Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home
- PMID: 17054207
- PMCID: PMC6823218
- DOI: 10.1002/14651858.CD004510.pub3
Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home
Abstract
Background: It is known that many patients encounter a variety of problems in the first weeks after they have been discharged from hospital to home. In recent years many projects have addressed discharge planning, with the aim of reducing problems after discharge. Telephone follow-up (TFU) is seen as a good means of exchanging information, providing health education and advice, managing symptoms, recognising complications early, giving reassurance and providing quality aftercare service. Some research has shown that telephone follow-up is feasible, and that patients appreciate such calls. However, at present it is not clear whether TFU is also effective in reducing postdischarge problems.
Objectives: To assess the effects of follow-up telephone calls in the first month post discharge, initiated by hospital-based health professionals, to patients discharged from hospital to home.
Search strategy: We searched the following databases from their start date to July 2003, without limits as to date of publication or language: the Cochrane Consumers and Communication Review Group's Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library), PubMed, EMBASE (OVID), BiomedCentral, CINAHL, ERIC (OVID), INVERT (Dutch nursing literature index), LILACS, Picarta (Dutch library system), PsycINFO/PsycLIT (OVID), the Combined Social and Science Citation Index Expanded (SCI-E), SOCIOFILE. We searched for ongoing research in the following databases: National Research Register (http://www.update-software.com/nrr/); Controlled Clinical Trials (http://www.controlled-trials.com/); and Clinical Trials (http://clinicaltrials.gov/). We searched the reference lists of included studies and contacted researchers active in this area.
Selection criteria: Randomised and quasi-randomised controlled trials of TFU initiated by a hospital-based health professional, for patients discharged home from an acute hospital setting. The intervention was delivered within the first month after discharge; outcomes were measured within 3 months after discharge, and either the TFU was the only intervention, or its effect could be analysed separately.
Data collection and analysis: Two review authors independently assessed studies for inclusion and for methodological quality. The methodological quality of included studies was assessed using the criteria from the Cochrane Effective Practice and Organisation of Care Review Group. The data-extraction form was based on the template developed by the Cochrane Consumers and Communication Review Group. Data was extracted by one review author and checked by a second author. For as far it was considered that there was enough clinical homogeneity with regard to patient groups and measured outcomes, statistical pooling was planned using a random effects model and standardised mean differences for continuous scales and relative risks for dichotomous data, and tests for statistical heterogeneity were performed.
Main results: We included 33 studies involving 5110 patients. Predominantly, the studies were of low methodological quality. TFU has been applied in many patient groups. There is a large variety in the ways the TFU was performed (the health professionals who undertook the TFU, frequency, structure, duration, etc.). Many different outcomes have been measured, but only a few were measured across more than one study. Effects are not constant across studies, nor within patient groups. Due to methodological and clinical diversity, quantitative pooling could only be performed for a few outcomes. Of the eight meta-analyses in this review, five showed considerable statistical heterogeneity. Overall, there was inconclusive evidence about the effects of TFU.
Authors' conclusions: The low methodological quality of the included studies means that results must be considered with caution. No adverse effects were reported. Nevertheless, although some studies find that the intervention had favourable effects for some outcomes, overall the studies show clinically-equivalent results between TFU and control groups. In summary, we cannot conclude that TFU is an effective intervention.
Conflict of interest statement
One of the review authors (PM) is also an co‐author of an included study (Boter 2000) in the review.
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References
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- Fleming MF, Mundt MP, French MT, Manwell LB, Stauffacher EA, Barry KL. Brief physician advice for problem drinkers: long‐term efficacy and benefit‐cost analysis. Alcoholism, Clinical and Experimental Research 2002;26(1):36‐43. [MEDLINE: ] - PubMed
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Frank 1987 {published data only}
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Glasgow 1997 {published data only}
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Glasgow 2000 {published data only}
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Glasgow 2001 {published data only}
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Hoskins 2001 {published data only}
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Houzard 1998 {published data only}
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Kirkman 1994 {published data only}
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- Moran SJ, Jarvis S, Ewings P, Parkin FA. It's good to talk, but is it effective? A comparative study of telephone support following day surgery... including commentary by Needham Y and Rendell J with author response. Clinical Effectiveness in Nursing 1998;2(4):175‐84. [MEDLINE: ]
Morrison 2001 {published data only}
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- Morrison J, Bergauer NK, Jacques D, Coleman SK, Stanziano GJ. Telemedicine: cost‐effective management of high‐risk pregnancy. Managed Care 2001;10(11):42‐9. [MEDLINE: ] - PubMed
Napolitano 2002 {published data only}
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- Napolitano MA, Babyak MA, Palmer S, Tapson V, Davis RD, Blumenthal JA. Effects of a telephone‐based psychosocial intervention for patients awaiting lung transplantation. Chest 2002;122(4):1176‐84. [MEDLINE: ] - PubMed
Naylor 1999 {published data only}
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- Naylor MD, McCauley KM. The effects of a discharge planning and home follow‐up intervention on elders hospitalized with common medical and surgical cardiac conditions. Journal of Cardiovascular Nursing 1999;14(1):44‐54. [MEDLINE: ] - PubMed
Nelson 2001 {published data only}
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Nicklin 1986 {published data only}
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- Nicklin WM. Postdischarge concerns of cardiac patients as presented via a telephone callback system. Heart & Lung: Journal of Critical Care 1986;15(3):268‐72. [MEDLINE: ] - PubMed
Nijdam 1999 {published data only}
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- Nijdam W, Pool A, Koorenaar C. Het telefonisch verpleegkundig follow‐up spreekuur bij patiënten met hersenmetastasen die zijn behandeld met radiotherapie. Verpleegkunde 1999;14(4):271‐2. [MEDLINE: ]
Northouse 2002 {published data only}
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- Northouse LL, Walker J, Schafenacker A, Mood D, Mellon S, Galvin E, et al. A family‐based program of care for women with recurrent breast cancer and their family members. Oncology Nursing Forum 2002;29(10):1411‐9. [MEDLINE: ] - PubMed
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Oddone 1999 {published data only}
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Pal 2001 {published data only}
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Poncia 2000 {published data only}
Powell 2001 {published data only}
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Rawl 2002 {published data only}
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Rene 1992 {published data only}
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Rich 1995 {published data only}
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- Rich MW, Beckham V, Wittenberg C, Leven CL, Freedland KE, Carney RM. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. New England Journal of Medicine 1995;333(18):1190‐5. [MEDLINE: ] - PubMed
Riegel 1996 {published data only}
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- Riegel B, Gates DM, Gocka I, Medina L, Odell C, Rich M, Finken JS. Effectiveness of a program of early hospital discharge of cardiac surgery patients [corrected] [published erratum appears in J CARDIOVASC NURS 1997 Apr; 11(3): viii]. Journal of Cardiovascular Nursing 1996;11(1):63‐75. [MEDLINE: ] - PubMed
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Rieger 1995 {published data only}
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Rigotti 1997 {published data only}
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Roglieri 1997 {published data only}
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- Roglieri JL, Futterman R, McDonough KL, Malya G, Karwath KR, Bowman D, et al. Disease management interventions to improve outcomes in congestive heart failure. American Journal of Managed Care 1997;3(12):1831‐9. [MEDLINE: ] - PubMed
Romano 2001 {published data only}
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Rosbe 2000 {published data only}
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- Rosbe KW, Jones D, Jalisi S, Bray MA. Efficacy of postoperative follow‐up telephone calls for patients who underwent adenotonsillectomy. Archives of Otolaryngology ‐‐ Head & Neck Surgery 2000;126(6):718‐21. [MEDLINE: ] - PubMed
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Sandgren 2000 {published data only}
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Sardell 2000 {published data only}
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- Sardell S, Sharpe G, Ashley S, Guerrero D, Brada M. Evaluation of a nurse‐led telephone clinic in the follow‐up of patients with malignant glioma. Clinical oncology (Royal College of Radiologists (Great Britain)) 2000;12(1):36‐41. [MEDLINE: ] - PubMed
Schatz 2003 {published data only}
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Schultz 1993 {published data only}
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Sciamanna 2000 {published data only}
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Shon 2002 {published data only}
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- Shon KH, Park SS. Medication and symptom management education program for the rehabilitation of psychiatric patients in Korea: the effects of promoting schedule on self‐efficacy theory. Yonsei Medical Journal 2002;43(5):579‐89. [MEDLINE: ] - PubMed
Shu 1996 {published data only}
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Siegel 1992 {published data only}
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Simon 1997 {published data only}
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Simon 2003 {published data only}
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Sluijk 1998 {published data only}
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- Sluijk C, Elzinga A. Afdelingsverpleegkundigen garanderen continuiteit van zorg: een telefonisch verpleegkundig spreekuur. TVZ 1998;108(8):252‐4. [MEDLINE: ]
Smeenk 1998a {published data only}
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- Smeenk FW, Haastregt JC, Gubbels EM, Witte LP, Crebolder HF. Care process and satisfaction analysis of a transmural home care program. International Journal of Nursing Studies 1998;35(3):146‐54. [MEDLINE: ] - PubMed
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Smith 1988 {published data only}
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Smith 2002 {published data only}
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Sneed 1997 {published data only}
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Soskolne 1993 {published data only}
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Sparacino 1997 {published data only}
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Stanislaw 1994 {published data only}
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- Steel O'Connor KO, Mowat DL, Scott HM, Carr PA, Dorland JL, Young Tai KF. A randomized trial of two public health nurse follow‐up programs after early obstetrical discharge: an examination of breastfeeding rates, maternal confidence and utilization and costs of health services. Canadian Journal of Public Health Revue Canadienne de Sante Publique 2003;94(2):98‐103. [MEDLINE: ] - PMC - PubMed
Stevens 1993 {published data only}
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Stevens 2000 {published data only}
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Stewart 1998 {published data only}
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Strecher 1983 {published data only}
Strinko 2000 {published data only}
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- Strinko JM, Howard CA, Schaeffer SL, Laughlin JA, Berry MA, Turner SN. Reducing risk with telephone follow‐up of patients who leave against medical advice or fail to complete an ED visit. Journal of Emergency Nursing 2000;26(3):223‐32. [MEDLINE: ] - PubMed
Svahn 2002 {published data only}
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- Svahn B‐M, Remberger M, Myrback K‐E, Holmberg K, Eriksson B, Hentschke P, et al. Home care during the pancytopenic phase after allogeneic hematopoietic stem cell transplantation is advantageous compared with hospital care. Blood 2002;100(13):4317‐24. [MEDLINE: ] - PubMed
Taylor 1990 {published data only}
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Taylor 1996 {published data only}
Taylor 1997 {published data only}
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Thewissen 2000 {published data only}
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Thompson 1999 {published data only}
Tiippana 2003 {published data only}
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Townsend 1996 {published data only}
Turner 1996 {published data only}
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- Turner D. Can telephone follow‐up improve post‐discharge outcomes?. British Journal of Nursing 1996;5(22):1361‐5. [MEDLINE: ] - PubMed
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Valanis 2001 {published data only}
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Valanis 2002 {published data only}
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- Valanis B, Tanner C, Moscato S, David M, Shapiro S, Izumi S. Telephone advice nursing: facilitating access to health care... 35th Annual Communicating Nursing Research Conference/16th Annual WIN Assembly, "Health Disparities: Meeting the Challenge," held April 18‐20, 2002, Palm Springs, California. Communicating Nursing Research 2002;35(10):339. [MEDLINE: ]
Valanis 2003 {published data only}
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- Valanis B, Moscato S, Tanner C, Shapiro S, Izumi S, David M, Mayo A. Making it work: organization and processes of telephone nursing advice services. Journal of Nursing Administration 2003;33(4):216‐23. [MEDLINE: ] - PubMed
Vale 2002 {published data only}
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- Vale MJ, Jelinek MV, Best JD, Santamaria JD. Coaching patients with coronary heart disease to achieve the target cholesterol: a method to bridge the gap between evidence‐based medicine and the "real world"‐‐randomized controlled trial. Journal of Clinical Epidemiology 2002;55(3):245‐52. [MEDLINE: ] - PubMed
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Vrehen 2000 {published data only}
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Wade 1998 {published data only}
Walker 1999 {published data only}
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Wewers 1994 {published data only}
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- Wewers ME, Bowen JM, Stanislaw AE, Desimone VB. A nurse‐delivered smoking cessation intervention among hospitalized postoperative patients‐‐influence of a smoking‐related diagnosis: a pilot study. Heart & Lung: Journal of Critical Care 1994;23(2):151‐6. [MEDLINE: ] - PubMed
Wilbourne 1997 {published data only}
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- Wilbourne J, Wilson A. Telefonische consulten van patiënten met de diabetesverpleegkundige: 'verborgen' afspraken?. EADE nieuwsbrief 1997;12(1):10‐3. [MEDLINE: ]
Wong 2001a {published data only}
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Wong 2001b {published data only}
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Wulsin 2002 {published data only}
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Zahlmann 2002 {published data only}
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- Zahlmann G, Mertz M, Fabian E, Holle R, Kaatz H, Neubauer L, et al. Perioperative cataract OP management by means of teleconsultation. Graefes Archive for Clinical and Experimental Ophthalmology 2002;240(1):17‐20. [MEDLINE: ] - PubMed
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Zorc 2003 {published data only}
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References to studies awaiting assessment
Wakefield {published data only}
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Additional references
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