Evidence map›Paper›PMID 31295933›Full record

SynthesisInternational journal of environmental research and public health2019

Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review.

Alice Coffey, Patricia Leahy-Warren, Eileen Savage, Josephine Hegarty, Nicola Cornally, Mary Rose Day, Laura Sahm, Kieran O'Connor, Jane O'Doherty, Aaron Liew and 2 more

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 11 pooled it
12.2field-weighted citation impact, top 1% of its field
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

62 citing papers in PubMed, 11 syntheses or guidelines pooled it, 138 citations in OpenAlex.

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  7. Challenges to Systems of Long-Term Care: Mapping of the Central Concepts from an Umbrella Review.International journal of environmental research and public health · 2023
    Pooled it
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  12. Comparison of Frailty Screening Instruments in the Emergency Department.International journal of environmental research and public health · 2019
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2 more citing papers are in PubMed but not listed here.

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

12 authors at 5 institutions in 1 country.

Alice CoffeyDepartment of Nursing and Midwifery, Health Sciences Building, University of Limerick, Limerick V94X5K6, Ireland. Alice.Coffey@ul.ie.ORCID 0000-0002-5178-6723
Patricia Leahy-WarrenSchool of Nursing and Midwifery, University College Cork, Cork City T12AK54, Ireland.
Eileen SavageNursing and Vice Dean of Graduate Studies and Inter Professional Learning, College of Medicine and Health, University College Cork, Cork City T12AK54, Ireland.
Josephine HegartySchool of Nursing and Midwifery, University College Cork, Cork City T12AK54, Ireland.
Nicola CornallySchool of Nursing and Midwifery, University College Cork, Cork City T12AK54, Ireland.
Mary Rose DaySchool of Nursing and Midwifery, University College Cork, Cork City T12AK54, Ireland.
Laura SahmSchool of Pharmacy, University College Cork, Cork City T12T656, Ireland.
Kieran O'ConnorGeriatric Medicine, Mercy University Hospital, Cork City T12WE28, Ireland.
Jane O'DohertyDepartment of Nursing and Midwifery, Health Sciences Building, University of Limerick, Limerick V94X5K6, Ireland.
Aaron LiewClinical Sciences Institute, National University of Ireland, and Portiuncula University Hospital, Ballinasloe Galway H53T971, Ireland.
Duygu SezginClinical Sciences Institute, National University of Ireland, and Portiuncula University Hospital, Ballinasloe Galway H53T971, Ireland.
Rónán O'CaoimhClinical Sciences Institute, National University of Ireland, Galway City, Mercy University Hospital, Grenville Place, Cork City T12WE28, Ireland.
University College Cork · IENational University of Ireland · IEUniversity of Limerick · IEMercy University Hospital · IEOllscoil na Gaillimhe – University of Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increasing pressure on limited healthcare resources has necessitated the development of measures promoting early discharge and avoiding inappropriate hospital (re)admission. This systematic review examines the evidence for interventions in acute hospitals including (i) hospital-patient discharge to home, community services or other settings, (ii) hospital discharge to another care setting, and (iii) reduction or prevention of inappropriate hospital (re)admissions. Academic electronic databases were searched from 2005 to 2018. In total, ninety-four eligible papers were included. Interventions were categorized into: (1) pre-discharge exclusively delivered in the acute care hospital, (2) pre- and post-discharge delivered by acute care hospital, (3) post-discharge delivered at home and (4) delivered only in a post-acute facility. Mixed results were found regarding the effectiveness of many types of interventions. Interventions exclusively delivered in the acute hospital pre-discharge and those involving education were most common but their effectiveness was limited in avoiding (re)admission. Successful pre- and post-discharge interventions focused on multidisciplinary approaches. Post-discharge interventions exclusively delivered at home reduced hospital stay and contributed to patient satisfaction. Existing systematic reviews on tele-health and long-term care interventions suggest insufficient evidence for admission avoidance. The most effective interventions to avoid inappropriate re-admission to hospital and promote early discharge included integrated systems between hospital and the community care, multidisciplinary service provision, individualization of services, discharge planning initiated in hospital and specialist follow-up.

Indexed as

Patient DischargePatient ReadmissionDelivery of Health CareHumansadmissiondischargehomecarehospital avoidanceintermediate careinterventionlength of staymodelprimary caretransition

Identifiers

PMID31295933
PMCPMC6678887
OpenAlexW2957199572

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.