Cochrane · systematic review · CD000313
Discharge planning from hospital
Gonçalves-Bradley, DC, Lannin, NA, Clemson, L, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 20%Very low 2 · 40%Low 0 · 0%Moderate 2 · 40%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyEffect of discharge planning on patients admitted to hospital
Population: patients admitted to hospital with a medical condition (27 trials), with a mix of medical and surgical conditions (4 trials), following a fall (1 trial), with a psychiatric diagnosis (2 trials), with a mix of mental health and medical diagnosis.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hospital length of stay | no estimate extracted | 11 studies · 2113 participants | Moderate Downgraded: imprecision, inconsistency |
Unscheduled readmission | RR 0.89 [0.81, 0.97] | 17 studies · 5126 participants | Moderate Downgraded: imprecision, inconsistency |
Patient health status | no estimate extracted | 3 participants | Ungraded |
Satisfaction of patients, care givers and healthcare professionals | no estimate extracted | 8 studies · 756 participants | Very low Downgraded: imprecision, inconsistency |
Healthcare resource use and costs | OR 1994 | 11 studies · 5220 participants | Very low Downgraded: imprecision, inconsistency |
Effect of discharge planning on readmission and hospital length of stay
Population: patients admitted to hospital
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Unscheduled readmission within 3 months of discharge from hospital | RR 0.87 [0.79, 0.97] | 15 studies · 4743 participants | Moderate Downgraded: risk of bias |
Hospital length of stay | no estimate extracted | 12 studies · 2193 participants | Moderate Downgraded: risk of bias |
Satisfaction | no estimate extracted | 6 studies · 6 participants | Low Downgraded: risk of bias, imprecision |
Costs | no estimate extracted | 5 studies · 5 participants | Very low Downgraded: risk of bias, imprecision |
Effect of discharge planning on readmission and hospital length of stay
Population: Patients admitted to hospital with a medical condition
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Unscheduled readmission within 3 months of discharge from hospital | RR 0.82 [0.73, 0.92] | 12 studies · 3217 participants | Moderate Downgraded: risk of bias |
Hospital length of stay | no estimate extracted | 10 studies · 1765 participants | Moderate Downgraded: risk of bias |
Effect of discharge planning on unscheduled readmission rates for patients admitted to hospital with a medical condition
Population: Patients admitted to hospital with a medical condition
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Unscheduled readmission within 3 months of discharge from hospital | RR 0.85 [0.75, 0.97] | 12 studies · 2612 participants | Moderate Downgraded: risk of bias |
Effect of discharge planning on hospital length of stay
Population: Patients admitted to hospital with a medical condition
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hospital length of stay | no estimate extracted | 10 studies · 1765 participants | Moderate Downgraded: risk of bias |