SynthesisBMC geriatrics2022
Early supported discharge for older adults admitted to hospital with medical complaints: a systematic review and meta-analysis.
Synthesis in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Integrated care management for patients following acute stroke: a systematic review.QJM : monthly journal of the Association of Physicians · 2025Pooled it
- Early supported discharge for older adults admitted to hospital after orthopaedic surgery: a systematic review and meta-analysis.BMC geriatrics · 2024Pooled it
- Pooled it
- Patients' experiences of receiving hospital care from a mobile care unit - a qualitative interview study.International journal of qualitative studies on health and well-being · 2026Article
- Article
- Article
- Advancing a patient-centered and holistic approach for older patients with frailty in a vascular surgical department: a quality improvement initiative.European geriatric medicine · 2026Article
- Perceptions and anticipated factors influencing the adoption of early supported discharge through hospital-at-home.Annals of medicine · 2025Article
- Factors influencing post discharge activities of daily living in patients receiving rehabilitation in acute care hospital.Scientific reports · 2025Article
- Extending Hospital-at-Home to nursing homes: findings from a novel care model in Singapore.Frontiers in public health · 2025Article
- Hospital-at-Home in Taiwan: Reducing Hospital Stay and Medical Expenditures.Journal of multidisciplinary healthcare · 2025Article
- The impact of long-term care interventions on healthcare utilisation among older persons: a scoping review of reviews.BMC geriatrics · 2024Article
- An Early Supported Discharge (ESD) Model of Care for Older Adults Admitted to Hospital: A Descriptive Cohort Study.Clinical interventions in aging · 2024Article
- Use of the electronic medical record to screen for high-risk geriatric patients in the emergency department.JAMIA open · 2023Article
- Experiences of a Novel Integrated Service for Older Adults at Risk of Frailty: A Qualitative Study.Journal of patient experience · 2023Article
- Early Supported Discharge for Older Adults Admitted to Hospital with Medical Complaints: A Qualitative Study Exploring the Views of Stakeholders.Journal of multidisciplinary healthcare · 2022Article
- Prescribing tailored home exercise program to older adults in the community using a tailored self-modeled video: A pre-post study.Frontiers in public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
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 shown reduced length of stay and improved functional outcomes in stroke patients. This systematic review aims to explore the totality of evidence for the use of early supported discharge in older adults hospitalised with medical complaints.
methodsA literature search of CINAHL in EBSCO, Cochrane Central Register of Controlled Trials in the Cochrane Library (CENTRAL), EMBASE and MEDLINE in EBSCO was carried out. Randomised controlled trials or quasi-randomised controlled trials were included. The Cochrane Risk of Bias Tool 2.0 was used for quality assessment. The primary outcome measure was hospital length of stay. Secondary outcomes included mortality, function, health related quality of life, hospital readmissions, long-term care admissions and cognition. A pooled meta-analysis was conducted using RevMan software 5.4.1.
resultsFive studies met the inclusion criteria. All studies were of some concern in terms of their risk of bias. Statistically significant effects favouring ESD interventions were only seen in terms of length of stay (REM, MD = -6.04, 95% CI -9.76 to -2.32, I
conclusionESD interventions can have a statistically significant impact on the length of stay of older adults admitted to hospital for medical reasons. There is a need for further higher quality research in the area, with standardised interventions and outcome measures used.
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What OpenQuestion holds
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.