Table 3 Synthesis of practice implications and RCT interventions
Integrative synthesis of qualitative and quantitative results in studies in PDHA | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Â | Â | Â | Implications for interventions | Outcomes | ||||||||||||||||
Reference | Setting, diagnosis | Intervention | 1 | 2 | 2.1 | 3 | 4 | 5 | 5.1 | 6 | 7 | IADL/ADL, scale: NEADL | IADL/ADL, Various scales | Quality of Life, scale: EQ-5D | Quality of Life various scales | Mobility | Fear of Falling | Risk of falling | Risk of readmission | AE |
Effect (MD or RR), 95% CI | ||||||||||||||||||||
Studies | Â | |||||||||||||||||||
[7] | Acute care, unspecified | Pre- and post- discharge visit + follow up phone calls | Nr | Un | Nr | Ad | Nr | Nr | Nr | Nr | Ad | MD-0.30 [− 1.32 to 0.72] | MD-0.06 [− 0.27 to 0.15] | – | – | – | – | – | RR 1.12 [0.76 to 1.66] | – |
|  | Stroke rehabilitation unit, stroke | Predischarge home visit | Un | Ad | Nr | Nr | Nr | Un | Nr | Nr | Ad | MD −5.50 [−15.58 to 4.58] | MD −0.23 [− 0.66 to 0.20] | MD 0.03 [−9.40 to 9.46] | MD 0.00 [− 0.41 to 0.41] | – | – | RR 1.41 [0.67 to 2.98] | RR 3.91 [0.88 to 17.46] | – |
Acute care, hip fracture | Individual daily training including use of technical aids + predischarge home visit + instruction from physiotherapist how to walk with technical aids | Nr | Nr | Nr | N | Nr | Ad | Nr | Nr | Nr | – | MD 0.23 [− 0.19 to 0.66] | – | MD − 0.27 [− 0.70 to 0.16] | – | – | – | – | – | |
[23] | Rehabilitation unit, mixed | Predischarge home visit | Ad | Ad | Nr | Ad | Nr | Un | Nr | Nr | Nr | MD 13.40 [6.88 to 19.92] | MD 2.30 [0.51 to 4.10] | – | MD 1.50 [0.00 to 3.00] | MD 0.27 [− 0.98 to 1.51] | MD 7.00 [− 17.36 to 31.36] | RR 0.50 [0.06 to 3.91] | RR 0.33 [0.02 to 6.65] | – |
[53] | Acute care and rehabilitation, hip fracture | Home assessment by occupational therapist prior to discharge | Un | Ad | Nr | Ad | Nr | Un | Nr | Ad | Nr | MD − 0.50 [− 3.47 to 2.47] | MD −0.08 [− 0.59 to 0.43] | MD 0.00 [− 0.13 to 0.13] | MD 0.00 [− 0.51 to 0.51] | – | MD − 1.20 [−6.72 to 4.32] | RR 0.83 [0.47 to 1.45] | RR 0.55 [0.25 to 1.18] | 0 |
[1] | Geriatric acute care, unspecified | Predischarge home visit + post-discharge follow up visit(s) + comprehensive in-hospital geriatric assessment | Ad | Nr | Nr | Un | Nr | Un | Nr | Ad | Nr | – | – | – | – | – | – | RR 0.84 [0.63 to 1.12] | – | – |
[24] | Geriatric acute care, unspecified | Predischarge home visit + contacting potential social support + physical therapy + therapeutic modifications | Ad | Nr | Nr | Nr | Nr | Un | Nr | Nr | Ad | – | MD −2.48 [− 3.16 to − 1.80] | – | – | – | – | RR 0.87 [0.50 to 1.49] | RR 1.50 [0.61 to 3.69] | – |
[2] | Stroke ward / acute care, stroke | Predischarge Virtual Home Assessment | Ad | Nr | Nr | Un | Nr | Ad | Ad | Un | Ad | MD 12.00 [− 10.57 to 34.57] | MD 0.49 [− 0.51 to 1.49] | MD 0.19 [− 0.08 to 0.46] | MD 0.64 [− 0.37 to 1.65] | MD 2.24 [0.91 to 3.56] | MD − 7.80 [− 12.54 to − 3.06] | – | – | – |