Evidence map›Paper›PMID 40598384›Full record

ArticleTrials2025

Cross-sectoral follow-up after hospital discharge from a geriatric ward: a study protocol of a randomised controlled trial (G-UD).

Alexander Viktor Eriksen, Sanne Have Beck, Dorthe Nielsen, Katja Thomsen, Josefine Oredson Krone, Karen Andersen-Ranberg

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05139823 (Extended Cross-sectoral Nurse Follow-up After Discharge From a Geriatric Ward - Benefits and Challenges. A Mixed-method Study), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT05139823 naunknown statusnot on this map

Extended Cross-sectoral Nurse Follow-up After Discharge From a Geriatric Ward - Benefits and Challenges. A Mixed-method Study

TypeinterventionalSponsorOdense University HospitalRan2022 to 2025Enrolled1,514ConditionsExtended Cross-sectoral Nurse Follow-up After Discharge From a Geriatric WardArmsgeriatric follow-up home visit after discharge
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alexander Viktor EriksenGeriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark. Alexander.Viktor.Eriksen@rsyd.dk.ORCID http://orcid.org/0000-0003-1469-1968
Sanne Have BeckGeriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0003-3779-1646
Dorthe NielsenGeriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-3954-7551
Katja ThomsenGeriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-0454-836X
Josefine Oredson KroneGeriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0009-0001-2224-4941
Karen Andersen-RanbergGeriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0003-1970-7076

Funding

Helsefonden 22-B-0353Region Syddanmark 22/44982Velux Fonden 00039386
6 · The paper itself

Abstract

backgroundAdvancing age is associated with multimorbidity, polypharmacy and functional impairments and older adults with these characteristics are at increased risk of acute admission and readmission. Readmission rate of geriatric patients is high, especially within the first week after discharge. Previous studies on transitional care interventions have mainly showed positive effects, but no study has assessed the effect of a home visit done jointly by a geriatric nurse and a community nurse, with a systematic review of health functions, objective clinical assessment and bedside blood analyses.

methodsA single-centre two-arm parallel group randomised controlled trial using permuted block randomisation will be conducted. Randomisation occurs at discharge. The intervention consists of a follow-up visit within 2-5 days by a geriatric nurse and a community nurse. A systematic review of bodily functions is carried out, and solutions of identified problems are discussed taking into consideration the patient's view. If the patient shows signs of worsened health since discharge vital status and bedside blood analyses using point-of-care-testing (POCT) can be carried out at the discretion of the geriatric nurse. As required the patients will be conferred with a senior geriatrician by video consultation. The patient's primary care physician is invited to participate online. The control group will receive usual discharge. Endpoints are readmission, mortality rates and financial costs. User perspectives include focus group interviews with patients, geriatric nurses, community nurses, geriatricians and primary care physicians. DISCUSSION: The intervention is multifactorial to match the needs of complex geriatric patients. We will thus not be able to discern, which part of the intervention has the greatest impact, but the intervention will encompass most of the clinical situation that may potentially lead to acute readmission. If a positive effect is found the intervention may be scaled up to include all departments discharging vulnerable geriatric patients, as well as implemented in guidelines for the discharge of older medical patients.

trial registrationClinicalTrials.gov, Identifier: NCT05139823, Registered 1 December 2021.

Indexed as

AftercareHouse CallsPatient DischargeAgedAged, 80 and overGeriatric AssessmentHumansPatient ReadmissionRandomized Controlled Trials as TopicTime FactorsAcute readmissionCommunity-dwellingDischargeGeriatricsHome careOlder adultsPost-discharge follow-upRandomised controlled trialReadmissionTransitional care management

Identifiers

PMID40598384
PMCPMC12220654

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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.