Readmission and mortality in patients treated by interprofessional student teams at a training ward compared with patients receiving usual care: a retrospective cohort study

BMJ Open. 2018 Oct 18;8(10):e022251. doi: 10.1136/bmjopen-2018-022251.

Abstract

Objective: This study aimed to compare the rate of patient readmissions and mortality between care provided at an orthopaedic interprofessional training ward (IPTW) and usual care.

Design: Retrospective cohort study.

Setting: Orthopaedic wards at a level II trauma centre at a Swedish university teaching hospital between 2006 and 2011.

Participants: Two cohorts were identified: (1) a control cohort that had not received care at the IPTW, and (2) patients who had been treated for at least 1 day at the IPTW.

Main outcome measures: Readmission at 90 days and 1-year mortality.

Results: We included 4652 controls and 1109 in the IPTW group. The mean age was 63 years, and 58% were women. The groups did not differ in any of the outcomes: the readmission rate in the control and IPTW groups was 13.5% and 14.0%, respectively, while mortality was 5.2% and 5.3%, respectively. This lack of difference remained after adjusting for confounders.

Conclusion: Interprofessional undergraduate training in patient-based settings can be performed in a level II trauma hospital with satisfactory patient safety.

Keywords: epidemiology; interprofessional training; mortality; readmission.

Publication types

  • Comparative Study
  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Education, Medical, Graduate / organization & administration*
  • Female
  • Hospital Units*
  • Hospitals, Teaching
  • Humans
  • Interdisciplinary Communication
  • Male
  • Middle Aged
  • Orthopedics / education*
  • Patient Readmission / statistics & numerical data*
  • Patient Safety
  • Retrospective Studies
  • Sweden / epidemiology
  • Trauma Centers
  • Wounds and Injuries / mortality*
  • Wounds and Injuries / surgery