Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

34 questions · 37 findings · 4 reviews · Bone, Joint and Muscle Trauma · Headline outcomes only

No studies found 5 · 13.5%GRADE not reported 2 · 5.4%Very low 18 · 48.6%Low 9 · 24.3%Moderate 3 · 8.1%High 0 · 0%

Supported discharge and multidisciplinary home rehabilitation vs (Optimised) usual care

Permanent move to higher level of care (hostel, nursing home, sheltered housing) · Older people undergoing hip fracture aftercare

It is very uncertain whether supported discharge and multidisciplinary home rehabilitation changes permanent move to higher level of care (hostel, nursing home,… compared with usual care: mainly (very low certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

Falls · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

Home fall‐hazard reduction probably leads to lower rate of falls (falls per person‐years) compared with control (e.g. usual care) (moderate certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

Number of people who experienced one or more falls · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

Home fall‐hazard reduction probably leads to lower number of people who experienced 1 or more falls compared with control (e.g. usual care) (moderate certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

Number of people sustaining one or more fall‐related fractures · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

It is very uncertain whether home fall‐hazard reduction changes number of people who experienced 1 or more fall‐related fractures compared with control (e.g. usual care) (very low certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

Number of people who experience a fall that required hospital admission · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

Home fall‐hazard reduction showed no clear difference in number of people who experienced 1 or more falls that resulted in… compared with control (e.g. usual care) (low certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

QoL · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

Home fall‐hazard reduction showed no clear difference in health‐related quality of life SMD was calculated from 4 studies… compared with control (e.g. usual care) (moderate certainty).

1 finding from 1 review

Supported discharge and multidisciplinary home rehabilitation vs usual care: people living

'Poor outcome' (dead or unable to walk) · older people from nursing homes undergoing rehabilitation after surgically treated hip fracture

Supported discharge and multidisciplinary home rehabilitation showed no clear difference in 'Poor outcome' (dead or unable to walk) compared with usual care: people living (low certainty).

1 finding from 1 review

Supported discharge and multidisciplinary home rehabilitation vs usual care: people living

Mortality (at 4 months) · older people from nursing homes undergoing rehabilitation after surgically treated hip fracture

Supported discharge and multidisciplinary home rehabilitation showed no clear difference in mortality (at 4 months) compared with usual care: people living (low certainty).

1 finding from 1 review

Supported discharge and multidisciplinary home rehabilitation vs usual care: people living

Death by the end of scheduled · older people from nursing homes undergoing rehabilitation after surgically treated hip fracture

Supported discharge and multidisciplinary home rehabilitation showed no clear difference in mortality (end of scheduled compared with usual care: people living (low certainty).

1 finding from 1 review

Supported discharge and multidisciplinary home rehabilitation vs usual care: people living

Dependency · older people from nursing homes undergoing rehabilitation after surgically treated hip fracture
2 findings from 1 review

Supported discharge and multidisciplinary home rehabilitation vs usual care: people living

Unable to walk · older people from nursing homes undergoing rehabilitation after surgically treated hip fracture

It is very uncertain whether supported discharge and multidisciplinary home rehabilitation changes unable to walk compared with usual care: people living (very low certainty).

1 finding from 1 review

Summary of findings. Home vs hospital‐clinic removal of casts

Treatment failure (change in treatment) (6 weeks · children with stable wrist fracture, predominantly buckle (torus) fracturesa

It is very uncertain whether summary of findings. Home changes treatment failure (change in treatment) (6 weeks compared with hospital‐clinic removal of casts (very low certainty).

1 finding from 1 review