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. Author manuscript; available in PMC: 2013 Jan 9.
Published in final edited form as: J Nurs Scholarsh. 2003;35(1):73–79. doi: 10.1111/j.1547-5069.2003.00073.x

Table 1.

Results in 5 Randonized Controlled Trials of APN Tranistional Care

Study group Patient outcomes after intervention Health care costs after intervention APN time per
patient (minutes)
M (SD)a 		Contacts per
patient
M (SD)b
Cesarean birth
(N=122; 61 intervention,
61 control)

  • Discharged mean of 30.3 hours earlier postpartum

  • Significantly greater patient satisfaction and number of infants immunized

  • No maternal rehosp. vs. 3 in control group

 Mean 29% reduction in health care charges 528.34 (228.11) 23.85 (9.01)
High-risk pregnancy
(N=97; 44 intervention, 52
control)

  • Significantly fewer antenatal rehosp. (women with diabetes)

  • LBW three times more prevalent in controls with diabetes

 Mean 44% reduction in total hospital charges 919.63 (801.32) 34.34 (29.63)
Hysterectomy
(N=109; 53 intervention,
56 control)

  • Significantly greater satisfaction with care

  • Mean rehosp. costs $1500 less

 Mean 6% reduction in total hospital charges 459.67 (153.79) 28.78 (10.15)
VLBW infants
(N=79; 39 intervention, 40
control)

  • Discharged mean of 11 days earlier, 200 gms. less in weight, 2 weeks younger age

  • No differences in number of rehosp. and acute care visits, physical or mental growth

  • Mean 27% reduction in hospital charges

  • Mean reduction of 22% in physician charges

  • Mean charge savings of $18,000 per infant

 982.13 (571.59) 62.66 (37.48)
Elderly
(N=276; 139 intervention,
137 control)		 From initial hosp. to 6 weeks after discharge:

  • Fewer hosp readmissions, fewer total rehosp. days in medical cardiac group

  • No differences in surgical cardiac group

  • Medical intervention group charges $170,248 lower at 2 weeks after discharge and $137,508 lower from 2-6 weeks after discharge

  • Charges similar for medical intervention and control groups from 6-12 weeks

  • Charges similar for surgical intervention and control groups

 158.88 (80.79) 7.14 (3.41)
a

F=65.52, df=4,316, p<.001

b

F=89.52, df=316, p<.001