Table 3.
Author and year | Subject and hypothesis | Population and setting | Exclusion | Triage factors |
---|---|---|---|---|
Bowles [25] 2009. |
Expert knowledge of important factors in post-acute care (PAC) referral, identification of characteristics hospitalised patients needing PAC | ≥65 years Six hospitals, urban, suburban and rural |
Not cognitively intact | Living without or with intermittent help, multimorbidity, depressive symptoms, balance, less than excellent self-rated health |
Cullum [35] 2008. |
Relationship between depressive symptoms and hospital outcomes | ≥65 years General hospital |
Severe dysphasia, severe deafness, moderately impaired cognitive function. | Depressive symptoms. |
D’Souza [40] 2020 |
Association between patient factors and patients’ discharge destination from acute medical wards. | Acute general medical patients admitted to physical therapy. Tertiary Hospital. |
Palliative care patients or transferred from other units | Premorbid physical function, current functional status, mobility, toilet transfer. |
Hartley, Adamson [38] 2017 |
Association between Clinical Frailty Scale and functional trajectories. | ≥75 years Acute patients first admitted to Department of Medicine for the Elderly. Tertiary Hospital. |
Patients outside hospital region. | Functional decline, frailty. |
Hartley Alexander [43] 2017 |
Compare functional trajectories of patients with and without cognitive impairment | ≥75 years Acute patients first admitted to Department of Medicine for the Elderly. Tertiary Hospital. |
Patients outside hospital region. Palliative or terminally ill patients. | Cognitive impairment, frailty. |
Jackson [39] 2016. |
Predictive validity for discharge location of the Clock in the Box at admission. | ≥55 years Tertiary VA medical centre |
Detoxification or palliative admission, cognitive or sensory impairment, delirium | Cognitive screening. |
Koch [36] 2019 |
Predict post-acute care needs early after admission by combining a self-care index with PAC-Discharge score | ≥16 years Acute medical or neurological patients. Tertiary hospital |
Patients transferred from other hospital, from NH, terminally ill patients. | Self-care abilities, amount of nursing care, active medical diagnoses at admission, living with help at home, disabilities, age. |
Koné [26] 2018 |
Factors associated with transfer to transitional care or to geriatric rehabilitation | ≥18 years Patients with care needs after hospital stay Municipal hospital |
Sex, length of hospital stay. | |
Leung [27] 2016 |
Characteristics and outcomes of elderly patients admitted to a slow stream, low-intensity and long-duration inpatient rehabilitation program | ≥60 years Patients admitted to a 30-bed Slow Stream Rehabilitation Unit. |
Medically unstable, palliative, undergoing chemotherapy or dialysis, wandering behaviour. | Functional decline |
Liu [41] 2016. |
Association of the Hospital admission risk profile (HARP) score with discharge to SNF or Acute Rehab Unit. | ≥70 years Internal medicine inpatient unit Rural medical center |
Age, cognitive status, instrumental ADL. | |
Luthy [37] 2007. |
Biomedical and psychosocial characteristics associated with PAC utilisation. | ≥18 years Internal medicine ward tertiary hospital; facility for rehabilitation and psycho-social care |
Other diagnose than congestive heart failure, community acquired pneumonia, malaise or fall. | Psychosocial complexity, comorbidity, medical diagnoses. |
Lyons [44] 2019 |
Mobility trajectories and the associated patient characteristics (frailty and cognitive impairment) | Department of Medicine for the Elderly, first admittances Tertiary hospital |
Cognitive impairment, mobility, frailty. | |
Meyer [42] 2019 |
Predictive value of the Multidimensional Prognostic Index concerning nursing needs and discharge allocation. | >70 years Renal, rheumatoid, diabetic or internal medical patients with comorbidity Tertiary hospital |
Inability to consent or to speak, terminal situation. | CGA, Multimorbidity, medication, pressure ulcer risk, nutrition, ADL and instrumental ADL, cognitive status, living situation. |
Abrahamsen Haugland, Nilsen [32] 2016. |
Better post-acute care decision-making. Potential predictors for not returning to own home after rehabilitation. |
≥70 years Intermediate Care Unit with short-term rehabilitation |
Major cognitive impairment, delirium. NH decides if suitable for Intermediate Care. |
Functional decline before admission. |
Abrahamsen Haugland, Ranhoff [29] 2016. |
Predictive value of admission diagnoses, degree of functional loss; simple versus comprehensive assessment. | ≥70 years Intermediate Care Unit with short-term rehabilitation |
Major cognitive impairment, delirium. NH decides if suitable for Intermediate Care. |
CGA. |
Arjunan [52] 2019 |
Compare predictive value of Frailty Index and gait speed concerning geriatric rehabilitation outcome. | >65 years Inpatient rehabilitation ward Tertiary hospital. |
Amputees | Gait, frailty. |
Boyd [33] 2008. |
Functional outcomes in the year after discharge; identify predictors of failure to recovery to baseline function |
≥70 years Tertiary care hospital, community teaching hospital |
Hospital stay of less than two days, admission to Intensive Care Unit. | Age, co-morbidity, dementia, nutritional status |
Buurman [34] 2015. |
Disability trajectories in the year before and after SNF admission, association with adverse outcome | ≥ 70 years Community dwelling |
Disabled in ADL at baseline. | Decline of basic ADL. |
Gijzel [30] 2020 |
Develop dynamical indicators of resilience | ≥ 65 years Geriatric ward Tertiary hospital |
LoHS<3 days, inability to respond, contact isolation. | Resilience, wellbeing. |
Gill [45] 2009. |
Factors associated with recovery of prehospital function | ≥70 years Community dwelling. |
Disabled in ADL at baseline. | Mobility, nutritional status, cognitive status. |
Hubbard [49] 2011. |
Bedside assessment of balance and mobility. Association of mobility and balance impairments to adverse outcomes. | ≥65 years Tertiary care hospital |
Mobility, balance | |
Jupp [55] 2011. |
Factors linked to discharge to residential placement after rehabilitation. Tool to guide rehabilitation requirements |
≥65 years Two non-acute rehabilitation hospitals |
Medication, vision, mental state, mobility. | |
Kortebein [28] 2007. |
Inpatient rehabilitation outcomes of older adults diagnosed with debility. Hypothesis: functional improvement of patients with a primary diagnosis of debility is lower than in comorbid debility |
≥65 years 70% of rehabilitation facilities USA (IRF’s) |
Patients without a primary or comorbid deconditioning diagnosis. | Deconditioning. |
Ling [46] 2019 |
Association of premorbid activity limitation stages with post-hospital discharge disposition | ≥65 years Medicare enrolees. All cause hospitalisation |
ADL and instrumental ADL. | |
Luk [50] 2011. |
Relationship between gender and rehabilitation outcome. Efficiency and efficacy of motor and functional outcomes. Hypothesis: there are important gender differences in geriatric rehabilitation outcome. |
≥65 years Two Geriatric Units Geriatric medical care. |
Not admitted from acute geriatric unit. | Sex. |
Peel [31] 2014. |
Meaningful improvement in gait speed. Predictive properties gait speed at follow-up. | Six sites of a community-based Transition Care Program (TCP). | Mobility. | |
Singh [51] 2012 |
Comparison of chronological age, gender, co-morbidities and frailty as predictors of adverse outcomes. | Acute geriatric medicine rehabilitation unit Tertiary care teaching hospital |
Severe dementia, acute stroke, chronically bedbound. | Age, sex, frailty. |
Simning [47] 2019 |
Patient characteristics associated with patient-reported lack of functional improvement. Hypothesis: demographic, socioeconomic, health status and rehabilitation characteristics are associated with patient reported outcome of rehabilitation. |
≥65 years National Health and Aging Trends Study of Medicare beneficiaries receiving rehabilitation services in 2015 and 2016 |
Functional decline. | |
Wakaba-yashi [48] 2014 |
Association nutritional status and rehabilitation outcome in older inpatients with hospital-associated deconditioning. Hypothesis: hospital-associated deconditioning is a result of inactivity and malnutrition. |
≥65 years Tertiary-care acute general hospital department of rehabilitation medicine |
Not diagnosed with hospital-associated deconditioning. | Nutritional status. |
ADL: Activity of Daily Living. IC: Intermediate Care. CGA: Comprehensive Geriatric Assessment. IRF: Inpatient Rehabilitation Facility. LoHS: Length of Hospital Stay. MDCC: Multi- Disciplinary Case Conference. NH: Nursing Home. PAC: Post-Acute Care. NH: Nursing Home. SNF: Skilled Nursing Facility. TCP: Transition Care Program. VA: Veteran’s Affairs.