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Centre for Policy on Ageing | |
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The effects of supporting discharge from hospital to home in older people | Author(s) | Christopher J Hyde, Isla E Robert, Alan J Sinclair |
Journal title | Age and Ageing, vol 29, no 3, May 2000 |
Pages | pp 271-280 |
Keywords | Discharge [hospitals] ; Living in the community ; Extra home care service ; Research Reviews. |
Annotation | A systematic review of randomised controlled trials was carried out to investigate the effects of supported discharge after an acute admission in older people with undifferentiated clinical problems. A search of MEDLINE, CINAHL, the Cochrane Library, PsychLit and the Social Science Citation Index to the end of 1997 was augmented by hand-searching, follow-up of bibliographies and direct enquiry of the authors of included studies. Nine studies were included in the review, assessment of which indicated the presence of bias, dictating the need for caution in interpreting the results. There was relative certainty that the proportion of those at home 6-12 months after admission is greater with supported discharge. This was associated with a consistent pattern of reduction in admission in long-stay care over the same period, without apparent increases in mortality. There was uncertainty about the effect of supported discharge on hospitalisation. There were no rigorous data on functional status, patient and carer satisfaction, and in consequence, uncertainty about the overall effectiveness of supported discharge. (RH). |
Accession Number | CPA-000824234 A |
Classmark | LD:QKJ: K4: NH:58D: 3A:6KC |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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