Pre-discharge home assessment visits in assisting patients' return to community living: A systematic review and meta-analysis

Journal of Rehabilitation Medicine
Kylee J LockwoodKatherine E Harding

Abstract

To determine the effectiveness of pre-discharge home assessment visits by occupational therapists in assisting hospitalized patients from a range of settings to return to community living. Electronic databases MEDLINE, CINAHL, Embase, PsychINFO, Cochrane Central Register of Controlled Trials and OTseeker were searched until February 2014. Quantitative and qualitative studies were included if they evaluated pre-discharge home assessment visits by an occupational therapist. Of 1,778 potentially relevant articles, 14 studies met the inclusion criteria. After data extraction, study quality was assessed using check-lists. Pre-discharge home assessment visits reduced the risk of falling (risk ratio 0.68, 95% confidence interval (95% CI) 0.49-0.94) and increased participation levels (standardized mean difference 0.49; 95% CI 0.01-0.98) in geriatric and mixed rehabilitation settings. The risk of readmission to hospital was also reduced (risk ratio 0.47, 95% CI 0.33-0.66), but not for patients following stroke. There was no effect on activity or quality of life. Patients and carers perceived that home assessment visits were beneficial and were satisfied with the process. There is low-to-moderate quality evidence that pre-discharge home ...Continue Reading

Citations

Jul 15, 2016·Australian Occupational Therapy Journal·Kylee J LockwoodKatherine E Harding
Aug 31, 2018·European Journal of Physical and Rehabilitation Medicine·Ayşe A KüçükdeveciNicolas Christodoulou
Jan 16, 2019·Clinical Rehabilitation·Kylee J LockwoodNicholas F Taylor
Jun 20, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Tiffany ConroyRebecca Feo
Apr 1, 2020·Quality Management in Health Care·Cornelia StraßnerMichel Wensing
Jan 29, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Tiffany ConroyRebecca Feo

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