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September 18, 2013International Journal of Integrated CareOpen Access

Community services' involvement in the discharge of older adults from hospital into the community

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Why the study?

Does community services' involvement in the discharge process improve outcomes in older adults discharged from hospital?

Population

8,440 older adults pooled from 12 studies

Design

Systematic_review

Authors

MGMichelle GuerinUniversity of Health and Allied SciencesKGKaren GrimmerStellenbosch UniversitySKSaravana KumarAll India Institute of Medical Sciences Raipur

Discussion

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Implication

Mixed findings across models leave optimal approach unclear; further comparative trials needed before changing discharge practice.

Structured PICO

Does community services' involvement in the discharge process improve outcomes in older adults discharged from hospital?

P
Population
8,440 older adults (>65 years) pooled from 12 studies (5 RCTs, 4 before and after studies, 3 controlled trials)
I
Intervention
Community services' involvement in the discharge process (categorized into Virtual Interface, In-reach Interface, Out-reach Interface, and Independent Interface models)
O
Outcome
Health care, patient, and carer outcomes

Various models of community service involvement in hospital discharge exist for older adults, but evidence regarding their effectiveness on patient and healthcare outcomes remains mixed.

Cite This Study

Guerin et al. (2013) studied this question.

synapsesocial.com/papers/6a7fe739696f27308c84cb92https://doi.org/10.5334/ijic.917
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Also Consider

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  1. 1A pharmacy discharge plan for hospitalized elderly patients—a randomized controlled trial2001 · 189 citations
  2. 2A systematic review of discharge arrangements for older people2002 · 212 citations
  3. 3Hospital to Home2012 · 91 citations
  4. 4Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders1999 · 1,822 citations
  5. 5Sooner and healthier: a randomised controlled trial and interview study of an early discharge rehabilitation service for older people2004 · 112 citations