ArticleJournal of general internal medicine2014
Hospital discharge instructions: comprehension and compliance among older adults.
Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Pooled it
- Parental Management of Discharge Instructions: A Systematic Review.Pediatrics · 2017Pooled it
- Comparing Patients' Opinions on the Hospital Discharge Process Collected With a Self-Reported Questionnaire Completed Via the Internet or Through a Telephone Survey: An Ancillary Study of the SENTIPAT Randomized Controlled Trial.Journal of medical Internet research · 2015Trial
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- The Development and Evaluation of a Retrieval-Augmented Generation Large Language Model Virtual Assistant for Postoperative Instructions.Bioengineering (Basel, Switzerland) · 2025Article
- Chinese Expert Consensus on Home Nutrition Administration for Older Patients (2024).Journal of evidence-based medicine · 2025Article
- CEDART Study: protocol for a non-randomized feasibility study.Research square · 2025Article
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- Unveiling the gaps: A comprehensive, equity-focused observational examination of Emergency Department discharge.PloS one · 2025Observational
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- Surgical Outcomes of Thyroidectomy in Geriatric Patients Aged 80 Years and Older: A Single-Center Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2024Article
- Generative Artificial Intelligence to Transform Inpatient Discharge Summaries to Patient-Friendly Language and Format.JAMA network open · 2024Article
- Discharge Readiness and Associated Factors Among Patients with Coronary Heart Disease After Stent Implantation: A Cross-Sectional Single Center Study.Patient preference and adherence · 2024Article
- Nutrition Care after Hospital Discharge in Singapore: Evidence-Based Best-Practice Recommendations.Nutrients · 2023Article
- Pediatric Resident Communication of Hospital Discharge Instructions.Health literacy research and practice · 2023Article
- Impact of standardized, language-concordant hospital discharge instructions on postdischarge medication questions.Journal of hospital medicine · 2023Article
- Feasibility of the Transport PLUS intervention to improve the transitions of care for patients transported home by ambulance: a non-randomized pilot study.Pilot and feasibility studies · 2022Article
- Design and preliminary evaluation of a newly designed patient-friendly discharge letter - a randomized, controlled participant-blind trial.BMC health services research · 2021Article
- Acceptance, Barriers, and Future Preferences of Mobile Health Among Patients Receiving Trauma and Orthopedic Surgical Care: Paper-Based Survey in a Prospective Multicenter Study.JMIR mHealth and uHealth · 2021Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundLittle is known regarding the prevalence or risk factors for non-comprehension and non-compliance with discharge instructions among older adults.
objectiveTo quantify the prevalence of non-comprehension and non-compliance with discharge instructions and to identify associated patient characteristics. RESEARCH
designProspective cohort study. SUBJECTS: Four hundred and fifty adults aged ≥ 65 admitted to medical and surgical units of a tertiary care facility and meeting inclusion criteria. MEASURES: We collected information on demographics, psycho-social factors, discharge diagnoses, and medications using surveys and patient medical records. Domains within discharge instructions included medications, follow-up appointments, diet, and exercise. At 5 days post-discharge, we assessed comprehension by asking patients about their discharge instructions, and compared responses to written instructions from medical charts. We assessed compliance among patients who understood their instructions.
resultsPrevalence of non-comprehension was 5 % for follow-up appointments, 27 % for medications, 48 % for exercise and 50 % for diet recommendations. Age was associated with non-comprehension of medication [odds ratio (OR) 1.07; 95 % confidence interval (CI) 1.04, 1.12] and follow-up appointment (OR 1.08; 95 % CI 1.00, 1.17) instructions. Male sex was associated with non-comprehension of diet instructions (OR 1.91; 95 % CI 1.10, 3.31). Social isolation was associated with non-comprehension of exercise instructions (OR 9.42; 95 % CI 1.50, 59.11) Depression was associated with non-compliance with medication (OR 2.29; 95 % CI 1.02, 5.10) and diet instructions (OR 3.30; 95 % CI 1.24, 8.83).
conclusionsNon-comprehension of discharge instructions among older adults is prevalent, multi-factorial, and varies by domain.
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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.