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June 29, 2022Journal of the American Geriatrics SocietyOpen Access

Automated telephone follow‐up programs after hospital discharge: Do older adults engage with these programs?

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Key result

Older adults aged 65-84 years had a higher reach rate for automated post-discharge telephone calls compared to those ≤64 years (84.3% vs. 78.9%; AME 5.52%, 95% CI 3.58-7.45%).

Why the study?

It was unknown whether and how older adults engage with automated post-hospital discharge telephone follow-up programs, and the prevalence of their post-discharge issues remained unclear.

Do older adults engage with automated post-hospital discharge telephone programs compared to younger adults?

Comparison

Patients aged 65-84 years and >=85 years vs <=64 years

Design

Observational cohort study

Follow-up

3 days post-discharge

Authors

JHJames D. HarrisonSan Francisco General HospitalRSRebecca L. SudoreSan Francisco VA Medical CenterAAAndrew D. AuerbachGeneral Cardiology

Discussion

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Member takes

Overview

May guide age-specific outreach in geriatric follow-up; hypothesis-generating for adherence outcomes.

Study Design

Type

Observational (n=18,076)

Multicenter

No

Structured PICO

Do older adults engage with automated post-hospital discharge telephone programs compared to younger adults?

P
Population
18,076 adults discharged home from an urban academic medical center, evaluated for engagement with an automated telephone follow-up program 3 days post-discharge.
E
Exposure
Automated telephone outreach to patients or their caregivers (11 distinct steps) 3 days post-discharge.
C
Comparator
Younger adults (≤64 years) compared to older adults (65-84 years and ≥85 years).
O
Outcome
Call reach rate, completeness of 11-step calls, and patient-reported issues.patient reported

Main Result

Effect estimate: AME 5.52% (95% CI 3.58%-7.45%)

Absolute Event Rate: 84.3% vs 78.9%

Automated post-hospital telephone follow-up is feasible and effectively reaches older adults, who frequently require assistance with follow-up plans and appointments.

Cite This Study

Harrison et al. (2022) conducted an observational in Post-hospital discharge (n=18,076). Older age (65-84 years) vs. Age ≤64 years was evaluated on Call reach rate (AME 5.52%, 95% CI 3.58%-7.45%). Older adults aged 65-84 years had a higher reach rate for automated post-discharge telephone calls compared to those ≤64 years (84.3% vs. 78.9%; AME 5.52%, 95% CI 3.58-7.45%).

synapsesocial.com/papers/6a62baef3c4f8a4b5b07d7e5https://doi.org/10.1111/jgs.17939
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Impact of Postdischarge Telephonic Follow-Up on Hospital Readmissions2010 · 164 citations
  2. 2Predicting readmission of heart failure patients using automated follow-up calls2015 · 11 citations
  3. 3Enhanced Transitions of Care: Centralizing Discharge Phone Calls Improves Ability to Reach Patients and Reduces Hospital Readmissions2017 · 8 citations
  4. 4Hospital Readmission Among Older Adults Who Return Home With Unmet Need for ADL Disability2012 · 189 citations
  5. 5Dementia and Risk of 30‐Day Readmission in Older Adults After Discharge from Acute Care Hospitals2018 · 56 citations