Skip to ContentSkip to Navigation
About usNews and EventsNews

Fewer elderly people die after acute hospital admission when community care registered nurse is involved in after-care

16 February 2016

Fewer elderly people die after an acute hospital admission when a community care registered nurse is actively involved in the after-care. The mortality rate is forty percent lower than for elderly people receiving regular after-care. These are the results of research carried out by professor of geriatrics and geriatric medicine Sophia de Rooij of the University Medical Center Groningen, and Bianca Buurman of the Academic Medical Centre, Amsterdam. They have published an article on the subject in today’s edition of the scientific magazine JAMA Internal Medicine.

On getting home from hospital after an acute illness (such as acute pneumonia), many elderly people find themselves unable to perform routine tasks: they may suddenly experience problems with activities such as washing themselves, getting dressed or shopping. It takes an average of three to six months for an elderly person to recover completely. However, a quarter to a third of these people die within three months of being discharged after an acute hospital admission.

Research by De Rooij and Buurman reveals that although intervention by a community care registered nurse does not reduce the loss of functions experienced by elderly people, it does lead to fewer deaths among this group. The researchers monitored a large group of elderly people who had been admitted to hospital with an acute illness. On being discharged, half of them were given regular after-care and the other half were cared for through a Transmural Bridging Care programme, in which a geriatric team from the hospital and the community care registered nurse played an important role.

The community care registered nurses in the care programme were introduced to elderly patients while they were still in hospital. On being discharged, the community care registered nurses made several home visits to patients to discuss their health and ask about more practical matters such as essential aids around the home, medication and contact with the GP and home care service.

Considerably fewer members of the group receiving care from the Transmural Bridging Care programme died than in the control group receiving regular after-care. De Rooij: ‘The information that patients are given on being discharged from hospital can be overwhelming and many of them do not know exactly what they are supposed to do when they get home. Seeing a community care registered nurse gives them an opportunity to ask any questions they may have about changes to their medication, for example. This research shows that a district nurse can make all the difference.’

At present, 25 hospitals in the Netherlands are running the care programme. Several healthcare insurers have also included the programme in their procurement guide. De Rooij will conduct a follow-up study among patients from the UMCG, the Martini Hospital, the Ommerlander Hospital Group (OZG) and a number of other hospitals.

Transmural Bridging Care is part of the National Geriatric Care Programme, a government programme aimed at improving the healthcare for frail elderly people.

Last modified:05 April 2019 11.50 a.m.
printView this page in: Nederlands

More news

  • 20 September 2019

    Start of MOSAiC – the Greatest Arctic Research Expedition of All Time

    After a decade of preparations, it’s finally time: on the evening of 20 September the German icebreaker Polarstern departs from the Norwegian port of Tromsø. Escorted by the Russian icebreaker Akademik Fedorov, she will set sail for the Central Arctic...

  • 20 September 2019

    Imagining Science

    Noorderlicht and the University of Groningen (RUG) continue their collaboration in the ‘Imagining Science’ series. Each year they commission a photographer to depict a scientific research field in relation to the Noorderlicht festival-theme of the year...

  • 18 September 2019

    Sustainable banks augment the safety of the financial system

    Banks with a high sustainability score have a lower default risk. In addition, the most sustainable banks help to reduce the systemic risk of the financial system as a whole. These are the conclusions of Bert Scholtens, Professor of Sustainable Banking...