Cochrane · systematic review · CD001730
Medical day hospital care for older people versus alternative forms of care
Brown, L, Forster, A, Young, J, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
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
20
current version
GRADE rated
20
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 20 · 100%Moderate 0 · 0%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
Day hospitals compared to alternative care or no care for rehabilitation needs
Population: patients with rehabilitation needs
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death by the end of Day hospitals vs alternative care or no care | OR 1.05 [0.85, 1.28] | 16 studies · 3533 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or institutional care by the end of Day hospitals vs alternative care or no care | OR 0.85 [0.63, 1.14] | 13 studies · 3030 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or deterioration in activities of daily living (ADL) Day hospitals vs alternative care or no care | OR 1.07 [0.76, 1.49] | 7 studies · 1268 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or poor outcome (institutional care, disability or deterioration) Day hospitals vs alternative care or no care | OR 0.92 [0.74, 1.15] | 13 studies · 2831 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Deterioration in ADL in survivors Various ADL measures Day hospitals vs alternative care or no care | OR 1.11 [0.68, 1.8] | 7 studies · 905 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Day hospitals compared to no comprehensive care for rehabilitation needs
Population: patients with rehabilitation needs
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death by the end of Day hospitals vs no comprehensive care | OR 0.88 [0.63, 1.22] | 4 studies · 1345 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or institutional care by the end of Day hospitals vs no comprehensive care | OR 0.63 [0.4, 1] | 4 studies · 1177 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or deterioration in ADL Day hospitals vs no comprehensive care | OR 0.76 [0.56, 1.05] | 2 studies · 651 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or poor outcome (institutional care, disability or deterioration) Day hospitals vs no comprehensive care | OR 0.72 [0.53, 0.99] | 3 studies · 982 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Deterioration in ADL in survivors Day hospitals vs no comprehensive care | OR 0.61 [0.38, 0.97] | 2 studies · 407 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Day hospitals compared to domiciliary care for rehabilitation needs
Population: patients with rehabilitation needs
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death by the end of Day hospitals vs domiciliary care | OR 0.97 [0.61, 1.55] | 7 studies · 901 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or institutional care by the end of Day hospitals vs domiciliary care | OR 1.05 [0.57, 1.92] | 5 studies · 672 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or deterioration in ADL Day hospitals vs domiciliary care | OR 1.41 [0.82, 2.42] | 4 studies · 443 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or poor outcome (institutional care, disability or deterioration) Day hospitals vs domiciliary care | OR 1.08 [0.67, 1.74] | 5 studies · 581 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Deterioration in ADL in survivors Day hospitals vs domiciliary care | OR 1.59 [0.87, 2.9] | 4 studies · 349 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Day hospitals compared to comprehensive care for elderly persons requiring rehabilitation
Population: older people requiring rehabilitation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death by the end of Day hospitals vs comprehensive care | OR 1.26 [0.87, 1.82] | 5 studies · 1287 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or institutional care by the end of Day hospitals vs comprehensive care | OR 1 [0.69, 1.44] | 4 studies · 1181 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Death or deterioration in ADL Day hospitals vs comprehensive care | OR 1.18 [0.63, 2.18] | 1 study · 174 participants | Low Downgraded: risk of bias, imprecision |
Death or poor outcome (institutional care, disability or deterioration) Day hospitals vs comprehensive care | OR 1.05 [0.79, 1.4] | 5 studies · 1268 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Deterioration in ADL in survivors Day hospitals vs comprehensive care | OR 1.21 [0.58, 2.52] | 1 study · 149 participants | Low Downgraded: risk of bias, imprecision |