(OR: 0.77; 95% CI: 0.62, To reduce hospital effective in reducing Examine if transitional care 3. 26 studies reviews. :54% 6. “Hospital to home” 0.96) and 13% in long-term readmission, high intensity readmissions. To interventions associated included comp t continuum setting. readmissions (OR: 0.58, interventions might be reduce short-term with reduction of assessment at admission, 95% CI:0.46, 0.75) (Exhibit needed such as home visit readmissions, transitional readmission rates in short 81% self manage education 7. NR. 1–3; not effective in within 3 days. care should consist of (30 days or <), during admission, 54% reducing short-term interventions that intermediate (31-180) and involved caregiver as readmissions (OR:0.76; Interventions for effect on include care coordination long term (181-365 days). secondary recipients of 95% CI: 0.52, 1.10). intermediate and long term by a nurse, communication intervention. 69% had care readmit lasted >30 days. between the primary care coordination by nurse. High-intensity provider and the hospital, interventions 11. NR. and a home visit within associated with reduced three days after discharge. short-term readmissions 12. NR. Transitional care effective (OR: 0.59; 95% CI: 0.38, for pts >60 yrs. Ideal 0.92), intermediate term content of transitional care (OR: 0.69; 95% CI: 0.51 programs and target 0.92), and long-term groups are still unclear. readmissions (OR: 0.57; 95% CI: 0.35,0.92) 14. Transitional interventions important Low-intensity where countries have a interventions sig. target to reduce 30 day associated with reduced readmissions. long-term readmission (OR: 0.62; 95% CI: 0.46, 0.82). Transitional care associated with a 5% lower rate of intermediate-term readmission(OR: 0.74; 95% CI: 0.59, 0.93) and 8%lower rate of long-term readmission (OR:0.71; 95% CI: 0.56, 0.91) in patients > 60 yrs. No evidence transitional care associated w/
Examine if transitional care interventions associated with reduction of readmission rates in short (30 days or <), intermediate (31-180) and long term (181-365 days). 3. 26 studies reviews. :54% included comp t assessment at admission, 81% self manage education during admission, 54% involved caregiver as secondary recipients of intervention. 69% had care coordination by nurse. 6. “Hospital to home” continuum setting. 7. NR. (OR: 0.77; 95% CI: 0.62, 0.96) and 13% in long-term readmissions (OR: 0.58, 95% CI:0.46, 0.75) (Exhibit 1–3; not effective in reducing short-term readmissions (OR:0.76; 95% CI: 0.52, 1.10). High-intensity interventions associated with reduced short-term readmissions (OR: 0.59; 95% CI: 0.38, 0.92), intermediate term (OR: 0.69; 95% CI: 0.51 0.92), and long-term readmissions (OR: 0.57; 95% CI: 0.35,0.92) Low-intensity interventions sig. associated with reduced long-term readmission (OR: 0.62; 95% CI: 0.46, 0.82). Transitional care associated with a 5% lower rate of intermediate-term readmission(OR: 0.74; 95% CI: 0.59, 0.93) and 8%lower rate of long-term readmission (OR:0.71; 95% CI: 0.56, 0.91) in patients > 60 yrs. No evidence transitional care associated w/ To reduce hospital readmission, high intensity interventions might be needed such as home visit within 3 days. Interventions for effect on intermediate and long term readmit lasted >30 days. 11. NR. 12. NR. effective in reducing readmissions. To reduce short-term readmissions, transitional care should consist of interventions that include care coordination by a nurse, communication between the primary care provider and the hospital, and a home visit within three days after discharge. Transitional care effective for pts >60 yrs. Ideal content of transitional care programs and target groups are still unclear. 14. Transitional interventions important where countries have a target to reduce 30 day readmissions.
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