title: Postacute care for older people in community hospitals: a multicenter randomized, controlled trial.
abstract: OBJECTIVE
  To compare the effects of community hospital care on independence for older people needing rehabilitation with that of general hospital care.
  
  
  METHODS
  Randomized, controlled trial.
  
  
  METHODS
  Seven community hospitals and five general hospitals in the midlands and north of England.
  
  
  METHODS
  Four hundred ninety patients needing rehabilitation after hospital admission with an acute illness.
  
  
  METHODS
  Multidisciplinary team care for older people in community hospitals.
  
  
  METHODS
  The primary outcome was the Nottingham extended activities of daily living scale (NEADL); secondary outcomes were the Barthel Index, Nottingham Health Profile, Hospital Anxiety and Depression Scale, mortality, discharge destination, 6-month residence status, and satisfaction with services.
  
  
  RESULTS
  Loss of independence at 6 months was significantly less likely in the community hospital group (mean adjusted NEADL change score group difference 3.27; 95% confidence interval 0.26-6.28; P=.03). The results for the secondary outcome measures were similar for the two groups.
  
  
  CONCLUSIONS
  Postacute community hospital rehabilitation care for older people is associated with greater independence.
authors.affiliation: Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford Institute for Health Research, Bradford, West Yorkshire, United Kingdom. john.young@bradfordhospitals.nhs.uk
authors.forename: John
authors.initials: J
authors.lastname: Young
authors.forename: John
authors.initials: J
authors.lastname: Green
authors.forename: Anne
authors.initials: A
authors.lastname: Forster
authors.forename: Neil
authors.initials: N
authors.lastname: Small
authors.forename: Karin
authors.initials: K
authors.lastname: Lowson
authors.forename: Sue
authors.initials: S
authors.lastname: Bogle
authors.forename: James
authors.initials: J
authors.lastname: George
authors.forename: David
authors.initials: D
authors.lastname: Heseltine
authors.forename: Tilak
authors.initials: T
authors.lastname: Jayasuriya
authors.forename: Jed
authors.initials: J
authors.lastname: Rowe
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D004739:England; D005260:Female; D006764:Hospitals, Community / Q000458:organization & administration*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D019467:Subacute Care / Q000458:organization & administration*; D016896:Treatment Outcome