SynthesisBMC geriatrics2013
Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: a systematic review and meta-analysis.
Synthesis in BMC geriatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03642249 (Evaluating the Effects of Implementing an Scenario-based Education Initiative and OSCE for Recognition and Management of Delirium in Adult Intensive Care Unit), which is not on this map. Cited by 55 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluating the Effects of Implementing an Scenario-based Education Initiative and OSCE for Recognition and Management of Delirium in Adult Intensive Care Unit: Randomised Controlled Trial
Who cites it
55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 164 citations in OpenAlex.
- Effectiveness of Synchronous Postdischarge Contacts on Health Care Use and Patient Satisfaction : A Systematic Review and Meta-analysis.Annals of internal medicine · 2025Pooled it
- Early supported discharge for older adults admitted to hospital after orthopaedic surgery: a systematic review and meta-analysis.BMC geriatrics · 2024Pooled it
- Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Protocol for a randomised controlled trial of an outreach support program for family carers of older people discharged from hospital.BMC geriatrics · 2015Trial
- Consensus expert recommendations for management of dysphagia during hospital admission in Parkinson's disease.Journal of Parkinson's disease · 2026Review
- Association of Frailty and Perioperative Outcomes Across Surgical Specialties Between 2016 and 2018 Using the National Inpatient Sample Database: A Retrospective Cohort Study.Health science reports · 2026Article
- Institutionalization and home health care after acute hospitalizations of older persons in Norway.BMC health services research · 2025Article
- Association of Frailty and Postoperative Outcomes across Race and Ethnicity.Journal of racial and ethnic health disparities · 2025Article
- Effects of hospitalization before hemodialysis on mortality in dialysis patients.BMC geriatrics · 2025Article
- Risk factors for rehospitalization after trauma: a follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Impact of accurate initial discharge planning and inpatient transfers of care on discharge delays: a retrospective cohort study.BMJ open · 2025Article
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- Understanding hospital activity and outcomes for people with multimorbidity using electronic health records.Scientific reports · 2025Article
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- Article
- Identifying the Added Value and Requirements of Telerehabilitation in Home-based Geriatric Rehabilitation: An Exploratory Qualitative Study.International journal of telerehabilitation · 2025Article
- Psychological Impact of Hospital Discharge on the Older Person: A Systematic Review.Geriatrics (Basel, Switzerland) · 2024Review
- Demographic Trends in Liver Transplant Survivors After 3 Decades of Program Implementation: The Impact of Cohort and Period Effects on Life Expectancy.Transplantation direct · 2024Article
- Intrinsic capacity and hospitalization among older adults: a nationally representative cross-sectional study.European geriatric medicine · 2024Article
- Decoding the persistence of delayed hospital discharge: An in-depth scoping review and insights from two decades.Health expectations : an international journal of public participation in health care and health policy · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundOlder age and higher acuity are associated with prolonged hospital stays and hospital readmissions. Early discharge planning may reduce lengths of hospital stay and hospital readmissions; however, its effectiveness with acutely admitted older adults is unclear.
methodsIn this systematic review, we compared the effectiveness of early discharge planning to usual care in reducing index length of hospital stay, hospital readmissions, readmission length of hospital stay, and mortality; and increasing satisfaction with discharge planning and quality of life for older adults admitted to hospital with an acute illness or injury.We searched the Cochrane Library, DARE, HTA, NHSEED, ACP, MEDLINE, EMBASE, CINAHL, Proquest Dissertations and Theses, PubMed, Web of Science, SciSearch, PEDro, Sigma Theta Tau International's registry of nursing research, Joanna Briggs Institute, CRISP, OT Seeker, and several internet search engines. Hand-searching was conducted in four gerontological journals and references of all included studies and previous systematic reviews. Two reviewers independently extracted data and assessed risk of bias. Data were pooled using a random-effects meta-analysis. Where meta-analysis was not possible, narrative analysis was performed.
resultsNine trials with a total of 1736 participants were included. Compared to usual care, early discharge planning was associated with fewer hospital readmissions within one to twelve months of index hospital discharge [risk ratio (RR) = 0.78, 95% CI = 0.69 - 0.90]; and lower readmission lengths of hospital stay within three to twelve months of index hospital discharge [weighted mean difference (WMD) = -2.47, 95% confidence intervals (CI) = -4.13 - -0.81)]. No differences were found in index length of hospital stay, mortality or satisfaction with discharge planning. Narrative analysis of four studies indicated that early discharge planning was associated with greater overall quality of life and the general health domain of quality of life two weeks after index hospital discharge.
conclusionsEarly discharge planning with acutely admitted older adults improves system level outcomes after index hospital discharge. Service providers can use these findings to design and implement early discharge planning for older adults admitted to hospital with an acute illness or injury.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.