3 years ago

Effect of the Hospital Elder Life Program on Risk of 30-Day Readmission

Kevin Urda, Andrew Bilderback, Sharon K. Inouye, Fred H. Rubin, Johanna Bellon
Objectives To compare rates of 30-day readmission between hospital units with a Hospital Elder Life Program (HELP) and control units without HELP. Design Retrospective cohort study. Setting The study took place from July 1, 2013, to June 30, 2014, at the University of Pittsburgh Medical Center Shadyside, a 520-bed community teaching hospital that has used HELP since 2002. Eight medical and surgical units with HELP were compared with 10 medical and surgical units without HELP. Participants During the study period, HELP units, had 4,794 patients aged 70 and older, and usual care units had 2,834. Intervention HELP is a multifactorial, multidisciplinary program that provides targeted interventions for delirium risk factors in at-risk individuals in collaboration with bedside staff. Measurements Mixed-effects Poisson regression models were used to estimate the adjusted incident risk ratio for 30-day readmission between HELP and usual care units for the overall cohort and for the subgroup of individuals discharged home, with or without services. Results Patients on HELP units were more likely than those in usual care units to be older, female, and black and had an unadjusted readmission rate of 16.9%, versus 18.9% for patients on control units. The adjusted risk of readmission was 0.83 (95% confidence interval (CI) = 0.73–0.94, P = .003) for HELP unit patients overall and 0.74 (95% CI = 0.63–0.87, P < .001) for HELP unit patients discharged to home with or without services. Conclusion The HELP program is associated with lower risk of 30-day hospital readmission overall and for the subgroup of individuals discharged to home. Prospective studies are needed to confirm these observations.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/jgs.15132

You might also like
Discover & Discuss Important Research

Keeping up-to-date with research can feel impossible, with papers being published faster than you'll ever be able to read them. That's where Researcher comes in: we're simplifying discovery and making important discussions happen. With over 19,000 sources, including peer-reviewed journals, preprints, blogs, universities, podcasts and Live events across 10 research areas, you'll never miss what's important to you. It's like social media, but better. Oh, and we should mention - it's free.

  • Download from Google Play
  • Download from App Store
  • Download from AppInChina

Researcher displays publicly available abstracts and doesn’t host any full article content. If the content is open access, we will direct clicks from the abstracts to the publisher website and display the PDF copy on our platform. Clicks to view the full text will be directed to the publisher website, where only users with subscriptions or access through their institution are able to view the full article.