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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 titleAge and Ageing, vol 29, no 3, May 2000
Pagespp 271-280
KeywordsDischarge [hospitals] ; Living in the community ; Extra home care service ; Research Reviews.
AnnotationA 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 NumberCPA-000824234 A
ClassmarkLD:QKJ: K4: NH:58D: 3A:6KC

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