Figure 1.

Flow diagram. Note: *Inclusion criteria were patients aged 65 years or older discharged alive from the Department of Internal Medicine of Holbæk University Hospital, Denmark and living in one of the three surrounding municipalities and who had dementia or two of the following conditions: two or more hospital admissions within the 12 months before the index admission, loss of physical functioning, treatment of two or more concurrent medical or surgical conditions, mental disorder, six or more prescription medications, symptoms of cognitive disturbance, substance abuse problem, disadvantaged social network, or need for increasing home care following the index admission.