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K Spedtsberg

Publications and source records attributed to K Spedtsberg.

5 recordsLinked to original sources

[Follow-up home visits to elderly patients after hospitalization. A randomized controlled study].

The aim of this randomized, controlled study was to evaluate a model for follow-up of patients aged 75 or more after discharge from hospital. One hundred and sixty-three patients from the intervention group were visited in their homes by a district nurse on the day after discharge from hospital and two weeks later by their general practitioner. For 181 control patients, discharge took place according to the usual procedures. One year after discharge 25 patients from the control group had been admitted to nursing homes compared to ten from the intervention group (p < 0.05). At the same time the control patients stayed 2700 days in the institutions, the intervention patients 1950 days. It is proposed to introduce this simple and practicable follow-up routine when elderly people are discharged from hospital.

Aftercare↗

Geriatric follow-up by home visits after discharge from hospital: a randomized controlled trial.

The aim of this prospective, randomized and controlled trial was to carry out and evaluate a model for follow-up by home visits after discharge from hospital of persons aged 75 years or more. The trial was a feasibility study in which hospital staff, district nurses, and general practitioners already working within the hospital and the primary health sector participated, with changes in the usual organization. On the day after their discharge from hospital, 163 patients were visited in their homes by the district nurse. Two weeks later, they were evaluated at home by their general practitioner. For 181 control patients, discharge took place according to the usual procedures. Endpoints were evaluated one year after discharge. Significantly more patients from the control group had been admitted to nursing homes as compared with the trial group (25/10, p < 0.05); the control patients stayed 2700 days at institutions, the trial group 1950 days. It is proposed that this simple and practicable follow-up routine be introduced in connection with discharge of elderly persons from hospital.

Aged↗

[Follow-up of elderly patients in their homes by general practitioners after discharge from hospital].

The present project which is part of a more extensive coordination project has had the goal of carrying out and assessing the proposals about follow up home visits by the general practitioner after discharge from hospital made by "The coordinating committee for the health services". General practitioners in the municipality of Roskilde made a total of 210 visits to elderly patients aged 75 years or over who had been discharged to their homes after hospitalization for at least three days. During these visits, the practitioners discovered newly developed problems in 49% of the visits while adjustment of medication proved necessary at 52% of the visits. This investigation is concerned with the risk situation, viz discharge of elderly patients from hospital but it also attempts to identify the risk groups which obtain most benefit from follow up. The majority of problems were found among the oldest patients aged 85 years and over who had been hospitalized for more than seven days. In addition, the general practitioners found that significantly more elderly patients aged 85 years and over (less than or equal to 0.05) and elderly patients who had been hospitalized for over seven days should be followed up by home visits. It is emphasized that the model outlined here would not stress the individual general practitioner's daily routine to any great extent.

Aftercare↗