2.2. Analysis.
Comparison 2: Effect of discharge planning on unscheduled readmission rates, Outcome 2: Hospital readmission rates at various follow‐up times
| Hospital readmission rates at various follow‐up times | ||
| Study | Results | Notes |
| Participants with a medical condition | ||
| Bonetti 2018 | Mean hospital readmissions T= 4 (7.8) N=51, C= 7 (13.2) (N=53) |
Follow‐up: 30 days |
| Farris 2014 | At 30 d: T= 47/281 (17%), C = 43/294 (15%) Difference 2%; 95% CI − 0.04% to 0.08% At 90 d: T= 49/281 (17%), C = 47/294 (16%) Difference 1%; 95% CI − 5% to 8% |
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| Gillespie 2009 | At 12 months: T= 106/182 (58.2%), C = 110/186 (59.1%) Difference − 0.9%, 95% CI − 10.9% to 9.1% |
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| Goldman 2014 | At 30 d: T= 50/347 (14%), C = 47/351 (13%) Difference 1%; 95% CI − 4% to 6% At 90 d: I = 89/347 (26%), C = 77/351 (22%) Difference 3.7%; 95% CI − 2.6% to 10% |
Data provided by the trialists |
| Kennedy 1987 | At 1 week:
T= 2/38 (5%), C = 8/40 (20%)
Difference − 15%; 95% CI − 29% to − 0.4% At 8 weeks: I = 11/39 (28%), C = 14/40 (35%) Difference − 7%; 95% CI − 27.2% to 13.6% |
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| Lainscak 2013 | At 90 d: COPD− related T= 14/118 (12%), C = 33/135 (24%) Difference 12%; 95% CI 3% to 22% All‐cause readmission T = 25/118 (21%), C = 43/135 (32%) Difference 11%; 95% CI − 0.3% to 21% |
Data provided by the trialists; data also available for 30− and 180− d |
| Laramee 2003 | At 90 d:
T = 49/131 (37%), C = 46/125 (37%), P > 0.99 Readmission days: T= 6.9 (SD 6.5), C = 9.5 (SD 9.8) |
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| Lindpaintner 2013 | Similar readmission rate to hospital for both groups at 5 and 30 days | As reported by the authors; no further data reported T = 30, C = 30 |
| Lisby 2019 | At 30 d: T = 22/101 (22%), C = 19/99 (19%) Difference 3%; 95% CI ‐8.2% to 14.13 Total readmissions: T = 0.28 (SD 0.67); C = 0.26 (SD 0.63) |
Number of participants who were admitted at least once in each group Authors also report days to first readmission, and preventable first readmission Ascertained by chart review T = 101, C = 99 |
| Moher 1992 | At 2 weeks: T = 22/136 (16%), C = 18/131 (14%) Difference 2%; 95% CI − 6% to 11%, P = 0.58 | — |
| Naylor 1994 | Within 45‐90 d: T = 11/72 (15%), C = 11/70 (16%) Difference 1%; 95% CI − 8% to 12% | Authors also report readmission data for 2‐6 weeks follow up |
| Nazareth 2001 | At 90 d:
T = 64/164 (39%), C = 69/176 (39.2%)
Difference 0.18; 95% CI − 10.6% to 10.2% At 180 d: T = 38/136 (27.9%), C = 43/151 (28.4%) Difference 0.54; 95% CI − 11 to 9.9% |
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| Nguyen 2018 | Total number of participants readmitted T = 7/58 (12%), C = 6/68 (9%) Difference 3%, 95% CI ‐7.99 to 14.81 |
Follow‐up: 90 days |
| Weinberger 1996 | Number of readmissions per month
T = 0.19 (+ 0.4) (n = 695), C = 0.14 (+ 0.2), P = 0.005 (n = 701) At 6 months: T = 49%, C = 44%, P = 0.06 Treatment group readmitted 'sooner' (P = 0.07) |
Non‐parametric test used to calculate P values for monthly readmissions |
| Participants with medical or surgical condition | ||
| Evans 1993 | At 4 weeks:
T = 103/417 (24%), C = 147/418 (35%)
Difference − 10.5%; 95% CI − 16.6% to − 4.3%, P < 0.001 At 9 months: T = 229/417 (55%), C = 254/418 (61%) Difference − 5.8%; 95% CI −12.5% to 0.84%, P = 0.08 |
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| Participants recruited following surgery | ||
| Lin 2009 | Within 3 months: T=2/26 (7.7%), C=2/24 (8.3%) |
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| Naylor 1994 | Within 6 to 12 weeks: T = 7/68 (10%), C = 5/66 (7%) Difference 3%; 95% CI 7% to 13% | — |
| Participants with a mental health diagnosis | ||
| Naji 1999 | At 6 months: T = 33/168 (19.6%), C = 48/175 (27%) Difference 7.4%; 95% CI − 1.1% to 16.7% | Mean time to readmission T = 161 d, C = 153 d T: treatment; C: control; CI: confidence interval |
| Shaw 2000 | At 90 d: T = 5/51 (10%), C = 12/46 (26%) | |