Evidence map›Paper›PMID 31099969›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

Patient and caregiver experience with delayed discharge from a hospital setting: A scoping review.

Amanda C Everall, Sara J T Guilcher, Lauren Cadel, Maliha Asif, Joyce Li, Kerry Kuluski

Abstract readScoping Review
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Factors Influencing Patient Satisfaction with Healthcare Services in Poland.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
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  16. Effectiveness of combined local therapy with antibiotics and fibrin vs. vacuum-assisted wound therapy in soft tissue infections: a retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
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  19. 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 · 2024
    Article
  20. Observational
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

6 authors.

Amanda C EverallLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-8270-6925
Sara J T GuilcherLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-9552-9139
Lauren CadelLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-6925-8163
Maliha AsifLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-3740-1417
Joyce LiInstitute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Ontario, Canada.
Kerry KuluskiInstitute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-6377-6653

Funding

Canadian Institutes for Health Research 157054Canadian Institutes for Health Research 368731Ontario Ministry of Health and Long-Term Care 06034Ontario Strategy for Patient-Oriented Research (SPOR) Support Unit
6 · The paper itself

Abstract

backgroundDelayed hospital discharge occurs when patients are medically cleared but remain hospitalized because a suitable care setting is not available. Delayed discharge typically results in reduced levels of treatment, placing patients at risk of functional decline, falls and hospital-related adverse events. Caregivers often take on an active role in hospital to mitigate these risks.

objectiveThis scoping review aimed to summarize the literature on patient and caregiver experiences with delayed hospital discharge. SEARCH STRATEGY: Seven electronic databases and grey literature were searched using keywords including alternate level of care, delayed discharge, patients, caregivers and experiences. INCLUSION CRITERIA: Included articles met the following criteria: (a) patient or caregiver population 18 years or older; (b) delayed discharge from a hospital setting; (c) included experiences with delayed discharge; (d) peer-reviewed or grey literature; and (e) published between 1 January 1998 and 16 July 2018. DATA EXTRACTION: Data were extracted from the seven included articles using Microsoft Excel 2016 to facilitate a thorough analysis and comparison. MAIN

resultsStudy themes were grouped into five elements of the delayed discharge experience: (1) overall uncertainty; (2) impact of hospital staff and physical environment; (3) mental and physical deterioration; (4) lack of engagement in decision making and need for advocacy; and (5) initial disbelief sometimes followed by reluctant acceptance.

conclusionThis review provides a foundation to guide future research, policies and practices to improve patient and caregiver experiences with delayed hospital discharge, including enhanced communication with patients and families and programmes to reduce deconditioning.

Indexed as

CaregiversPatient DischargePatientsHumansLength of StayPatient SatisfactionPatient Transferburnoutcaregiversepisode of carelive change eventspatient carepatient dischargepatient preferencepatient satisfactionpatient transferpsychological

Identifiers

PMID31099969
PMCPMC6803563

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.