Evidence map›Paper›PMID 41282398›Full record

ReviewJournal of multidisciplinary healthcare2025

Effectiveness of Discharge Planning Interventions for Stroke and Heart Conditions: A Systematic Review of Interventional Studies.

Suebsarn Ruksakulpiwat, Chitchanok Benjasirisan, Lalipat Phianhasin, Naruebeth Koson, Nway Eint Chei, Thanin Rounratana, Pennapa Saenkla, Jai Thampakkul

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Observational
  2. Observational
  3. Review
  4. Review
  5. 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

8 authors.

Suebsarn RuksakulpiwatFaculty of Nursing, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-2168-5195
Chitchanok BenjasirisanFaculty of Nursing, Mahidol University, Bangkok, Thailand.ORCID 0000-0001-6465-0721
Lalipat PhianhasinFaculty of Nursing, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-1960-5539
Naruebeth KosonDepartment of Adult and Gerontological Nursing, Boromrajonnani College of Nursing, Nakhon Si Thammarat, Faculty of Nursing, Praboromarajchanok Institute, Nakhon Si Thammarat, Thailand.ORCID 0000-0002-1392-4187
Nway Eint CheiDepartment of Business Management, Faculty of Arts, Science and Business Management, Myanmar Creative College, Yangon, Myanmar.
Thanin RounratanaDepartment of Nursing, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.ORCID 0009-0005-0932-2983
Pennapa SaenklaFaculty of Nursing, Mahidol University, Bangkok, Thailand.ORCID 0009-0000-7023-7888
Jai ThampakkulDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the effectiveness of discharge planning interventions in improving health outcomes among individuals with stroke and heart conditions, synthesizing evidence from randomized controlled trials and quasi-experimental studies. Methods: Following PRISMA guidelines, seven electronic databases (PubMed/MEDLINE, Scopus, ScienceDirect, CINAHL Plus with Full Text, Web of Science, Ovid, and ClinicalKey Nursing) were searched for studies published between 2019 and 2024. Eligible studies included adults with stroke or heart conditions who received discharge planning interventions, with outcomes compared to usual care or alternative interventions. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool for randomized controlled trials and ROBINS-I for quasi-experimental studies. Data were extracted with a standardized chart and synthesized using a convergent integrated approach in accordance with the Joanna Briggs Institute methodology. Results: Sixteen studies (11 randomized controlled trials and 5 quasi-experimental studies) met the inclusion criteria, representing diverse populations across 11 countries. Interventions included structured discharge programs, early supported discharge, interdisciplinary planning, family-based care, nurse-led eHealth rehabilitation, and technology-enhanced approaches such as SMS, telephone, and interactive voice response systems. Six major outcome themes emerged: (1) healthcare utilization and cost outcomes, (2) patient activation and health behavior change, (3) psychological well-being, (4) functional recovery, (5) health-related quality of life, and (6) caregiver outcomes and support. Although mortality and long-term outcomes showed mixed results, most interventions demonstrated positive short-term effects across clinical, behavioral, and psychosocial domains. Conclusion: Discharge planning interventions improve transitional care and support recovery in stroke and heart disease populations, with particular benefits when multidisciplinary, nurse-led, or digitally supported. This review highlights the value of structured and innovative discharge planning models for clinical practice. Incorporating patient- and caregiver-centered strategies can reduce readmissions, strengthen adherence, and improve long-term health outcomes.

Indexed as

discharge planningheart conditionsquality of lifereadmissionstrokesystematic reviewtransitional care

Identifiers

PMID41282398
PMCPMC12630007

What OpenQuestion holds

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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.