November 1, 2007Professional Case Management

A Systematic Review of Nurse-Assisted Case Management to Improve Hospital Discharge Transition Outcomes for the Elderly

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Why the study?

Does nurse-assisted case management reduce hospital readmissions and healthcare utilization in elderly patients post-discharge?

Population

15 clinical trials of elderly patients transitioning from hospital to other settings, including 'all cause'…

Design

Systematic_review

Authors

WCWai Kan ChiuUniversity of Pittsburgh Medical Center RNRobert NewcomerRELX Group (Netherlands)

Discussion

Member takes

Implication

Supports targeted nurse-assisted models with home visits to lower readmissions and costs; extends evidence for transitional care implementation in elderly patients.

Structured PICO

Does nurse-assisted case management reduce hospital readmissions and healthcare utilization in elderly patients post-discharge?

Population

15 clinical trials of elderly patients transitioning from hospital to other settings, including 'all cause' and heart failure patients.

Intervention

Nurse-assisted case management (including home visits, continuous contact, early postdischarge contacts, patient education, and specialized nurses)

Outcome

Hospital readmission rates and/or hospital dayshard clinical

Nurse-assisted case management, particularly with home visits and specialized nurses, can reduce hospital readmissions and healthcare costs in elderly patients post-discharge.

Cite This Study

Chiu et al. (2007) studied this question.

synapsesocial.com/papers/6a81cdbc265c63e88772acfa https://doi.org/10.1097/01.pcama.0000300406.15572.e2

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Implication

Supports targeted nurse-assisted models with home visits to lower readmissions and costs; extends evidence for transitional care implementation in elderly patients.