Trial reportBMC public health2007
Intermediate care at a community hospital as an alternative to prolonged general hospital care for elderly patients: a randomised controlled trial.
Trial report in BMC public health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00235404 (Specialized Treatment and Care Intervention at a Primary Level in a Nursing Home Compared to Conventional Treatment at a Hospital), which is not on this map. Cited by 33 papers, 3 of them syntheses 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.
Specialized Treatment and Care Intervention at a Primary Level in a Nursing Home Compared to Conventional Treatment at a Hospital: a Randomized Controlled Trial.
Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comprehensive geriatric assessment for older adults admitted to hospital.The Cochrane database of systematic reviews · 2017Pooled it
- Pooled it
- Comprehensive geriatric assessment for older adults admitted to hospital.The Cochrane database of systematic reviews · 2011Pooled it
- Home-based extended rehabilitation for older people with frailty (HERO): a multicentre randomised controlled trial with health economic analysis and process evaluation.Health technology assessment (Winchester, England) · 2026Trial
- Generic care pathway for elderly patients in need of home care services after discharge from hospital: a cluster randomised controlled trial.BMC health services research · 2017Trial
- Acute admissions to a community hospital - health consequences: a randomized controlled trial in Hallingdal, Norway.BMC family practice · 2014Trial
- Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up.BMC research notes · 2014Trial
- Role and values of Swedish community hospitals through the eyes of general hospital doctors: a qualitative interview study.BMJ open · 2026Article
- Influencing factors of length of stay among repeatedly hospitalized patients with mood disorders: a longitudinal study in China.Annals of general psychiatry · 2024Article
- Finding good alternatives to hospitalisation: a data register study in five municipal acute wards in Norway.BMC health services research · 2022Article
- Deep Learning-Based Emergency Care Process Reengineering of Interventional Data for Patients with Emergency Time-Series Events of Myocardial Infarction.Journal of healthcare engineering · 2022Article
- Article
- Understanding the groups of care transition strategies used by U.S. hospitals: an application of factor analytic and latent class methods.BMC medical research methodology · 2021Article
- The Contribution of Case Mix, Skill Mix and Care Processes to the Outcomes of Community Hospitals: A Population-Based Observational Study.International journal of integrated care · 2021Article
- Multidimensional Prognostic Index and Mortality in Intermediate Care Facilities: A Retrospective Study.Journal of clinical medicine · 2021Article
- Can facility-based transitional care improve patient flow? Lessons from four Canadian regions.Healthcare management forum · 2021Article
- Understanding transitional care programs for older adults who experience delayed discharge: a scoping review.BMC geriatrics · 2021Article
- The effectiveness of intermediate care including transitional care interventions on function, healthcare utilisation and costs: a scoping review.European geriatric medicine · 2020Article
- Post-Acute Care as a Key Component in a Healthcare System for Older Adults.Annals of geriatric medicine and research · 2019Review
- Impact of rehabilitation on mortality and readmissions after surgery for hip fracture.BMC health services research · 2018Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDemographic changes together with an increasing demand among older people for hospital beds and other health services make allocation of resources to the most efficient care level a vital issue. The aim of this trial was to study the efficacy of intermediate care at a community hospital compared to standard prolonged care at a general hospital.
methodsIn a randomised controlled trial 142 patients aged 60 or more admitted to a general hospital due to acute illness or exacerbation of a chronic disease 72 (intervention group) were randomised to intermediate care at a community hospital and 70 (general hospital group) to further general hospital care.
resultsIn the intervention group 14 patients (19.4%) were readmitted for the same disease compared to 25 patients (35.7%) in the general hospital group (p = 0.03). After 26 weeks 18 (25.0%) patients in the intervention group were independent of community care compared to seven (10.0%) in the general hospital group (p = 0.02). There were an insignificant reduction in the number of deaths and an insignificant increase in the number of days with inward care in the intervention group. The number of patients admitted to long-term nursing homes from the intervention group was insignificantly higher than from the general hospital group.
conclusionIntermediate care at a community hospital significantly decreased the number of readmissions for the same disease to general hospital, and a significantly higher number of patients were independent of community care after 26 weeks of follow-up, without any increase in mortality and number of days in institutions.
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.