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Centre for Policy on Ageing | |
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Interventions for reducing unplanned hospital admissions in older people
— a mapping exercise ... on behalf of the Innovation Forum, Hertfordshire | | Author(s) | Frances Bunn, Karen Windle, Angela Dickinson |
| Corporate Author | Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire |
| Publisher | Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield, October 2004 |
| Pages | 40 pp |
| Source | Centre for Research in Primary and Community Care, University of Hertfordshire, College Lane, Hatfield AL10 9AB. E-mail: a.m.dickinson@herts.ac.uk Website: www.herts.ac.uk/cripacc |
| Keywords | Admission [hospitals] ; Bed availability [hospitals] ; Usage [services] ; Medical care ; Management [care] ; Literature reviews. |
| Annotation | The mapping exercise was performed to identify interventions that reduce unscheduled acute hospital admissions for people aged 75+. As well as a literature search, data were collected on hospital admissions, readmissions or length of stay. 19 systematic reviews and 27 randomised controlled trials (RCTs) were found. However, results were mixed, and no one intervention was shown to be totally effective in reducing admissions, readmissions or length of stay. There was some support for certain interventions. Two systematic reviews and one RCT provided evidence that discharge planning reduced hospital admissions and readmissions. In one large systematic review, this was found to be most effective when the intervention was provided in hospital and followed up with home assessment and care. One systematic review, and two (out of six) RCTs found a significant reduction in admissions when case and/or disease management was used. Hospital protocols were also found to reduce admissions or readmissions in two out three RCTs. For interventions for patients with cardiac disease, all three systematic reviews found a reduction in hospital admissions, which was significant in two. Four out of seven RCTs also found a reduction in admissions, which was significant in three. Although inconsistent, the evidence provides some support for discharge planning, case management and the use of hospital protocols. However, in general, interventions seemed most effective when they were multidisciplinary and involved both hospital and community. (RH). |
| Accession Number | CPA-051214002 B |
| Classmark | LD:QKH: LD:QKW: QLD: LK: QA: 64A |
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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