Intended for healthcare professionals

Rapid response to:

Papers

Transitional care facility for elderly people in hospital awaiting a long term care bed: randomised controlled trial

BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.38638.441933.63 (Published 10 November 2005) Cite this as: BMJ 2005;331:1110

Rapid Response:

Transitional Care

Crotty el al report that transitional care can reduce length of stay,
without adverse effects. I note that patients recruited were awaiting long
-term care, but the placement was not available at that particular time.

I was impressed by the services available for these patients. These
included assessment by a specialist therapy team, early multidisciplinary
team involvement, goal setting, 24-hour medical on-call cover and weekly
review by a specialist in rehabilitation. From my experiences, patients
awaiting placement in acute hospitals do not receive this level of care.

The positive results of this study may be a consequence of superior
resources available for these patients occupying a transitional care bed.
Transitional care may only be effective in practice if this high level of
care is available.

Competing interests:
None declared

Competing interests: No competing interests

13 November 2005
Elliot Epstein
Consultant Physician
Walsall Manor Hospital WS29PS