The 'Big Five'. Hypothesis generation: a multidisciplinary intervention package reduces disease-specific hospitalisations from long-term care: a post hoc analysis of the ARCHUS cluster-randomised controlled trial

摘要

Introduction: long-term care (LTC) residents have higher hospitalisation rates than non- LTC residents. Rapid decline may follow hospitalisations, hence the importance of preventing unnecessary hospitalisations. Literature describes diagnosis- specific interventions (for cardiac failure, ischaemic heart disease, chronic obstructive pulmonary disease, stroke, pneumonia- termed ` big five' diagnoses), impacting on hospitalisations of older community- dwellers, but few RCTs show reductions in acute admissions from LTC.