Cochrane · systematic review · CD004026

Day hospital versus admission for acute psychiatric disorders

Marshall, M, Crowther, R, Sledge, WH, et al. · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library

SchizophreniaAMSTAR 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 1 · 14.3%Moderate 4 · 57.1%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 hospital compared to Inpatient for acute psychiatric disorders

Population: patients with acute psychiatric disorders
7 questions
OutcomeEffectEvidenceStatus / GRADE
Feasibility and engagement: lost to
Day hospital vs Inpatient
RR 0.94 [0.82, 1.08]5 studies · 1694 participantsModerate
Downgraded: risk of bias, inconsistency
Extent of hospital care: 1. duration of index admission
Day hospital vs Inpatient
no estimate extracted4 studies · 1582 participantsModerate
Downgraded: risk of bias, inconsistency
Extent of hospital care: 3. duration of day patient care (adjusted days/month)
Day hospital vs Inpatient
no estimate extracted3 studies · 465 participantsVery low
Downgraded: risk of bias, inconsistency
Extent of hospital care: 5. readmitted to in/day patient care after discharge
Day hospital vs Inpatient
RR 0.91 [0.72, 1.15]5 studies · 667 participantsVery low
Downgraded: risk of bias, imprecision
Unemployed (at end of study)
Day hospital vs Inpatient
RR 0.81 [0.67, 0.97]2 studies · 320 participantsLow
Downgraded: risk of bias, publication bias
Quality of life: average overall role score ‐ at 12 months MANSA ‐ Manchester Short Assessment of Quality of Life
Day hospital vs Inpatient
no estimate extracted1 study · 1117 participantsModerate
Downgraded: imprecision, publication bias
Treatment satisfaction: average overall role score ‐ at discharge CAT ‐ Client Assessment of Treatment
Day hospital vs Inpatient
no estimate extracted1 study · 1117 participantsModerate
Downgraded: imprecision, publication bias