Observational studyThe journal of nutrition, health & aging2016
Three Different Outcomes in Older Community-dwelling Patients Receiving Intermediate Care in Nursing Home after Acute Hospitalization.
Observational study in The journal of nutrition, health & aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Rehabilitation potential in older people living with frailty: a systematic mapping review.BMC geriatrics · 2021Pooled it
- Identifying and characterizing subgroups of medically complex older patients in community-based intermediate care: a latent class analysis of Danish municipal temporary stay patients.BMC health services research · 2026Article
- Unpacking the dynamics of transitional care units in Ontario, Canada.The Gerontologist · 2025Article
- A case vignette study to refine the target group of an intermediate care model: the Acute Geriatric Community Hospital.European geriatric medicine · 2024Article
- Referral to geriatric rehabilitation: a scoping review of triage factors in acutely hospitalised older patients.Age and ageing · 2022Article
- Factors Associated with Transfer from an Acute Geriatric Unit to a Post-Acute Care Facility among Community-Dwelling Patients: Results from the DAMAGE Cohort.Clinical interventions in aging · 2022Article
- Understanding transitional care programs for older adults who experience delayed discharge: a scoping review.BMC geriatrics · 2021Article
- Mini Nutritional Assessment Short-Form (MNA-SF) Predicts Institutionalisation in an Intermediate Post-Acute Care Setting.The journal of nutrition, health & aging · 2018Article
- Readmission and mortality one year after acute hospitalization in older patients with explained and unexplained anemia - a prospective observational cohort study.BMC geriatrics · 2016Observational
- Assessment of recovery in older patients hospitalized with different diagnoses and functional levels, evaluated with and without geriatric assessment.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the recovery and outcome of older communitydwelling patients admitted to intermediate care (IC) in nursing homes after acute hospitalization, and to compare patients who were able and unable to return directly to their own homes.
designProspective, observational, cohort study conducted between June 2011 and 2014.
settingA 19- bed IC unit in a nursing home with increased multidisciplinary staffing.
participantsA total of 961 community-dwelling patients, ≥70 years of age, considered to have a rehabilitation potential and no major cognitive impairment or delirium, transferred from internal medicine, cardiac, pulmonary and orthopaedic hospital departments. MEASUREMENTS: Demographic data, clinical information, comprehensive geriatric assessment (CGA), discharge destination and length of stay. Residence status and mortality 1 month, 2 months, 3 months, and 6 months after discharge from the hospital.
resultsThe trajectory of recovery was divided into 3 groups: 1) Rapid recovery, able to return home after median 14 days in IC (n=785, 82%); 2) Slow recovery, requiring additional transfer to other nursing home after IC, but still able to return home within 2 months (n=106, 11%). 3) Poor recovery, requiring transfer to other nursing home after IC and still in a nursing home or dead at 2 months (n=66, 7%). Significant different clinical characteristics were demonstrated between the patients in the 3 groups. After 6 months, the recovery of patients with rapid or slow recovery was similar, 87% were living at home, compared to only 20% of the patients with poor recovery. In multiple logistic regression analysis, slow or poor recovery was significantly associated with low scores on the Barthel index and orthopaedic admission diagnosis.
conclusionsAlthough the majority of patients selected for treatment in the IC unit were able to recover and return home, a group of patients needed extra time, up to 2 months, to recover and another group had a poor chance of recovering and returning home. Different caring pathways for different patient groups may be considered in the PAC setting.
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