Evidence map›Paper›PMID 26984024›Full record

ArticleSystematic reviews2016

Discharge interventions for older patients leaving hospital: protocol for a systematic meta-review.

Elaine O'Connell Francischetto, Sarah Damery, Sarah Davies, Gill Combes

Abstract read
In one paragraph

Article in Systematic reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
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.

Elaine O'Connell FrancischettoNIHR CLAHRC West Midlands - Theme 4 Chronic Diseases, School of Health & Population Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. EXO421@bham.ac.uk.
Sarah DameryNIHR CLAHRC West Midlands - Theme 4 Chronic Diseases, School of Health & Population Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Sarah DaviesBehavioural Brain Sciences Unit, Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK.
Gill CombesNIHR CLAHRC West Midlands - Theme 4 Chronic Diseases, School of Health & Population Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.

Funding

Department of Health WMCLAHRC-2014-1
6 · The paper itself

Abstract

backgroundThere is an increased need for additional care and support services for the elderly population. It is important to identify what support older people need once they are discharged from hospital and to ensure continuity of care. There is a large evidence base focusing on enhanced discharge services and their impact on patients. The services show some potential benefits, but there are inconsistent findings across reviews. Furthermore, it is unclear what elements of enhanced discharge interventions could be most beneficial to older people. This meta-review aims to identify existing systematic reviews of discharge interventions for older people, identify potentially effective elements of enhanced discharge services for this patient group and identify areas where further work may still be needed. METHODS/

designThe search will aim to identify English language systematic reviews that have assessed the effectiveness of discharge interventions for older people. The following databases will be searched: Medline, Embase, PsycINFO, HMIC, Social Policy and Practice, CINAHL, the Cochrane Library, ASSIA, Social Science Citation Index and the Grey Literature Report. The search strategy will comprise the keywords 'systematic reviews', 'older people' and 'discharge'. Discharge interventions must aim to support older patients before, during and/or after discharge from hospital. Outcomes of interest will include mortality, readmissions, length of hospital stay, patient health status, patient and carer satisfaction and staff views. Abstract, title and full text screening will be conducted independently by two reviewers. Data extracted from reviews will include review characteristics, patient population, review quality score, outcome measures and review findings, and a narrative synthesis will be conducted. DISCUSSION: This review will identify existing reviews of discharge interventions and appraise how these interventions can impact outcomes in older people such as readmissions, health status, length of hospital stay and mortality. The review could inform practice and will help identify where further research is needed. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015025737.

Indexed as

MortalityPatient DischargeReview Literature as TopicAgedAged, 80 and overHealth StatusHumansLength of StayMiddle AgedPatient ReadmissionPatient SatisfactionQuality of LifeSystematic Reviews as TopicHospital dischargeMeta-reviewOlder peopleReview of reviews

Identifiers

PMID26984024
PMCPMC4793488

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Registered trials

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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.