Table 9: Results of Discharge Planning Compared with Usual Care.
| Outcome | Result |
|---|---|
| Time to first rehospitalization or death | Longer in intervention patients (log rank χ2 = 5.0, P = 0.03) Control vs. intervention Incidence density ratio 1.65 (1.13–2.40), P = 0.001 |
| Rehospitalization or death at 52 weeks |
Intervention (n = 118 patients) vs. control (n = 121 patients) 56 (48%) vs. 74 patients (61%), P = 0.01 |
| Patients rehospitalized | Intervention (n = 118 patients) vs. control (n = 121 patients) |
| 1 time | 53 (44.9%) vs. 67 (55.4%), P = 0.12; RR, 1.24 (95% CI, 0.95–1.60) |
| 2 times | 34 (28.8) vs. 44 (36.4%), P = 0.22; RR, 1.20 (95% CI, 0.89–1.60) |
| Rehospitalizations at 1 year |
Intervention (n = 104 rehospitalizations) vs. control (n = 162 rehospitalizations) Index related: 40 vs. 72, P = 0.18 Comorbidity related: 23 vs. 50, P = 0.01 New health problem: 41 vs. 40, P = 0.88 |
| HRQOL | At 12 weeks, intervention group reported greater overall HRQOL (P < 0.05) No significant difference observed at other time points |
| Functional status | No significant difference observed at any time point |
| Patient satisfaction | Satisfaction with care greater in intervention patients at 2 and 6 weeks (P < 0.001) No other time periods reported |
Abbreviations: χ2, chi-square; CI, confidence interval; RCT, randomized controlled trial; RR, relative risk
Source: Naylor et al, 2004 (56)