• Lau Caspar Thygesen, Sara Fokdal, Thomas Gjørup, Rod S Taylor, Ann-Dorthe Zwisler, and Prevention of Early Readmission Research Group.
• National Institute of Public Health, University of Southern Denmark , Copenhagen , Denmark.
• Scand J Prim Health Care. 2015 Jun 1; 33 (2): 65-73.

ObjectiveTo evaluate how municipality-based post-discharge follow-up visits including a general practitioner and municipal nurse affect early readmission among high-risk older people discharged from a hospital department of internal medicine.Design And SettingCentrally randomized single-centre pragmatic controlled trial comparing intervention and usual care with investigator-blinded outcome assessment.InterventionThe intervention was home visits with a general practitioner and municipal nurse within seven days of discharge focusing on medication, rehabilitation plan, functional level, and need for further health care initiatives. The visit was concluded by planning one or two further visits. Controls received standard health care services.PatientsPeople aged 65 + years discharged from Holbæk University Hospital, Denmark, in 2012 considered at high risk of readmission.Main Outcome MeasuresThe primary outcome was readmission within 30 days. Secondary outcomes at 30 and 180 days included readmission, primary health care, and municipal services. Outcomes were register-based and analysis used the intention-to-treat principle.ResultsA total of 270 and 261 patients were randomized to intervention and control groups, respectively. The groups were similar in baseline characteristics. In all 149 planned discharge follow-up visits were carried out (55%). Within 30 days, 24% of the intervention group and 23% of the control group were readmitted (p = 0.93). No significant differences were found for any other secondary outcomes except that the intervention group received more municipal nursing services.ConclusionThis municipality-based follow-up intervention was only feasible in half the planned visits. The intervention as delivered had no effect on readmission or subsequent use of primary or secondary health care services.

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