The work was carried out in Health Service of Canary Islands, Department of Planning and Evaluation, Spain (same address as the corresponding author).
Interventions to reduce hospital readmissions in the elderly: in-hospital or home care. A systematic review
Version of Record online: 13 JUL 2010
© 2010 Blackwell Publishing Ltd
Journal of Evaluation in Clinical Practice
Volume 17, Issue 6, pages 1167–1175, December 2011
How to Cite
Linertová, R., García-Pérez, L., Vázquez-Díaz, J. R., Lorenzo-Riera, A. and Sarría-Santamera, A. (2011), Interventions to reduce hospital readmissions in the elderly: in-hospital or home care. A systematic review. Journal of Evaluation in Clinical Practice, 17: 1167–1175. doi: 10.1111/j.1365-2753.2010.01493.x
- Issue online: 3 NOV 2011
- Version of Record online: 13 JUL 2010
- Accepted for publication: 7 April 2010
- systematic review
Rationale, aims and objectives Unplanned hospital readmissions of elderly people represent an increasing burden on health care systems. This burden could theoretically be reduced by adequate preventive interventions, although there is uncertainty about the effectiveness of different types of interventions. The objective of this systematic review was to identify interventions that effectively reduce the risk of hospital readmissions in patients of 75 years and older, and to assess the role of home follow-up.
Methods We searched studies in MEDLINE, CINAHL, CENTRAL and seven other electronic databases up to October 2007, and we updated the MEDLINE search in October 2009. Clinical trials (randomized or controlled) evaluating the effectiveness of an intervention aimed at reducing readmissions in elderly patients were selected. Quality was assessed using the SIGN tool and the information extracted is presented in text and tables.
Results Thirty-two clinical trials were included and they were divided into two groups: in-hospital interventions (17 studies) and interventions with home follow-up (15 studies). A positive effect of the intervention evaluated on the readmission outcome was found in three studies from the first group and in seven from the second group.
Conclusions Most of the interventions evaluated did not have any effect on the readmission of elderly patients. However, those interventions that included home care components seem to be more likely to reduce readmissions in the elderly.