Caregiver Integration During Discharge Planning for Older Adults to Reduce Resource Use: A Metaanalysis

摘要: Objectives To determine the effect of integrating informal caregivers into discharge planning on postdischarge cost and resource use in older adults. Design A systematic review metaanalysis randomized controlled trials that examine with caregiver integration begun before healthcare outcomes. MEDLINE, EMBASE, Cochrane Library databases were searched for all English-language articles published between 1990 April 2016. Setting Hospital or skilled nursing facility. Participants Older adults discharged to a community setting. Measurements Readmission rates, length time post-discharge rehospitalizations, costs care. Results Of 10,715 abstracts identified, 15 studies met inclusion criteria. Eleven provided sufficient detail calculate readmission rates treatment control participants. Discharge interventions associated 25% fewer readmissions at 90 days (relative risk (RR) = 0.75, 95% confidence interval (CI) 0.62–0.91) 24% 180 (RR 0.76, CI 0.64–0.90). The majority reported statistically significant shorter readmission, rehospitalization, lower care among integration. Conclusion For setting, process reduces hospital readmission.