Level of Evidence = C
Aftercare of chronic patients and frail edlderly after hospital discharge has probably no significant beneficial effect.
A systematic narrative review 1 including 17 studies on nursing interventions with a total of 5307 subjects was abstracted in DARE. Of these 12 were RCTs and 5 were controlled studies. The majority of studies did not report clear beneficial effects for the intervention group. Only 2 of the RCTs had positive outcomes. Studies with positive results showed lower methodological scores.
Comment: The quality of evidence is downgraded by study limitations and inconsistency; heterogeneity in interventions and outcomes.
1. Bours GJ, Ketelaars CA, Frederiks CM, Abu-Saad HH, Wouters EF. The effects of aftercare on chronic patients and frail elderly patients when discharged from hospital: a systematic review. J Adv Nurs 1998 May;27(5):1076-86. [PMID:9637337]
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"Aftercare of Chronic Patients and Frail Elderly Discharged From Hospital." Evidence-Based Medicine Guidelines, Duodecim Medical Publications Limited, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/EBMG/450341/all/Aftercare_of_chronic_patients_and_frail_elderly_discharged_from_hospital.
Aftercare of chronic patients and frail elderly discharged from hospital. Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. https://evidence.unboundmedicine.com/evidence/view/EBMG/450341/all/Aftercare_of_chronic_patients_and_frail_elderly_discharged_from_hospital. Accessed April 24, 2019.
Aftercare of chronic patients and frail elderly discharged from hospital. (2019). In Evidence-Based Medicine Guidelines. Available from https://evidence.unboundmedicine.com/evidence/view/EBMG/450341/all/Aftercare_of_chronic_patients_and_frail_elderly_discharged_from_hospital
Aftercare of Chronic Patients and Frail Elderly Discharged From Hospital [Internet]. In: Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. [cited 2019 April 24]. Available from: https://evidence.unboundmedicine.com/evidence/view/EBMG/450341/all/Aftercare_of_chronic_patients_and_frail_elderly_discharged_from_hospital.
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