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Transitional care from hospital to home for frail older adults: A systematic review and meta-analysis

Authors
 Ji Yeon Lee  ;  Yong Sook Yang  ;  Eunhee Cho 
Citation
 GERIATRIC NURSING, Vol.43 : 64-76, 2022-01 
Journal Title
GERIATRIC NURSING
ISSN
 0197-4572 
Issue Date
2022-01
Keywords
Frail older adult ; Meta-analysis ; Systematic review ; Transitional care
Abstract
Frail older adults are vulnerable to hospitalization and transitional care is needed to maintain care continuity; however, there exists no review regarding transitional care focusing on frailty. This study aimed to investigate transitional care for frail older adults and its effectiveness. Search terms were (P) frail older adults; (I) transitional care initiated before discharge; (C) usual care; (O) all health outcomes. Fourteen trials were identified. The most measured outcome was readmission (n = 13), followed by mortality (n = 9), function (n = 7), quality of life (n = 5), and self-rated health (n = 5). Statistical significance effects were reported in the followings: n = 6, readmission; n = 0, mortality; n = 3, function; n = 2, quality of life; and n = 4, self-rated health. The meta-analysis demonstrated that transitional care reduced readmission at six months but not other time points nor mortality or quality of life. The intervention effectiveness was inconclusive; therefore, an evidence-based yet novel approach is necessary to establish an adequate transitional care intervention for frail older adults.
Files in This Item:
T202200086.pdf Download
DOI
10.1016/j.gerinurse.2021.11.003
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187849
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