Evidence map›Paper›PMID 23978408›Full record

Trial reportAge and ageing2014

Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support: a randomised controlled trial.

Frances Kam Yuet Wong, Susan Ka Yee Chow, Tony Moon Fai Chan, Stanley Kui Fu Tam

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Age and ageing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT02286375 nacompletednot on this mapstarted 2016, after this paper: background citation

Health-social Partnership Intervention Programme for Community-dwelling Older Adults: a Randomized Controlled Trial

TypeinterventionalSponsorFrances Kam Yuet WONGRan2016 to 2019Enrolled460ConditionsHealth BehaviorArmsIntervention group
NCT03178513 nacompletednot on this mapstarted 2017, after this paper: background citation

Post-Acute Physician Home Visits: A Randomized Controlled Trial

TypeinterventionalSponsorBrigham and Women's HospitalRan2017 to 2018Enrolled51ConditionsA Patient Discharged From an Acute-care Hospital Who Had an Acute IllnessArmsHome visit
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  4. Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review.International journal of environmental research and public health · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Frances Kam Yuet WongSchool of Nursing, The Hong Kong Polytechnic University, Hunghom, Kowloon, Hong Kong, China.
Susan Ka Yee Chow
Tony Moon Fai Chan
Stanley Kui Fu Tam

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundhome visits and telephone calls are two often used approaches in transitional care but their differential effects are unknown.

objectiveto examine the overall effects of a transitional care programme for discharged medical patients and the differential effects of telephone calls only.

designrandomised controlled trial.

settinga regional hospital in Hong Kong.

participantspatients discharged from medical units fitting the inclusion criteria (n = 610) were randomly assigned to: control ('control', n = 210), home visits with calls ('home', n = 196) and calls only ('call', n = 204).

interventionthe home groups received alternative home visits and calls and the call groups calls only for 4 weeks. The control group received two placebo calls. The nurse case manager was supported by nursing students in delivering the interventions.

resultsthe home visit group (after 4 weeks 10.7%, after 12 weeks 21.4%) and the call group (11.8, 20.6%) had lower readmission rates than the control group (17.6, 25.7%). Significance differences were detected in intention-to-treat (ITT) analysis for the home and intervention group (home and call combined) at 4 weeks. In the per-protocol analysis (PPA) results, significant differences were found in all groups at 4 weeks. There was significant improvement in quality of life, self-efficacy and satisfaction in both ITT and PPA for the study groups.

conclusionsthis study has found that bundled interventions involving both home visits and calls are more effective in reducing readmissions. Many of the transitional care programmes use all-qualified nurses, and this study reveals that a mixed skills model seems to bring about positive effects as well.

Indexed as

Continuity of Patient CareHome Health NursingHouse CallsPatient Care BundlesPatient DischargeTelephoneAgedAged, 80 and overFemaleHong KongHospitals, GeneralHumansIntention to Treat AnalysisMalePatient ReadmissionPatient Satisfactionhome visitshospital readmissionsolder peopletelephone callstransitional discharge support

Identifiers

PMID23978408
PMCPMC3861338

What OpenQuestion holds

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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.