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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

From: The effect of clinical interventions on hospital readmissions: a meta-review of published meta-analyses

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)

  1. HRR – Hospital readmission rates. RCT- Randomized controlled trial. RR – risk ratio. OR – odds ratio. CI – confidence intervals.
  2. * not given + Datum not provided; calculated by the authors of the present meta-review.