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Table 1 Meta-analyses of randomized controlled trials of the effect of clinical interventions before hospital discharge on subsequent hospital readmission rates
| Reference | Intervention | RCTs reporting HRR (n) | Total number of patients | RR or OR of HRR in intervention / control (95% CI) |
|---|---|---|---|---|
| (AMSTAR score) | ||||
| Disease management programs | ||||
| Rotter et al. 2010 [23] (10) | Multidisciplinary care plans for patients with a specific clinical problem | 6 | 672 | 0.60 (0.32-1.13) |
| Auer et al. 2008 [24] (7) | Multidimensional interventions for secondary prevention of acute coronary syndrome | 3 | 405 | 0.78 (0.54-1.13)+ |
| Kwan and Sandercock 2004[25] (10) | Care pathways for stroke | 1 | 60 | 0.15 (0.04-0.59) |
| Geriatric case management units | ||||
| Ellis et al. 2011 [26] (7) | Comprehensive geriatric assessment | 8 | 3,543 | 1.01 (0.87-1.17) |
| Van Craen et al. 2010 [27] (7) | Geriatric evaluation and management units | 2 | 799 | 0.85 (0.65-1.11) |
| Baztán et al. 2009 [28] (8) | Acute geriatric units | 3 | * | 1.11 (0.92-1.35) |
| Griffiths et al. 2007 [29] (9) | Nursing-led units for chronically ill or geriatric patients | 3 | 493 | 0.63 (0.36-1.12) |
| Stuck et al. 1993 [30] (6) | Geriatric evaluation and management units | 1 | 123 | 0.54 (0.26-1.11)+ |
| Geriatric consultations and assessment programs | ||||
| Ellis et al. 2011 [26] (7) | Comprehensive geriatric assessment | 1 | 279 | 1.25 (0.78-2.01) |
| Parker et al. 2002 [18] (9) | Comprehensive geriatric assessment | 10 | 952 | 0.90 (0.73-1.11) |
| Stuck et al. 1993 [30] (6) | Geriatric consultation service | 3+ | 449+ | 0.51 (0.27-0.95)+ |
| Pharmacological consultations | ||||
| Kaboli et al. 2006 [31] (4) | Interventions by pharmacists: participation on rounds, medication reconciliation, drug-specific services | 8 | 1,350 | 0.85 (0.49-1.46) + |
| Discharge planning | ||||
| Shepperd et al. 2010 [14] (9) | Discharge plan for inpatients. Studies that did not discern discharge planning from provision of care after discharge were excluded. | 12 | 2,612 | 0.85 (0.74-0.97) |
| Parker et al. 2002 [18] (9) | Discharge arrangements for older patients : Comprehensive discharge protocols | 6 | 1,958 | 0.93 (0.80-1.09) |
