Interventions for the discharge of older people to their home from the emergency department: a systematic review.

Elliott, R; Mei, J; Wormleaton, N; Fry, M

Interventions for the discharge of older people to their home from the emergency department: a systematic review.

Elliott, R

Mei, J Wormleaton, N Fry, M

Permalink

Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Australasian emergency care, 2021
Issue Date:: 2021-06-08

Closed Access

	Filename	Description	Size
	1-s2.0-S2588994X21000014-main.pdf		737.4 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126
dc.contributor.author	Mei, J
dc.contributor.author	Wormleaton, N
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096
dc.date.accessioned	2022-01-04T00:25:45Z
dc.date.available	2021-01-07
dc.date.available	2022-01-04T00:25:45Z
dc.date.issued	2021-06-08
dc.identifier.citation	Australasian emergency care, 2021
dc.identifier.issn	2589-1375
dc.identifier.issn	2588-994X
dc.identifier.uri	http://hdl.handle.net/10453/152620
dc.description.abstract	<h4>Background</h4>Clinicians have limited evidence on which to base their practice to effectively discharge older people from emergency. The aim of the review was to assess the effectiveness of interventions used for the discharge of older people from the emergency department to their home in the community by emergency clinicians.<h4>Methods</h4>The PRISMA guidelines were followed. The search comprised seven databases including CINAHL Complete, Medline and EMBASE, and additionally unpublished literature sources including trial registries and theses databases. The results were presented for three outcomes: mortality; emergency department representation after the index visit; and physical function. A narrative analysis was performed.<h4>Results</h4>Twenty-five studies met the inclusion criteria; 13 RCTs and 12 quasi-experimental. Risk of bias was moderate to high. There was a trend towards reduced probability of representing to the emergency department within 3 months of the index visit for individualised focussed elder discharge health interventions. Results were equivocal for other outcomes.<h4>Conclusions</h4>Greater clarity and consensus is needed to determine the most appropriate discharge measures, screening tools, information sources and discharge roles for the emergency setting. Rigorous multicentre trials to improve the evidence on which to base this aspect of emergency care are required.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Australasian emergency care
dc.relation.isbasedon	10.1016/j.auec.2021.01.001
dc.rights	info:eu-repo/semantics/closedAccess
dc.title	Interventions for the discharge of older people to their home from the emergency department: a systematic review.
dc.type	Journal Article
utslib.location.activity	Australia
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
dc.date.updated	2022-01-04T00:25:44Z
pubs.publication-status	Published

Abstract:

Background

Clinicians have limited evidence on which to base their practice to effectively discharge older people from emergency. The aim of the review was to assess the effectiveness of interventions used for the discharge of older people from the emergency department to their home in the community by emergency clinicians.

Methods

The PRISMA guidelines were followed. The search comprised seven databases including CINAHL Complete, Medline and EMBASE, and additionally unpublished literature sources including trial registries and theses databases. The results were presented for three outcomes: mortality; emergency department representation after the index visit; and physical function. A narrative analysis was performed.

Results

Twenty-five studies met the inclusion criteria; 13 RCTs and 12 quasi-experimental. Risk of bias was moderate to high. There was a trend towards reduced probability of representing to the emergency department within 3 months of the index visit for individualised focussed elder discharge health interventions. Results were equivocal for other outcomes.

Conclusions

Greater clarity and consensus is needed to determine the most appropriate discharge measures, screening tools, information sources and discharge roles for the emergency setting. Rigorous multicentre trials to improve the evidence on which to base this aspect of emergency care are required.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/152620