent living arrangement.
resultsInpatient length of stay was significantly longer in the nurse-led unit than in general medical wards (14.3 days longer (95% confidence interval 7.8 to 20.7)), but this difference became non-significant when transfers to community hospitals were included in the measure of initial length of stay (4.5 days longer (-3.6 to 12.5)). No differences were observed in mortality, functional status, or living arrangements at any time. Patients in the nurse-led unit received significantly fewer minor medical investigations and, after controlling for length of stay, significantly fewer major reviews, tests, or drug changes.
conclusionsThe nurse-led unit seemed to be a safe alternative to conventional management, but a full accounting of such units' place in the local continuum of care and the costs associated with acute hospitals managing post-acute patients is needed if nurse-led units are to become an effective part of the government's recent commitment to intermediate care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.