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June 10, 2020International Journal for Quality in Health CareOpen Access

In-hospital interventions for reducing readmissions to acute care for adults aged 65 and over: An umbrella review

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Key result

Except for discharge planning and transitional care, in-hospital interventions did not significantly reduce hospital readmissions among adults aged 65 and older.

Why the study?

Existing systematic review evidence needed synthesis regarding the effectiveness of in-hospital interventions to prevent or reduce avoidable readmissions in older adults aged 65 and over.

Do in-hospital interventions reduce avoidable hospital readmissions in adults aged 65 and over?

Comparison

11 in-hospital intervention types vs comparators

Design

Umbrella review of systematic reviews and meta-analyses

Authors

TCTiffany ConroyLHLouise HeuzenroederRFRebecca Feo

Discussion

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Member takes

Overview

Most in-hospital interventions lack evidence for reducing readmissions in older adults; reinforces discharge planning and transitional care while highlighting research gaps.

Study Design

Type

Systematic Review

Structured PICO

Do in-hospital interventions reduce avoidable hospital readmissions in adults aged 65 and over?

P
Population
Umbrella review of 29 systematic reviews evaluating various in-hospital interventions to prevent or reduce avoidable hospital readmissions in adults aged 65 and older.
I
Intervention
11 in-hospital intervention types including medication review, discharge planning, comprehensive geriatric assessment, early recovery after surgery, transitional care, interdisciplinary team care, nutrition therapy, acute care geriatric units, exercise, postfall interventions, and emergency department-based palliative care
O
Outcome
avoidable hospital readmissionshard clinical

There is limited evidence supporting the effectiveness of most in-hospital interventions to reduce readmissions in older adults, with the exception of discharge planning and transitional care.

Cite This Study

Conroy et al. (2020) conducted a systematic review in Hospital readmissions. In-hospital interventions was evaluated on Hospital readmissions. Except for discharge planning and transitional care, in-hospital interventions did not significantly reduce hospital readmissions among adults aged 65 and older.

synapsesocial.com/papers/6a6f166c2163a0a01bc36c84https://doi.org/10.1093/intqhc/mzaa064
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Also Consider

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

  1. 1Interventions to reduce hospital readmissions in the elderly: in-hospital or home care. A systematic review2010 · 90 citations
  2. 2Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: a systematic review and meta-analysis2013 · 166 citations
  3. 3Caregiver Integration During Discharge Planning for Older Adults to Reduce Resource Use: A Metaanalysis2017 · 249 citations
  4. 4Comprehensive geriatric assessment for older people admitted to a surgical service2018 · 289 citations
  5. 5Impact of the Medicare hospital readmissions reduction program on vulnerable populations2019 · 38 citations