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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.