Michael D Traynor, Linda L Chlan, Camryn Wzientek, Kathleen J Yost, Karlyn E Pierson, Minji K Lee, Shanda H Blackmon
Agreement Between Upper Digestive Disease App and Provider Evaluation of Esophagectomy Symptoms in a Mobile App Tool
The Annals of thoracic surgery
admission rates rising despite change burden illness interventions reduce unscheduled admission hospital safely may justified systematically examine admission prevention strategies report longterm followup admission prevention initiatives medline embase ovid sp psychinfo science citation index expandedisi web science cochrane library inception time writing reference lists hand searched randomised controlled trials beforeandafter studies individuals aged 18 years studies independently screened two reviewers final screening third data extraction critical appraisals skills programme checklist completion risk bias assessment performed one reviewer checked second twentyeight studies included 24 beforeandafter studies 4 studies comparing outcomes nonrandomised groups interventions included referral pathways staff reconfiguration new healthcare facilities telemedicine strongest evidence admission prevention seen asthmaspecific referral pathways n6 showing 34 95 ci 28 39 reduction evidence publication bias pathways showed inconsistent results insufficient wider interpretation staffing reconfiguration showed reduced admissions two studies shorter length stay one short stay admission units reduced admissions three studies little robust evidence support interventions aimed preventing paediatric admissions research needed