Predicting the need for supportive services after discharged from hospital: a systematic review

BMC Health Services Research
Daniel M KobewkaDaniel McIsaac

Abstract

Some patients admitted to acute care hospital require supportive services after discharge. The objective of our review was to identify models and variables that predict the need for supportive services after discharge from acute care hospital. We performed a systematic review searching the MEDLINE, CINAHL, EMBASE, and COCHRANE databases from inception to May 1st 2017. We selected studies that derived and validated a prediction model for the need for supportive services after hospital discharge for patients admitted non-electively to a medical ward. We extracted cohort characteristics, model characteristics and variables screened and included in final predictive models. Risk of bias was assessed using the Quality in Prognostic Studies tool. Our search identified 3362 unique references. Full text review identified 6 models. Models had good discrimination in derivation (c-statistics > 0.75) and validation (c-statistics > 0.70) cohorts. There was high quality evidence that age, impaired physical function, disabilities in performing activities of daily living, absence of an informal care giver and frailty predict the need for supportive services after discharge. Stroke was the only unique diagnosis with at least moderate evidence of...Continue Reading

References

Dec 1, 1978·International Journal of Epidemiology·L G Dales, H K Ury
Dec 1, 1990·Journal of the American Geriatrics Society·C H HirschC H Winograd
Mar 21, 1998·Journal of General Internal Medicine·D G FairchildT H Lee
Mar 27, 2003·Journal of the American Geriatrics Society·Kenneth E CovinskyC Seth Landefeld
Apr 16, 2003·Archives of Internal Medicine·Ann S LarameePeter Callas
Nov 12, 2005·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Elena M Andresen, Douglas K Miller
Jul 24, 2008·BMC Health Services Research·Martine Louis SimonetJean-Michel Gaspoz
Nov 1, 2008·BMC Medical Research Methodology·Ian Shrier, Robert W Platt
May 8, 2009·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·David L RothWilliam E Haley
Nov 21, 2009·International Journal of Epidemiology·Stephen R ColeCharles Poole
Jun 9, 2011·Journal of the American Geriatrics Society·Kala M MehtaC Seth Landefeld
Feb 20, 2013·Annals of Internal Medicine·Jill A HaydenClaire Bombardier
Sep 11, 2013·International Journal of Epidemiology·Lorenzo RichiardiDaniela Zugna
Nov 22, 2014·Journal of Aging and Health·David Basic, Chris Shanley
Apr 8, 2015·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Elliot B TapperMichelle Lai
Jan 28, 2016·The Cochrane Database of Systematic Reviews·Daniela C Gonçalves-BradleySasha Shepperd

❮ Previous
Next ❯

Citations

Dec 24, 2020·International Journal of Environmental Research and Public Health·Fabrizio BertRoberta Siliquini
Nov 11, 2021·Journal of the American Medical Informatics Association : JAMIA·Erin E KennedySubhash Aryal

❮ Previous
Next ❯

Software Mentioned

Ovid MEDLINE
Grading of Recommendations Assessment , Development and Evalua...
Quality In Prognosis Studies ( QUIPS )
Google© Translate
Ovid

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.