Table 4: Summary of Interventions Tested in Randomized Controlled Trials Included in Systematic Review.
| Author, Year, Size, Country | Population | Interventions | EPOC Quality Criteria Satisfied (9 possible), n | Absolute Risk Reduction, percentage points | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Predischarge Interventions | Postdischarge Interventions | Interventions Bridging the Transition | |||||||||||||
| Patient Education | Discharge Planning | Medication Reconciliation | Appointment Scheduled Before Discharge | Timely PCP Communication | Timely Clinic Follow-up | Follow-up Telephone Call | Postdischarge Hotline | Home Visit | Transition Coach | Patient-Centred Discharge Instructions | Provider Continuity | ||||
| Balaban et al, 2008 (12) N = 96 United States |
Community hospital | X | X | X | 5 | –0.3 | |||||||||
| Braun et al, 2009 (13) N = 309 Israel |
General medicine ward | X | 5 | 0.5 | |||||||||||
| Coleman et al, 2006 (14) N = 750 United Sates |
Geriatric | X | X | X | X | 5 | 3.6a | ||||||||
| Dudas et al, 2001 (15) N = 221 United States |
General medicine ward | X | 4 | 10 | |||||||||||
| Dunn et al, 1994 (16) N = 59 United Kingdom |
Geriatric | X | 4 | –2 | |||||||||||
| Evans et al, 1993 (17) N = 835 United States |
Veterans Affairs; high risk | X | 4 | 11.0a | |||||||||||
| Forster et al, 2005 (18) N = 620 Canada |
General medicine ward | X | 5 | –7.8 (readmission or death) | |||||||||||
| Jaarsma et al, 1999 N = 179 Netherlands |
HF | X | X | X | X | X | 5 | 2 | |||||||
| Jack et al, 2009 N = 738 United States |
Medical/ surgical ward | X | X | X | X | X | X | 6 | 6.0a | ||||||
| Koehler et al, 2009 (21) N = 41 United States |
Geriatric, high risk | X | X | X | X | X | X | X | 6 | 28.1a (readmission or ED visit) | |||||
| Kwok et al, 2004 (22) N = 149 Hong Kong |
Chronic lung disease, geriatric | X | X | 6 | –10 | ||||||||||
| McDonald et al, 2001 (23) N = 70 Ireland |
HF, geriatric | X | X | 4 | 0 | ||||||||||
| Naylor et al, 1994 (24) N = 142 United States |
Cardiac (medical/surgical), geriatric | X | X | X | X | X | X | 5 | 12.0a (2 weeks, medical); 4 (surgical) | ||||||
| Parry et al, 2009 N = 98 (25) United States |
Geriatric | X | X | X | X | X | X | X | 7 | 9.9 | |||||
| Rainville, 1999 (26) N = 34 United States |
HF | X | 7 | 7.1 | |||||||||||
| Wong et al, 2008 (27) N = 332 Hong Kong |
General medicine ward | X | 5 | 2.4 | |||||||||||
Abbreviations: ED, emergency department; EPOC, Effective Practice and Organization of Care Group; HF, heart failure; PCP, primary care provider.
a
Statistically significant improvement in rehospitalization outcomes within 30 days.
Source: Hansen et al, 2011 (7)