Helge Garåsen The Trondheim Model - NSDM

care and need for long-term nursing home care) without increasing mortality, the number
of days in institutions, and at a lower cost.
5.3.1 Review of paper II: Intermediate care at a community hospital as an alternative to
general hospital care for elderly patients: a randomised controlled trial.
Results: In the intervention group 14 patients (19.4 %) were readmitted compared to 25
patients (35.7 %) in the general hospital group (p= 0.03). After 26 weeks 18 (25.0 %) patients
in the intervention group were independent of community care compared to seven (10.0 %) in
the general hospital group (p=0.02). There was a non-significant reduction in the number of
deaths in the intervention group and a non-significant difference in number of days with
inpatient care. The number of patients admitted to long-term nursing homes from the
intervention group was insignificantly higher than in the general hospital group.
5.3.2 Review of paper III: The cost of care at intermediate level in a nursing home for
patients over the age of 60 compared with costs incurred in a general hospital - 12 month
follow-up of a ramdomised controlled study in Trondheim.
Results: Mean total health services costs per patient in the intervention group for the first six
months were EUR 9829 (95 % CI 7396-12262) compared to EUR 14071 (95 % CI 10717-
17424) in the general hospital group. The mean difference in costs was EUR 4242 (95 % CI
152-8331) (p=0.003), and mean difference in cost per day at risk per patient was EUR 37 (95
% CI 1-71) (p=0.003).
Average total health services costs per patient per observed day were EUR 76 (95 % CI 56-
95) for the intervention group and EUR 100 (95 % CI 80-120) for the general hospital group
(p=0.03).
5.3.3 Review of paper IV: Intermediate care at a community hospital for elderly patients: 12
months follow-up of a randomised controlled trial.
Results: Thirty-five patients, 13 (18.1 %) of all patients included in the intervention group
and 22 (31.4 %) in the general hospital group, died within 12 months (p= 0.03). Patients in the
intervention group were observed during a longer period of time than in the general hospital
group; 335.7 (95 % CI 312.0-359.4) versus 292.8 (95 % CI 264.1-321.5) days (p=0.01).
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