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An exercise and telephone follow-up programme reduced emergency readmissions and improved quality of life in older people
Evidence-Based Medicine, 08/14/09

Kinkade S – An exercise and telephone follow–up programme reduced emergency readmissions and improved quality of life in older people.

• Randomised controlled trial.
• Patients: 128 patients >=65 years of age (mean age 79 y, 76% women, based on 122 patients) who were admitted to hospital for an acute medical condition and had >=1 risk factor for readmission (included age >=75 y, recent multiple admissions, multiple comorbidities, functional impairment, and depression). Exclusion criteria were need for home oxygen, inability to walk independently for 3 metres, or cognitive deficit.
• Intervention: exercise and telephone follow–up intervention (n = 64) or usual care (n = 64). The intervention included comprehensive assessments by a nurse and physiotherapist; an individualised exercise programme based on muscle stretching and strengthening, walking, and balance training; and home visits and telephone calls by nurses after discharge.

• The exercise and telephone follow–up intervention reduced readmissions and GP visits and improved quality of life compared with usual care.

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