ArticleBMJ open2021
Does geriatric follow-up visits reduce hospital readmission among older patients discharged to temporary care at a skilled nursing facility: a before-and-after cohort study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Baseline risk factors associated with all-cause early hospitalization of older patients following admission to Danish municipal temporary stays.BMC health services research · 2026Article
- A Nurse-Led Cross-Sectoral Home-Based Follow-Up Visit for Older Patients Discharged From the Hospital: A Practice Research Project.Nursing open · 2025Article
- Characteristics and care trajectories of older patients in temporary stays in Denmark.European geriatric medicine · 2025Article
- Article
- Acute readmissions among care home residents aged 65+ years: a register-based study.European geriatric medicine · 2025Article
- An Informatics-Based, Payer-Led, Low-Intensity Multichannel Educational Campaign Designed to Decrease Postdischarge Utilization for Medicare Advantage Members: Retrospective Evaluation.JMIR human factors · 2025Article
- Challenges related to transitioning from hospital to temporary care at a skilled nursing facility: a descriptive study.European geriatric medicine · 2024Article
- Article
- Healthcare professionals' experience with emergency department-based acute care performed within nursing homes.Age and ageing · 2022Article
- Balancing Dependence in Everyday Life- a Qualitative Study of Older Adults and Relatives' Experiences of the Post-Discharge Home-Based Follow-Up Visit.International journal of integrated careArticle
- Are Primary Health Care Visits Associated With Reduced Risk of Hospital Readmissions After Discharge From Geriatric Inpatient Departments? Evidence From Stockholm County.Journal of primary care & community healthArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHospital readmission is a burden to patients, relatives and society. Older patients with frailty are at highest risk of readmission and its negative outcomes.
objectiveWe aimed at examining whether follow-up visits by an outgoing multidisciplinary geriatric team (OGT) reduces unplanned hospital readmission in patients discharged to a skilled nursing facility (SNF).
designA retrospective single-centre before-and-after cohort study. SETTING AND
participantsStudy population included all hospitalised patients discharged from a Danish geriatric department to an SNF during 1 January 2016-25 February 2020. To address potential changes in discharge and readmission patterns during the study period, patients discharged from the same geriatric department to own home were also assessed.
interventionOGT visits at SNF within 7 days following discharge. Patients discharged to SNF before 12 March 2018 did not receive OGT (-OGT). Patients discharged to SNF on or after 12 March 2018 received the intervention (+OGT).
main outcome measuresUnplanned hospital readmission between 4 hours and 30 days following initial discharge.
resultsTotally 847 patients were included (440 -OGT; 407 +OGT). No differences were seen between the two groups regarding age, sex, activities of daily living (ADLs), Charlson Comorbidity Index (CCI) or 30-day mortality. The cumulative incidence of readmission was 39.8% (95% CI 35.2% to 44.8%, n=162) in -OGT and 30.2% (95% CI 25.8% to 35.2%, n=113) in +OGT. The unadjusted risk (HR (95% CI)) of readmission was 0.68 (0.54 to 0.87, p=0.002) in +OGT compared with -OGT, and remained significantly lower (0.72 (0.57 to 0.93, p=0.011)) adjusting for age, length of stay, sex, ADL and CCI. For patients discharged to own home the risk of readmission remained unchanged during the study period.
conclusionFollow-up visits by OGT to patients discharged to temporary care at an SNF significantly reduced 30-day readmission in older patients.
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