Evid Based Nurs 9:90 doi:10.1136/ebn.9.3.90
  • Treatment

Moving elderly inpatients to a transitional care facility reduced hospital stay but increased time to transfer to long term care

 Q What are the effects of moving elderly inpatients waiting for a long term care bed to a transitional care facility (TCF)?



randomised controlled trial.




blinded {data collectors and outcome assessors}.*

GraphicFollow up period:

4 months.


3 public hospitals in southern Adelaide, Australia.


320 patients in acute care hospital beds who were to be transferred to long term care, had completed assessments, and were medically stable and ready for hospital discharge; patients with dementia and behavioural problems were included if no additional nursing staff would be required for their care.


212 patients were allocated to be moved to an off-site TCF, which was run by the 3 hospitals and a private provider. Care was based on a medical rehabilitation model that included setting goals, early multidisciplinary assessment, weekly case conferences, and family meetings. A hospital based transitional care nurse coordinator liaised …

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