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January 1, 2002Health Technology AssessmentOpen Access

A systematic review of discharge arrangements for older people

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Key result

Discharge arrangements for older people significantly reduced the risk of hospital readmission (RRR 0.851) but had no significant effect on mortality or length of hospital stay.

Authors

SPS. ParkerMemorial HermannSPS. M. PeetUniversity of LeicesterAMAndrew McPhersonNHS Greater Glasgow and Clyde

Discussion

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Implication

Supports discharge planning to reduce readmissions in older adults; confirms benefit on readmission without mortality or LOS effects.

Study Design

Type

Systematic Review

PICO

P
Population
Discharge from inpatient hospital care
I
Intervention / Comparator
Discharge arrangements (discharge planning, comprehensive geriatric assessment, discharge support, educational interventions) vs Usual care
O
Primary Outcome
Readmission to hospital — RRR 0.851 (0.760-0.953), p=0.005

Main Result

Effect estimate: RRR 0.851 (95% CI 0.760-0.953)

p-value: p=0.005

Limitations

  • Other outcome measures were not collected or reported consistently in the trials and only limited analysis was possible.

Cite This Study

Parker et al. (2002) conducted a systematic review in Discharge from inpatient hospital care. Discharge arrangements (discharge planning, comprehensive geriatric assessment, discharge support, educational interventions) vs. Usual care was evaluated on Readmission to hospital (RRR 0.851, 95% CI 0.760-0.953, p=0.005). Discharge arrangements for older people significantly reduced the risk of hospital readmission (RRR 0.851) but had no significant effect on mortality or length of hospital stay.

synapsesocial.com/papers/6a0e199a7a57fdc4e227a653https://doi.org/10.3310/hta6040
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