Evidence map›Paper›PMID 34711593›Full record

ArticleBMJ open2021

Early supported discharge for older adults admitted to hospital with medical complaints: a protocol for a systematic review.

Susan Williams, Ann-Marie Morrissey, Fiona Steed, Aoife Leahy, Elaine Shanahan, Catherine Peters, Margaret O'Connor, Rose Galvin, Clíona O'Riordan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

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

  1. Pooled it
  2. Review
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

9 authors at 2 institutions in 1 country.

Susan WilliamsSchool of Allied Health, University of Limerick Faculty of Education and Health Sciences, Limerick, Ireland Susan.Williams@ul.ie.ORCID 0000-0002-0737-8511
Ann-Marie MorrisseySchool of Allied Health, University of Limerick Faculty of Education and Health Sciences, Limerick, Ireland.
Fiona SteedUniversity Hospital Limerick, Dooradoyle, Limerick, Ireland.
Aoife LeahySchool of Allied Health, University of Limerick Faculty of Education and Health Sciences, Limerick, Ireland.ORCID 0000-0003-2123-1513
Elaine ShanahanDepartment of Ageing and Therapeutics, University Hospital Limerick, Dooradoyle, Limerick, Ireland.
Catherine PetersDepartment of Ageing and Therapeutics, University Hospital Limerick, Dooradoyle, Limerick, Ireland.
Margaret O'ConnorDepartment of Ageing and Therapeutics, University Hospital Limerick, Dooradoyle, Limerick, Ireland.
Rose GalvinSchool of Allied Health, University of Limerick Faculty of Education and Health Sciences, Limerick, Ireland.
Clíona O'RiordanSchool of Allied Health, University of Limerick Faculty of Education and Health Sciences, Limerick, Ireland.
University of Limerick · IEUniversity Hospital Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly supported discharge (ESD) aims to link acute and community care, allowing hospital inpatients to return home and continue to receive the necessary input from healthcare professionals that they would otherwise receive in hospital. The concept has been researched extensively in the stroke population, showing reduced length of stay for patients and improved functional outcomes. This systematic review aims to explore the totality of evidence for the use of ESD in an older adult population who have been hospitalised with medical complaints.

methodsA systematic review of randomised controlled trials and quasi randomised controlled trials will be carried out in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies will be included if they provide an ESD intervention to older adults admitted to hospital for medical complaints compared with continuing inpatient care. MEDLINE, CINAHL, CENTRAL and EMBASE databases will be searched. The primary outcome measure will be length of hospital stay, secondary outcomes will include functional abilities, falls, quality of life, carer and patient satisfaction, unplanned emergency department re-presentation, unscheduled hospital readmission, nursing home admission or mortality. Titles and abstracts of studies will be screened independently by two authors. The Cochrane Risk of Bias Tool will be used independently by two reviewers to assess the methodological quality of the included studies. GRADE will be used to assess the quality of the body of evidence. A pooled meta-analysis will be conducted using RevMan software V.5.4.1, depending on the uniformity of the data. ETHICS AND DISSEMINATION: The authors will present the findings of the review to a patient and public involvement stakeholder panel of older people that has been established at the Ageing Research Centre in the University of Limerick. Formal ethical approval is not required for the review as all data collected will be secondary data and will be analysed anonymously. PROSPERO REGISTRATION NUMBER: CRD42021223112.

Indexed as

Patient DischargeQuality of LifeAgedHospitalizationHospitalsHumansLength of StayMeta-Analysis as TopicSystematic Reviews as Topicgeneral medicine (see internal medicine)geriatric medicinerehabilitation medicine

Identifiers

PMID34711593
PMCPMC8557271
OpenAlexW3208037796

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.