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Meta-Analysis
. 2022 Feb 24;2(2):CD000313.
doi: 10.1002/14651858.CD000313.pub6.

Discharge planning from hospital

Daniela C Gonçalves-Bradley  1   2 , Natasha A Lannin  3 , Lindy Clemson  4 , Ian D Cameron  5 , Sasha Shepperd  2
Affiliations
Meta-Analysis

Discharge planning from hospital

Daniela C Gonçalves-Bradley et al. Cochrane Database Syst Rev. .

Abstract

Background: Discharge planning is a routine feature of health systems in many countries that aims to reduce delayed discharge from hospital, and improve the co-ordination of services following discharge from hospital and reduce the risk of hospital readmission. This is the fifth update of the original review.

Objectives: To assess the effectiveness of planning the discharge of individual patients moving from hospital.

Search methods: We searched CENTRAL, MEDLINE, Embase and two trials registers on 20 April 2021. We searched two other databases up to 31 March 2020. We also conducted reference checking, citation searching and contact with study authors to identify additional studies.

Selection criteria: Randomised trials that compared an individualised discharge plan with routine discharge that was not tailored to individual participants. Participants were hospital inpatients.

Data collection and analysis: Two review authors independently undertook data analysis and quality assessment using a pre-designed data extraction sheet. We grouped studies by older people with a medical condition, people recovering from surgery, and studies that recruited participants with a mix of conditions. We calculated risk ratios (RRs) for dichotomous outcomes and mean differences (MDs) for continuous data using fixed-effect meta-analysis. When combining outcome data it was not possible because of differences in the reporting of outcomes, we summarised the reported results for each trial in the text.

Main results: We included 33 trials (12,242 participants), four new trials included in this update. The majority of trials (N = 30) recruited participants with a medical diagnosis, average age range 60 to 84 years; four of these trials also recruited participants who were in hospital for a surgical procedure. Participants allocated to discharge planning and who were in hospital for a medical condition had a small reduction in the initial hospital length of stay (MD - 0.73, 95% confidence interval (CI) - 1.33 to - 0.12; 11 trials, 2113 participants; moderate-certainty evidence), and a relative reduction in readmission to hospital over an average of three months follow-up (RR 0.89, 95% CI 0.81 to 0.97; 17 trials, 5126 participants; moderate-certainty evidence). There was little or no difference in participant's health status (mortality at three- to nine-month follow-up: RR 1.05, 95% CI 0.85 to 1.29; 8 trials, 2721 participants; moderate certainty) functional status and psychological health measured by a range of measures, 12 studies, 2927 participants; low certainty evidence). There was some evidence that satisfaction might be increased for patients (7 trials), caregivers (1 trial) or healthcare professionals (2 trials) (very low certainty evidence). The cost of a structured discharge plan compared with routine discharge is uncertain (7 trials recruiting 7873 participants with a medical condition; very low certainty evidence).

Authors' conclusions: A structured discharge plan that is tailored to the individual patient probably brings about a small reduction in the initial hospital length of stay and readmissions to hospital for older people with a medical condition, may slightly increase patient satisfaction with healthcare received. The impact on patient health status and healthcare resource use or cost to the health service is uncertain.

PubMed Disclaimer

Conflict of interest statement

DGB: none known. NL: none known. LC: none known. IC: none known. SS: none known.

Figures

1
1
PRISMA flow diagram
2
2
Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
3
3
Funnel plot of the effect of discharge planning on hospital length of stay
4
4
Funnel plot of the effect of discharge planning on unscheduled readmission rates, outcome, average follow‐up within 3 months of discharge from hospital.
1.1
1.1. Analysis
Comparison 1: Effect of discharge planning on hospital length of stay, Outcome 1: Hospital length of stay ‐ older people with a medical condition
1.2
1.2. Analysis
Comparison 1: Effect of discharge planning on hospital length of stay, Outcome 2: Hospital length of stay ‐ older people following surgery
2.1
2.1. Analysis
Comparison 2: Effect of discharge planning on unscheduled readmission rates, Outcome 1: Average follow‐up, 3 months from discharge for the majority of studies
3.1
3.1. Analysis
Comparison 3: Effect of discharge planning on health status, Outcome 1: Mortality at 3 to 9 months
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References

References to studies included in this review

Balaban 2008 {published data only}
    1. Balaban RB, Weissman JS, Samuel PA, Woolhandler S.Redefining and redesigning hospital discharge to enhance patient care: a randomized controlled study. Journal of General Internal Medicine 2008;23(8):1228-33. - PMC - PubMed
Bolas 2004 {published data only}
    1. Bolas H, Brookes K, Scott M, McElnay J.Evaluation of a hospital-based community liaison pharmacy service in Northern Ireland. Pharmacy World & Science 2004;26(2):114-20. - PubMed
Bonetti 2018 {published data only}
    1. Bonetti AF, Bagatim BQ, Bottacin WE, Mendes AM, Rotta I, Reis RC, et al.Pharmacotherapy problems in cardiology patients 30 days post discharge from a tertiary hospital in Brazil: a randomized controlled trial. Clinics 2019;74:e1091. [DOI: 10.6061/clinics/2019/e1091] - DOI - PMC - PubMed
    1. Bonetti AF, Bagatim BQ, Mendes AM, Rotta I, Reis RC, Favero ML, et al.Impact of discharge medication counseling in the cardiology unit of a tertiary hospital in Brazil: a randomized controlled trial. Clinics 2018;73:e325. [DOI: 10.6061/clinics/2018/e325] - DOI - PMC - PubMed
Cajanding 2017 {published data only}
    1. Cajanding RJ.Effects of a structured discharge planning program on perceived functional status, cardiac self-efficacy, patient satisfaction, and unexpected hospital revisits among Filipino cardiac patients: a randomized controlled study. Journal of Cardiovascular Nursing 2017;31(1):67-77. [DOI: 10.1097/JCN.0000000000000303 ] - PubMed
Eggink 2010 {published data only}
    1. Eggink RN, Lenderink AW, Widdershoven JW, Van den Bemt PLM.The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure. Pharmacy World & Science 2010;32(6):759-66. - PMC - PubMed
Evans 1993 {published data only}
    1. Evans RL, Hendricks RD.Evaluating hospital discharge planning: a randomised controlled trial. Medical Care 1993;31(4):358-70. - PubMed
Farris 2014 {published data only}
    1. Carter BL, Farris, KB, Abramowitz PW, Weetman DB, Kaboli PJ, Dawson JD, et al.The Iowa Continuity of Care Study: background and methods. American Journal of Health-System Pharmacy 2008;65(17):1631-42. - PMC - PubMed
    1. Farley TM, Shelsky C, Powell S, Farris KB, Carter BL.Effect of clinical pharmacist intervention on medication discrepancies following hospital discharge. International Journal of Clinical Pharmacy 2014;36(2):430-7. - PMC - PubMed
    1. Farris KB, Carter BL, Xu J, Dawson JD, Shelsky C, Weetman DB, et al.Effect of a care transition intervention by pharmacists: an RCT. BMC Health Services Research 2014;14:406. - PMC - PubMed
    1. Israel EN, Farley TM, Farris KB, Carter BL.Underutilization of cardiovascular medications: effect of a continuity-of-care program. American Journal of Health-System Pharmacy 2013;70(18):1592-600. - PMC - PubMed
Gillespie 2009 {published data only}
    1. Gillespie U, Alassaad A, Henrohn D, Garmo H, Hammarlund-Udenaes M, Toss H, et al.A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. Archives of Internal Medicine 2009;169(9):849-900. - PubMed
Goldman 2014 {published and unpublished data}
    1. Goldman.Request of extra data for Support From Hospital to Home for Elders [personal communication]. Email to D Gonçalves-Bradley 10 April 2015.
    1. Goldman LE, Sarkar U, Kessell E, Critchfield J, Schneidermann M, Pierluissi E, et al.Support for hospital to home for elders: a randomized control trial of an in-patient discharge intervention among a diverse elderly population. Journal of General Internal Medicine 2013;28(Supplement 1):S189-S190.
    1. Goldman LE, Sarkar U, Kessell E, Guzman D, Schneidermann M, Pierluissi E, et al.Support from hospital to home for elders: a randomized trial. Annals of Internal Medicine 2014;161(7):472-81. - PubMed
    1. Greysen SR, Hoi-Cheung D, Garcia V, Kessell E, Sarkar U, Goldman L, et al."Missing pieces"--functional, social, and environmental barriers to recovery for vulnerable older adults transitioning from hospital to home. Journal of the American Geriatrics Society 2014;62(8):1556-61. [DOI: 10.1111/jgs.12928] - DOI - PMC - PubMed
Harrison 2002 {published data only}
    1. Harrison MB, Browne GB, Roberts J, Tugwell P, Gafni A, Graham I.Quality of life of the effectiveness of two models of hospital-to-home transition. Medical Care 2002;40(4):271-82. - PubMed
Hendriksen 1990 {published data only}
    1. Hendriksen C, Strømgård E, Sørensen KH.Cooperation concerning admission to and discharge of elderly people from the hospital. 1. The coordinated contributions of home care personnel [Samarbejde om gamle menneskers sygehusindlaeggelse og - udskrivelse. 1. Hjemmesygeplejerskens koordinerende indsats pa sygehuset]. Ugeskrift For Laeger 1989;151(24):1531-4. - PubMed
    1. Hendriksen C, Stromgard E, Sorensen K.Current cooperation concerning admission to and discharge from geriatric hospitals [Nyt samarbejde om gamle menneskers syehusindlaeggelse og - udskrivelse]. Nordisk Medicin 1990;105(2):58-60. - PubMed
Jack 2009 {published data only}
    1. Jack BW, Chetty VK, Anthony D, Greenwald JL, Sanchez GM, Johnson AE, et al.A reengineered hospital discharge program to decrease rehospitalization. Annals of Internal Medicine 2009;150(3):178-87. - PMC - PubMed
Kennedy 1987 {published data only}
    1. Kennedy L, Neidlinger S, Scroggins K.Effective comprehensive discharge planning. Gerontologist 1987;27(5):577-80. - PubMed
Kripalani 2012 {published data only}
    1. Bell SP, Schnipper JL, Goggins K, Bian A, Shintani A, Roumie C L, et al Pharmacist Intervention for Low Literacy in Cardiovascular Disease Study, Group.Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. Journal of General Internal Medicine 2016;31(5):470-7. [DOI: 10.1007/s11606-016-3596-3] - DOI - PMC - PubMed
    1. Bell SP, Schnipper JL, Goggins KM, Bian A, Shintani A, Roumie CL, et al.Effect of a pharmacist counseling intervention on healthcare utilization after hospital discharge: a randomized controlled trial. Journal of General Internal Medicine 2015;30(Supplement 2):S55. - PMC - PubMed
    1. Kripalani S, Roumie CL, Dalal AK, Cawthon C, Businger A, Eden SK, et al, PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group.Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Annals of Internal Medicine 2012;157(1):1-10. - PMC - PubMed
    1. Schnipper JL, Roumie CL, Cawthon C, Businger A, Dalal AK, Mugalla I, et al, PILL-CVD Study Group.Rationale and design of the Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD) study. Circulation: Cardiovascular Quality and Outcomes 2010;3(2):212-9. - PMC - PubMed
Lainscak 2013 {published and unpublished data}
    1. Farkas J, Kadivec S, Kosnik M, Lainscak M.Effectiveness of discharge-coordinator intervention in patients with chronic obstructive pulmonary disease: study protocol of a randomized controlled clinical trial. Respiratory Medicine 2011;105(Suppl 1):S26-S30. - PubMed
    1. Lainscak M, Kadivec S, Kosnik M, Benedik B, Bratkovic M, Jakhel T, et al.Discharge coordinator intervention prevents hospitalisations in patients with COPD: a randomized controlled trial. European Respiratory Journal 2012;40(S56):P2895. - PubMed
    1. Lainscak M, Kadivec S, Kosnik M, Benedik B, Bratkovic M, Jakhel T, et al.Discharge coordinator intervention prevents hospitalizations in patients with COPD: a randomized controlled trial. Journal of the American Medical Directors Association 2013;14(6):450.e1-6. - PubMed
    1. Lainscak M.Request of extra data for "Discharge Coordinator intervention" [personal communication]. Email sent to D Gonçalves-Bradley 15 April 2015.
Laramee 2003 {published data only}
    1. Laramee AS, Levinsky SK, Sargent J, Ross R, Callas P.Case management in a heterogeneous congestive heart failure population. Archives of Internal Medicine 2003;163:809-17. - PubMed
Legrain 2011 {published data only}
    1. Bonnet-Zamponi D, D'Arailh L, Konrat C, Delpierre S, Lieberherr D, Lemaire A, et al, Optimzation of Medication in AGEd study group.Drug-related readmissions to medical units of older adults discharged from acute geriatric units: results of the optimization of medication in AGEd multicenter randomized controlled trial. Journal of the American Geriatrics Society 2013;61(1):113-21. - PubMed
    1. Legrain S, Tubach F, Bonnet-Zamponi D, Lemaire A, Aquino J, Paillaud E, et al.A new multimodal geriatric discharge planning intervention to prevent emergency visits and rehospitalizations of older adults: the optimization of medication in AGEd multicentre randomised controlled trial. Journal of the American Geriatric Society 2011;59(11):2017-28. - PubMed
Lin 2009 {published data only}
    1. Lin PC, Wang CH, Chen CS, Liao LP, Kao SF, Wu HF.To evaluate the effectiveness of a discharge planning programme for hip fracture patients. Journal of Clinical Nursing 2009;18(11):1632-9. - PubMed
Lindpaintner 2013 {published data only}
    1. Lindpaintner LS, Gasser JT, Schramm MS, Cina-Tschumi B, Müller B, Beer JH.Discharge intervention pilot improves satisfaction for patients and professionals. European Journal of Internal Medicine 2013;24(8):756-62. - PubMed
Lisby 2019 {published data only}
    1. Lisby M, Klingenberg M, Ahrensberg JM, Hoeyem PH, Kirkegaard H.Clinical impact of a comprehensive nurse-led discharge intervention on patients being discharged home from an acute medical unit: randomised controlled trial. International Journal of Nursing Studies 2019;100:103411. [DOI: 10.1016/j.ijnurstu.2019.103411] - DOI - PubMed
    1. NCT02295319.The impact of individual-based discharges from acute admission units to home. clinicaltrials.gov/ct2/show/NCT02295319 (accessed 2 June 2015).
Moher 1992 {published data only}
    1. Moher D, Weinberg A, Hanlon R, Runnalls K.Effects of a medical team coordinator on length of hospital stay. Canadian Medical Association Journal 1992;146(4):511-5. - PMC - PubMed
Naji 1999 {published data only}
    1. Naji SA, Howie FL, Cameron IM, Walker SA, Andrew J, Eagles JM.Discharging psychiatric in-patients back to primary care: a pragmatic randomized controlled trial of a novel discharge protocol. Primary Care Psychiatry 1999;5(3):109-15.
Naughton 1994 {published data only}
    1. Naughton B, Moran M, Feinglass J, Falconer J.Reducing hospital costs for the geriatric patient admitted from the emergency department: a randomised trial. Journal of the American Geriatrics Society 1994;42(10):1045-9. - PubMed
Naylor 1994 {published data only}
    1. Naylor M, Brooten D, Jones R, Lavizzo-Mourey R, Mezey M, Pauly M.Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial. Annals of Internal Medicine 1994;120(12):999-1006. - PubMed
Nazareth 2001 {published data only}
    1. Nazareth I, Burton A, Shulman S, Smith P, Haines A, Timberal H.A pharmacy discharge plan for hospitalized elderly patients - a randomized controlled trial. Age and Ageing 2001;30(1):33-40. - PubMed
Nguyen 2018 {published data only}
    1. Nguyen T, Nguyen PT, Tran HT, Nguyen NV, Nguyen HQ, Ha BN, et al.Pharmacist-led intervention to enhance medication adherence in patients with acute coronary syndrome in Vietnam: a randomized controlled trial. Pharmacoepidemiology and Drug Safety 2017;26:431-2. - PMC - PubMed
    1. Nguyen T, Nguyen TH, Nguyen PT, Tran HT, Nguyen NV, Nguyen HQ, et al.Pharmacist-led intervention to enhance medication adherence in patients with acute coronary syndrome in Vietnam: a randomized controlled trial. Frontiers in Pharmacology 2018;9:656. [DOI: 10.3389/fphar.2018.00656] - DOI - PMC - PubMed
Parfrey 1994 {published data only}
    1. Parfrey PS, Gardner E, Vavasour H, Harnett JD, McManamon C, McDonald J, et al.The feasibility and efficacy of early discharge planning initiated by the admitting department in two acute care hospitals. Clinical and Investigative Medicine 1994;17(2):88-96. - PubMed
Preen 2005 {published data only}
    1. Preen DB, Preen DB, Bailey BES, Wright A, Kendall P, Phillips M, et al.Effects of a multidisciplinary, post discharge continuance of care intervention on quality of life, discharge satisfaction, and hospital length of stay: a randomized controlled trial. International Journal for Quality in Health Care 2005;17(1):43-51. - PubMed
Rich 1993 {published data only}
    1. Rich MW, Vinson JM, Sperry JC, Shah AS, Spinner LR, Chung M, et al.Prevention of readmission in elderly patients with congestive heart failure: results of a prospective randomised pilot study. Journal of General Internal Medicine 1993;8(11):585-90. - PubMed
Rich 1995 {published data only}
    1. Rich MW, Beckham V, Wittenberg C, Leven C, 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. - PubMed
Shaw 2000 {published data only}
    1. Shaw H, Mackie CA, Sharkie I.Evaluation of effect of pharmacy discharge planning on medication problems experienced by discharged acute admission mental health patients. International Journal of Pharmacy Practice 2000;8(2):144-53.
Sulch 2000 {published data only}
    1. Sulch D, Perez I, Melbourn A, Kalra L.Randomized controlled trial of integrated (managed) care pathway for stroke rehabilitation. Stroke 2000;31(8):1929-34. - PubMed
Weinberger 1996 {published data only}
    1. Weinberger M, Oddone EZ, Henderson WG.Does increased access to primary care reduce hospital admissions? Veterans Affairs Cooperative Study Group on Primary Care and Hospital Readmissions. New England Journal of Medicine 1996;334(22):1441-7. - PubMed

References to studies excluded from this review

Abadi 2017 {published data only}
    1. Abadi TSH, Ghiyasvandian S, Moghadam MZ, Kazemnejad A.Self-determination theory application in the discharge of patients with transient ischemic attack. Advances in Bioscience & Clinical Medicine 2017;5:31. [DOI: 10.7575/aiac.abcmed.ca1.31] - DOI
Applegate 1990 {published data only}
    1. Applegate WB, Miller ST, Graney MJ, Elam JT, Akins DE.A randomized controlled trial of a geriatric assessment unit in a community rehabilitation hospital. New England Journal of Medicine 1990;322(22):1572-8. - PubMed
Borenstein 2016 {published data only}
    1. Borenstein JE, Aronow HU, Bolton LB, Dimalanta MI, Chan E, Palmer K, et al.Identification and team-based interprofessional management of hospitalized vulnerable older adults. Nursing Outlook 2016;64(2):137-45. - PubMed
Brooten 1987 {published data only}
    1. Brooten D, Kumar S, Brown LP, Butts P, Finkler SA, Bakewell-Sachs S, et al.A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight infants. NLN Publications 1987;21-2194:95-106. - PubMed
Brooten 1994 {published data only}
    1. Brooten D, Roncoli M, Finkler S, Arnold L, Cohen A, Mennuti M.A randomized trial of early hospital discharge and home follow-up of women having cesarean birth. Obstetrics and Gynecology 1994;84(5):832-8. - PMC - PubMed
Casiro 1993 {published data only}
    1. Casiro OG, McKenzie ME, McFadyen L, Shapiro C, Seshia MM, MacDonald N, et al.Earlier discharge with community-based intervention for low birth weight infants: a randomized trial. Pediatrics 1993;92(1):128-34. - PubMed
Chen 2017 {published data only}
    1. Chen L, Chen Y, Chen X, Shen X, Wang Q, Sun C.Longitudinal effectiveness of a patient-centered self-management empowerment intervention during transition care on stroke survivors. Worldviews on Evidence-Based Nursing 2018;15(3):197-205. - PubMed
    1. Chen L.Effectiveness of a patient-centered self-management empowerment intervention during transition care on stroke survivors. repository.lib.cuhk.edu.hk/en/item/cuhk-1839362?solr_nav%5Bid%5D=9895522... (accessed 30 September 2020).
Choong 2000 {published data only}
    1. Choong PF, Langford AK, Dowsey MM, Santamaria NM.Clinical pathway for fractured neck of femur: a prospective controlled study. Medical Journal of Australia 2000;172(9):423-6. - PubMed
Clemson 2016 {published data only}
    1. Clemson L, Lannin NA, Wales K, Salkeld G, Rubenstein L, Gitlin L, et al.Occupational therapy predischarge home visits in acute hospital care: a randomized trial. JAGS 2016;64(10):2019-26. [DOI: 10.1111/jgs.14287] - DOI - PubMed
Diplock 2017 {published data only}
    1. Diplock G, Ward J, Stewart S, Scuffham P, Stewart P, Reeve, C, et al.The Alice Springs Hospital Readmission Prevention Project (ASHRAPP): a randomised control trial. BMC Health Services Research 2017;17(1):153. [DOI: 10.1186/s12913-017-2077-7] - DOI - PMC - PubMed
Drummond 2012 {published data only}
    1. Drummond A, Whitehead P, Fellows K, Sprigg N, Sampson C, Edwards C.Pre-discharge occupational therapy home visits for patients with a stroke: results of a feasibility randomised controlled trial (RCT). International Journal of Stroke 2012;7:6. - PubMed
    1. Sprigg N, Drummond AE, Whitehead PJ, Fellows KR, Sampson CJ, Edwards C, et al.Results of the home visit after stroke (HOVIS) feasibility randomised controlled trial (RCT). Cerebrovascular Diseases 2013;35:784. - PubMed
Englander 2014 {published data only}
    1. Englander H, Michaels L, Chan B, Kansagara D.The care transitions innovation (C-TraIn) for socioeconomically disadvantaged adults: results of a cluster randomized controlled trial. Journal of General Internal Medicine 2014;29(11):460-7. - PMC - PubMed
Germain 1995 {published data only}
    1. Germain M, Knoeffel F, Wieland D, Rubenstein LZ.A geriatric assessment and intervention team for hospital inpatients awaiting transfer to a geriatric unit: a randomized trial. Aging (Milan, Italy) 1995;7(1):55-60. - PubMed
González‐Guerrero 2014 {published data only}
    1. González-Guerreroa JL, Alonso-Fernándeza T, García-Mayolín N, Gusi N, Ribera-Casado JM.Effectiveness of a follow-up program for elderly heart failure patients after hospital discharge. A randomized controlled trial. European Geriatric Medicine 2014;5(4):252-7. - PubMed
Haggmark 1997 {published data only}
    1. Häggmark C, Nilsson B.Effects of an intervention programme for improved discharge planning. Nordic Journal of Nursing Research 1997;17(2):4-8.
Hegelund 2019 {published data only}
    1. Hegelund A, Andersen IC, Andersen MN, Bodtger U.The impact of a personalised action plan delivered at discharge to patients with COPD on readmissions: a pilot study. Scandinavian Journal of Caring Sciences 2019. [DOI: 10.1111/scs.12798] - DOI - PMC - PubMed
Hickey 2000 {published data only}
    1. Hickey ML, Cook FE, Rossi LR, Connor J, Dutkiewicz C, McCabe Hassan S, et al.Effect of case managers with a general medical patient population. Journal of Evaluation in Clinical Practice 2000;6(1):23-9. - PubMed
IRCT2016072119141N2 {published data only}
    1. IRCT2016072119141N2.The effect of family caregiver-oriented discharge planning program on nutritional status, laboratory nutritional parameters and quality of life in patient suffering from hip fractures. en.irct.ir/trial/17198 (first received 30 September 2016).
Jenkins 1996 {published data only}
    1. Jenkins HM, Blank V, Miller K, Turner J, Stanwick RS.A randomized single-blind evaluation of a discharge teaching book for pediatric patients with burns. Journal of Burn Care & Rehabilitation 1996;17(1):49-61. - PubMed
JPRN‐UMIN000029404 {published data only}
    1. JPRN-UMIN000029404.A single-center, prospective, non-blinded, randomized, 12-month, parallel-group, superiority study to compare the efficacy of pharmacist intervention versus usual care for older patients hospitalized in the orthopedic ward. upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033602 (first received 3 October 2017).
    1. Komagamine J, Sugawara K, Kaminaga M, Tatsumi S.Study protocol for a single-centre, prospective, non-blinded, randomised, 12-month, parallel-group superiority study to compare the efficacy of pharmacist intervention versus usual care for elderly patients hospitalised in orthopaedic wards. BMJ Open 2018;8:e021924. [DOI: 10.1136/bmjopen-2018-021924] - DOI - PMC - PubMed
Karppi 1995 {published data only}
    1. Karppi P, Tilvis R.Effectiveness of a Finnish geriatric inpatient assessment. Two-year follow up of a randomized clinical trial on community-dwelling patients. Scandinavian Journal of Primary Health Care 1995;13(2):93-8. - PubMed
Kempen 2020 {published data only}
    1. Kempen T, Bertilsson M, Hadziosmanovic N, Lindner K-J, Melhus H, Nielsen E, et al.Effectiveness of hospital-based comprehensive medication reviews including post-discharge follow-up on older patients' healthcare utilisation (the MedBridge trial): pragmatic cluster randomized crossover trial. Journal of the American College of Clinical Pharmacy 2020;3(8):1583‐2020.
Kleinpell 2004 {published data only}
    1. Kleimpell RM.Randomized trial of an intensive care unit-based early discharge planning intervention for critically ill elderly patients. American Journal of Critical Care 2004;13(4):335-45. - PubMed
Lang 2017 {published data only}
    1. Lang DS, Lim BK.Nurse-led discharge care protocol: a randomised control trial. Singapore Nursing Journal 2017;44(3):2-6.
Linden 2014 {published data only}
    1. Linden A, Butterworth S.A comprehensive hospital-based intervention to reduce readmissions for chronically ill patients: a randomized controlled trial. American Journal of Managed Care 2014;20(10):783-92. - PubMed
Lindhardt 2019 {published data only}
    1. Lindhardt T, Loevgreen SM, Bang B, Bigum C, Klausen TW.A targeted assessment and intervention at the time of discharge reduced the risk of readmissions for short-term hospitalized older patients: a randomized controlled study. Clinical Rehabilitation 2019;33(9):1431-44. [DOI: 10.1177/0269215519845032] - DOI - PubMed
    1. NCT01843907.Patient participation in prevention of loss of functions. clinicaltrials.gov/ct2/show/NCT01843907 (first received 1 May 2013).
Lisby 2018 {published data only}
    1. Lisby M, Bonnerup DK, Brock B, Gregersen PA, Jensen J, Larsen ML, et al.Medication review and patient outcomes in an orthopedic department: a randomized controlled study. Journal of Patient Safety 2018;14(2):74-81. - PubMed
Loffler 2014 {published data only}
    1. Löffler C, Drewelow E, Paschka SD, Frankenstein M, Eger L, Jatsch L, et al.Optimizing polypharmacy among elderly hospital patients with chronic diseases—study protocol of the cluster randomized controlled POLITE-RCT trial. Implementation Science 2014;9:151. - PMC - PubMed
Lopes Oscalices 2019 {published data only}
    1. Lopes Oscalices MI, Okuno MF, Lopes MC, Campanharo CR, Batists RE.Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial. Resvista Latino-Americana de Enfermagem 2019;27:e3159. [DOI: 10.1590/1518-8345.2484.3159] - DOI - PMC - PubMed
Luo 2019 {published data only}
    1. Luo X-H, Deng L-C, Zhang Y-F, Huang X-R, Chen D-F.Application of discharge planning in rectal cancer patients with a stoma. World Chinese Journal of Digestology 2019;27(7):435-41.
Martin 1994 {published data only}
    1. Martin F, Oyewole A, Moloney A.A randomized controlled trial of a high support hospital discharge team for elderly people. Age and Ageing 1994;23(3):228-34. - PubMed
Martin‐Sanchez 2019 {published data only}
    1. Martin-Sanchez FJ, Llopis Garcia G, Llorens P, Jacob J, Herrero P, Gil V, et al.Planning to reduce 30-day adverse events after discharge of frail elderly patients with acute heart failure: design and rationale for the DEED FRAIL-AHF trial. Emergencias 2019;31(1):27-35. - PubMed
    1. NCT03696875.Discharge planning in emergency department for frail older with AHF. clinicaltrials.gov/ct2/show/NCT03696875 (first received 5 October 2018).
Marusic 2013 {published data only}
    1. Marusic S, Gojo-Tomic N, Erdeljic V, Bacic-Vrca V, Franic M, Kirin M, et al.The effect of pharmacotherapeutic counseling on readmissions and emergency department visits. International Journal of Clinical Pharmacy 2013;35(1):37-44. - PubMed
McGrory 1994 {published data only}
    1. McGrory A, Assmann S.A study investigating primary nursing, discharge teaching, and patient satisfaction of ambulatory cataract patients. Insight 1994;19(2):8-13, 29. - PubMed
McInnes 1999 {published data only}
    1. McInnes E, Mira M, Atkin N, Kennedy P, Cullen J.Can GP input into discharge planning result in better outcomes for the frail aged: results from a randomized controlled trial. Family Practice 1999;16(3):289-93. - PubMed
Naylor 1999 {published data only}
    1. Naylor MD, Brooten D, Campbell R, Jacobsen BS, Mezey MD, Pauly MV, et al.Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized controlled trial. JAMA 1999;281(7):613-20. - PubMed
Naylor 2004 {published data only}
    1. Naylor MD, Brooten DA, Campbell RL, Maislin G, McCauley KM, Sanford Schwartz J.Transitional care of older adults hospitalized with heart failure: a randomised controlled trial. Journal of the American Geriatrics Society 2004;52(5):675-84. - PubMed
NCT02112227 {published data only}
    1. NCT02112227.Patient-centered Care Transitions in Heart Failure (PACT-HF). clinicaltrials.gov/ct2/show/NCT02112227 (accessed 2 June 2015).
    1. Van Spall HG, Lee SF, Xie F, Ko DT, Thabane L, Ibrahim Q, et al.Knowledge to action: rationale and design of the Patient-Centered Care Transitions in Heart Failure (PACT-HF) stepped wedge cluster randomized trial. American Heart Journal 2018;199:75-82. [DOI: 10.1016/j.ahj.2017.12.013] - DOI - PubMed
    1. Van Spall HG, Lee SF, Xie F, Oz UE, Perez R, Mitoff PR, et al.Effect of Patient-Centered Transitional Care Services on Clinical Outcomes in Patients Hospitalized for Heart Failure: The PACT-HF randomized clinica trial. JAMA 2019;321(8):753-61. [DOI: 10.1001/jama.2019.0710] - DOI - PMC - PubMed
NCT02351648 {published data only}
    1. NCT02351648.A randomised control trial of a transitional care model in Singapore General Hospital. clinicaltrials.gov/ct2/show/NCT02351648 (accessed 2 June 2015).
NCT03258632 {published data only}
    1. NCT03258632.Improving outcomes among medical/surgical inpatients with alcohol use disorders. clinicaltrials.gov/ct2/show/NCT03258632 (first received 23 August 2017).
Nickerson 2005 {published data only}
    1. Nickerson A, McKinnon NJ, Roberst N, Saulnier L.Drug therapy problems, inconsistencies and omissions identified during a medication reconciliation and seamless care service. Healthcare Quarterly 2005;8(Spec No):65-72. - PubMed
Pourrat 2017 {published data only}
    1. Pourrat X, Roux C, Bouzige B, Garnier V, Develay A, Fraysse M, et al.Impact of drug reconciliation at discharge and communication between hospital and community pharmacists on drug-related problems: a randomized controlled trial. International Journal of Clinical Pharmacy 2017;39(1):212-3. - PMC - PubMed
Puschner 2008 {published data only}
    1. Puschner B, Baumgartner I, Loos S, Völker KA, Ramacher M, Sohla K, et al.Cost-effectiveness of needs-oriented discharge planning in high utilizers of mental health care [Kosteneffektivität bedarfsorientierter Entlassungsplanungbei Menschen mit hoher Inanspruchnahmepsychiatrischer Versorgung]. Psychiatrische Praxis 2012;39:381-7. [DOI: 10.1055/s-0032-1327188] - DOI - PubMed
    1. Puschner B, Steffen S, Gaebel W, Freyberger H, Klein HE, Steinert T, et al.Needs-oriented discharge planning and monitoring for high utilisers of psychiatric services (NODPAM): design and methods. BMC Health Services Research 2008;8:152. [DOI: 10.1186/1472-6963-8-152] - DOI - PMC - PubMed
    1. Puschner B, Steffen S, Völker KW, Spitzer C, Gaebel W, Janssen B, et al.Needs-oriented discharge planning for high utilisers of psychiatric services: multicentre randomised controlled trial. Epidemiology and Psychiatric Sciences 2011;20:181-92. [DOI: 10.1017/S2045796011000278] - DOI - PubMed
Ravn‐Nielsen 2018 {published data only}
    1. Ravn-Nielsen LV, Duckert, M-L, Lund ML, Henriksen JP, Nielsen ML, Eriksen CS, et al.The impact of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Pharmacoepidemiology and Drug Safety 2018;27:377. - PMC - PubMed
Rich 1993b {published data only}
    1. Rich MW, Vinson JM, Sperry JC, Shah AS, Spinner LR, Chung MK, et al.Prevention of readmission in elderly patients with congestive heart failure: results of a prospective, randomized pilot study. Journal of General Internal Medicine 1993;8(11):585-90. - PubMed
Rich 1995b {published data only}
    1. 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. - PubMed
Saleh 2012 {published data only}
    1. Saleh SS, Freire C, Morris-Dickinson G, Shannon T.An effectiveness and cost-benefit analysis of a hospital-based discharge transition program for elderly Medicare recipients. Journal of the American Geriatrics Society 2012;60(6):1051-6. - PubMed
Salmani 2018 {published data only}
    1. Salmani S, Imanipour M, Nikbakht Nasrabadi A.Implementation of a discharge planning to improve quality of life in breast cancer patients: a quasi-experimental study. Archives of Breast Cancer 2018;5(4):163-7. [DOI: 10.32768/abc.201854163-167] - DOI
Schnipper 2021 {published data only}
    1. Schnipper JL, Samal L, Nolido N, Yoon C, Dalal AK, Magny-Normilus C, et al.The effects of a multifaceted intervention to improve care transitions within an accountable care rrganization:results of a stepped wWedge cluster-randomized trial. Journal of Hospital Medicine 2021;16(1):15-22. [DOI: doi: 10.12788/jhm.3513. PMID: 33357325; PMCID: PMC7768916.] - PMC - PubMed
Shah 2013 {published data only}
    1. Shah M, Norwood CA, Farias S, Ibrahim S, Chong PH, Fogelfeld L.Diabetes transitional care from inpatient to outpatient setting: pharmacist discharge counseling. Journal of Pharmacy Practice 2013;26(2):120-4. - PubMed
Sharif 2014 {published data only}
    1. Sharif F, Moshkelgosha F, Molazem Z, Najafi Kalyani M, Vossughi M.The effects of discharge plan on stress, anxiety and depression in patients undergoing percutaneous transluminal coronary angioplasty: a randomized controlled trial. International Journal of Community Based Nursing & Midwifery 2014;2(2):60-8. - PMC - PubMed
Shyu 2010 {published data only}
    1. Shyu YI, Liang J, Wu CC, Su JY, Cheng HS, Chou SW, et al.Two-year effects of interdisciplinary intervention for hip fracture in older Taiwanese. Journal of the American Geriatrics Society 2010;58(6):1081-9. - PubMed
Townsend 1988 {published data only}
    1. Townsend J, Piper M, Frank AO, Dyer S, North WR, Meade TW.Reduction in hospital readmission stay of elderly patients by a community based hospital discharge scheme: a randomized controlled trial. BMJ 1988;297(6647):544-7. - PMC - PubMed
Tseng 2012 {published data only}
    1. Tseng MY, Shyu YI, Liang J.Functional recovery of older hip-fracture patients after interdisciplinary intervention follows three distinct trajectories. Gerontologist 2012;52(6):833-42. - PubMed
Van Hollebeke 2016 {published data only}
    1. Van Hollebeke M, Talavera-Pons S, Mulliez A, Sautou V, Bommelae, G, Abergel A, et al.Impact of medication reconciliation at discharge on continuity of patient care in France. International Journal of Clinical Pharmacy 2016;38(5):1149-56. - PubMed
Victor 1988 {published data only}
    1. Victor CR, Vetter NJ.Rearranging the deckchairs on the Titanic: failure of an augmented home help scheme after discharge to reduce the length of stay in hospital. Archives of Gerontology and Geriatrics 1988;7(1):83-91. - PubMed
Voirol 2004 {published data only}
    1. Voirol P, Kayser SR, Chang CY, Chang QL, Youmans SL.Impact of pharmacists' interventions on the pediatric discharge medication process. Annals of Pharmacotherapy 2004;38(10):1597-602. - PubMed
Xu 2019 {published data only}
    1. Xu H, Zou J, Ye X, Han J, Gao L, Luo S, et al.Impacts of clinical pharmacist intervention on the secondary prevention of coronary heart disease: a randomized controlled clinical study. Frontiers in Pharmacology 2019;10:1112. - PMC - PubMed
Yeung 2012 {published data only}
    1. Yeung, SM.The Effects of a Transitional Care Programme Using Holistic Care Interventions for Chinese Stroke Survivors and Their Care Providers: a Randomized Controlled Trial. Hong Kong: Hong Kong Polytechnic University, 2012.

References to ongoing studies

DRKS00015996 {published data only}
    1. DRKS00015996.Vun nix kütt nix - patient, geriatrician and general practitioner as a multiprofessional team for intersectoral discharge management. www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DR... (first received 26 February 2019).
Ergan 2018 {published data only}
    1. Ergan B, Goktalay T, Ergun P, Yilmaz D, Ocakli B, Gurgun A, et al.A multicenter randomized trial for the effectiveness of structured discharge and follow up protocol on readmission rate in COPD patients receiving LTOT/NIV: one year interim analysis. European Respiratory Journal 2018;52(Suppl. 62):OA5410. [DOI: 10.1183/13993003.congress-2018.OA5410] - DOI
Grischott 2018 {published data only}
    1. Grischott T, Zechmann S, Rachamin Y, Markun S, Chmiel C, Senn O, et al.Improving inappropriate medication and information transfer at hospital discharge: study protocol for a cluster RCT. Implementation Science 2018;13:155. [DOI: 10.1186/s13012-018-0839-1] - DOI - PMC - PubMed
NCT02388711 {published data only}
    1. NCT02388711.A trial of the C-TraC intervention for dementia patients. clinicaltrials.gov/ct2/show/NCT02388711 (accessed 2 June 2015).
NCT02421133 {published data only}
    1. NCT02421133.Impact of a transitional care program on 30-day hospital readmissions for elderly patients discharged from a short stay geriatric ward (PROUST). clinicaltrials.gov/ct2/show/NCT02421133 (accessed 2 June 2015).
    1. Occelli P, Touzet S, Rabilloud M, Ganne C, Poupon Bourdy S, Galamand B, et al.Impact of a transition nurse program on the prevention of thirty-day hospital readmissions of elderly patients discharged from short-stay units: study protocol of the PROUST stepped-wedge cluster randomised trial. BMC Geriatrics 2016;16:57. [DOI: 10.1186/s12877-016-0233-2] - DOI - PMC - PubMed
NCT03358771 {published data only}
    1. NCT03358771.COPD discharge bundle delivered alone or enhanced through a care coordinator (PRIHS). clinicaltrials.gov/ct2/show/NCT03358771 (first received 2 December 2017).
NCT03496896 {published data only}
    1. NCT03496896.Transition cAre inteRvention tarGeted to High-risk patiEnts To Reduce rEADmission (TARGET-READ). clinicaltrials.gov/ct2/show/NCT03496896 (first received April 2018).
NCT04154917 {published data only}
    1. NCT04154917.Effectiveness of a comprehensive patient-centered hospital discharge planning intervention for frail older adults (HOME). clinicaltrials.gov/ct2/show/NCT04154917 (first received 7 November 2019).

Additional references

Aronson 2017
    1. Aronson J.Medication reconciliation. BMJ 2017;356:i5336 doi:10.1136/bmj.i5336. - PubMed
Bibbins‐Domingo 2019
    1. Bibbins-Domingo K.Integrating social careiInto the delivery of health care. JAMA 2019;322(18):1763-4. - PubMed
Burgess 2014
    1. Burgess JF, Hockenberry JM.Can all cause readmission policy improve quality or lower expenditures? A historical perspective on current initiatives. Health Economics, Policy and Law 2014;9(2):193-213. - PubMed
Campbell 2020
    1. Campbell M, McKenzie JE, Sowden A, Katikireddi SV, Brennan SE, Ellis S, et al.Synthesis without meta-analysis (SWiM) in systematic reviews: reporting guideline. BMJ 2020;368:l6890 doi:10.1136/bmj.l6890. - PMC - PubMed
Care Quality Commission 2020
    1. Care Quality Commission.Medicines reconciliation (how to check you have the right medicines). Care Quality Commission (cqc.org.uk) July 2020.
ClinicalTrials.gov
    1. ClinicalTrialsgov.ClinicalTrials.gov. clinicaltrials.gov (accessed 2 April 2020).
Cochran 1954
    1. Cochran WG.The combination of estimates from different experiments. Biometrics 1954;10:101-29.
Dept of Health 2020
    1. Department of Health & Social Care.Hospital discharge service: policy and operating model. assets.publishing.service.gov.uk/government/uploads/system/uploads/attac... (accessed 28 September 2020).
DHHS 2019
    1. Department of Health and Human Services.Burden Reduction and Discharge Planning Final Rules Guidance and Process. www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/QSO20-07... (accessed 28 September 2020).
Ellis 2017
    1. Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood RH, et al.Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews 2017, Issue 9. Art. No: CD006211. [DOI: 10.1002/14651858.CD006211.pub3] - DOI - PMC - PubMed
EPOC 2015
    1. Effective Practice and Organisation of Care (EPOC).Data extraction and management. EPOC Resources for review authors. Oslo: Norwegian Knowledge Centre for the Health Services; 2013. Available at: http://epoc.cochrane.org/epoc-specific-resources-review-authors.
EPOC 2017
    1. Cochrane Effective Practice and Organisation of Care (EPOC).EPOC Resources for review authors: Synthesising results when it does not make sense to do a meta-analysis. epoc.cochrane.org/resources/epoc-resources-review-authors 2017;Accessed 23/09/21.
Finkelstein 2020
    1. Finkelstein A, Zhou A, Taubman S, Doyle J.Health care hotspotting - a randomized, controlled trial. New England Journal of Medicine 2020;9(382):152-62. [DOI: 10.156/NEJMsa1906848. PMID: 31914242; PMCID: PMC7046127] - PMC - PubMed
GRADEpro GDT 2021 [Computer program]
    1. GRADEpro GDT: GRADEpro Guideline Development Tool [Software].Available from www.gradepro.org: McMaster University and Evidence Prime, 2021.
Guyatt 2008
    1. Guyatt GH, Oxman AD, Vist G, Kunz R, Falck-YtterY, Alonso-Coello P, et al for the GRADEWorking Group.Rating quality of evidence and strength of recommendations GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008;336:924–6. - PMC - PubMed
Health Direct 2020
    1. Health Direct Australia.Hospital discharge planning. www.healthdirect.gov.au/hospital-discharge-planning (accessed 28 September 2020).
Health Qual Ontario 2013
    1. Health Quality Ontario.Adopting a Common Approach to Transitional Care Planning: Helping Health Links Improve Transitions and Coordination of Care. Health Quality Ontario, 2013.
Higgins 2003
    1. Higgins JP, Thompson SG, Deeks JJ, Altman DG.Measuring inconsistency in meta-analysis. BMJ 2003;327:557-60. - PMC - PubMed
Higgins 2011
    1. Higgins JPT Green S (editors).Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org, 2011.
Higgins 2019
    1. Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al (editors).Cochrane Handbook for Systematic Reviews of Interventions.. 2nd Edition. Chichester (UK): John Wiley & Sons, 2019.
Landeiro 2019
    1. Landeiro F, Roberts K, Gray AM, Leal J.Delayed hospital discharges of older patients: a systematic review on prevalence and costs. Gerontologist 2019;59(2):e86–e97, https://doi.org/10.1093/geront/gnx028. - PubMed
Langhorne 2020
    1. Langhorne P, Ramachandra S.Organised inpatient (stroke unit) care for stroke: network meta‐analysis. Cochrane Database of Systematic Reviews 2020, Issue 4. Art. No: CD000197. [DOI: 10.1002/14651858.CD000197.pub4] - DOI - PMC - PubMed
Lefebvre 2021
    1. Lefebvre C, Glanville J, Briscoe S, Littlewood A, Marshall C, Metzendorf M-I, et al.Technical Supplement to Chapter 4: Searching for and selecting studies. In: Higgins JP, Thomas J, Chandler J, Cumpston MS, Li T, Page MJ, et al (eds). Cochrane Handbook for Systematic Reviews of Interventions Version 6.2 (updated February 2021) 2021:Available from: www.training.cochrane.org/handbook.
Leppin 2014
    1. Leppin AL, Gionfriddo MR, Kessler M, Brito JP, Mair FS, Gallacher K, et al.Preventing 30-day hospital readmissions: A systematic review and meta-analysis of randomized trials. JAMA Internal Medicine 2014;174(7):1095-107. - PMC - PubMed
Mabire 2016
    1. Mabire C, Dwyer A, Garnier A, Pellet J.Effectiveness of nursing discharge planning interventions on health-related outcomes in discharged elderly inpatients: a systematic review. JBI Database of Systematic Reviews and Implementation Reports 2016;14(9):217-60. [DOI: 10.11124/JBISRIR-2016-003085 ] - PubMed
Mäkelä 2020
    1. Mäkelä P, Stott DJ, Godfrey M, Elli, G, Schiff R, Shepperd S.The work of older people and their informal caregivers in managing an acute health event in a hospital at home or hospital inpatient setting. Age and Ageing 2020;49:856-64. [DOI: 10.1093/ageing/afaa085] - DOI - PMC - PubMed
Marks 1994
    1. Marks L.Seamless Care or Patchwork Quilt? Discharging Patients from Acute Hospital Care. London: Kings Fund, 1994.
NHS 2020
    1. Statistical press notice: monthly delayed transfers of care data, England. February 2020. www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2020/04/Februar... (first accessed 21 January 2021).
NHS Long Term Plan 2019
    1. NHS England.NHS Long Term Plan. NHS Long Term Plan » Online version of the NHS Long Term Plan August 2019;version 1.2.
Pardessus 2002
    1. Pardessus V, Puisieux F, Di Pompeo C, Gaudefroy C, Thevenon A, Dewailly P.Benefits of home visits for falls and autonomy in the elderly: a randomized trial stud. American Journal of Physical Medicine & Rehabilitation 2002;81(4):247-52. - PubMed
Parker 2002
    1. Parker SG, Peet SM, McPherson A, Cannaby AM, Abrams K, Baker R, et al.A systematic review of discharge arrangements for older people. Health Technology Assessment 2002;6(4):1-183. - PubMed
Phillips 2004
    1. Phillips CO, Wright SM, Kern DE, Singa RM, Shepperd S, Rubin HR.Comprehensive discharge planning with post discharge support for older patients with congestive heart failure: a meta-analysis. JAMA 2004;291(11):358-67. - PubMed
RCP 2017
    1. Royal College of Physicians.Delivering the future hospital. www.rcplondon.ac.uk/projects/outputs/future-hospital-programme-deliverin... (accessed 28 September 2020).
Redmond 2016
    1. Redmond P, Grimes TC, McDonnell R, Boland F, Hughes C, Fahey T.Impact of medication reconciliation for improving transitions of care. Cochrane Database of Systematic Reviews 2018, Issue 8. Art. No: CD010791. [DOI: 10.1002/14651858.CD010791.pub2] - DOI - PMC - PubMed
Review Manager 2020 [Computer program]
    1. Review Manager.Review Manager (RevMan), Version Version 5.4. The Cochrane Collaboration, 2020. Computer program.
Sezgin 2020
    1. Sezgin D, O'Caoimh R, Liew A, O'Donovan MR, Illario M, Salem MA, S, et al, all EU ADVANTAGE Joint Action Work Package 7 partners.The effectiveness of intermediate care including transitional care interventions on function, healthcare utilisation and costs: a scoping review. European Geriatric Medicine 2020;11(6):961-74. [DOI: 10.1007/s41999-020-00365-4] - PMC - PubMed
Shepperd 2009
    1. Shepperd S, Lewin S, Straus S, Clarke M, Eccles MP, Fitzpatrick R, et al.Can We Systematically Review Studies That Evaluate Complex Interventions? PLOS Medicine 2009;6(8):e1000086. https://doi.org/10.1371/journal.pmed.1000086. - PMC - PubMed
Ubbink 2014
    1. Ubbink DT, Tump E, Koenders JA, Kleiterp S, Goslings JC, Brölmann FE.Which reasons do doctors, nurses, and patients have for hospital discharge? A mixed-methods study. PLOS One 2014;9(3):e91333. - PMC - PubMed
WHO 2019
    1. WHO 2019.Medication safety in transitions of care. TransitionOfCare31Print (who.int) 2019; Accessed 21 March 2021.

References to other published versions of this review

Gonçalves‐Bradley 2016
    1. Gonçalves-Bradley DC, Lannin NA, Clemson LM, Cameron ID, Shepperd S.Discharge planning from hospital. Cochrane Database of Systematic Reviews 2016, Issue 1. Art. No: CD000313. [DOI: 10.1002/14651858.CD000313.pub5] - DOI - PMC - PubMed
Parkes 2000
    1. Parkes J, Shepperd S.Discharge planning from hospital to home. Cochrane Database of Systematic Reviews 2000, Issue 3. Art. No: CD000313. [DOI: 10.1002/14651858.CD000313] - DOI - PubMed
Shepperd 2004
    1. Shepperd S, Parkes J, McClaren J, Phillips C.Discharge planning from hospital to home. Cochrane Database of Systematic Reviews 2004, Issue 1:CD000313. Art. No: CD000313. [DOI: 10.1002/14651858.CD000313.pub2] - DOI - PubMed
Shepperd 2010
    1. Shepperd S, McClaran J, Phillips CO, Lannin NA, Clemson LM, McCluskey A, et al.Discharge planning from hospital to home. Cochrane Database of Systematic Reviews 2010, Issue 1. Art. No: CD000313. [DOI: 10.1002/14651858.CD000313.pub3] - DOI - PubMed
Shepperd 2013
    1. Shepperd S, Lannin NA, Clemson LM, McCluskey A, Cameron ID, Barras SL.Discharge planning from hospital to home. Cochrane Database of Systematic Reviews 2013, Issue 1. Art. No: CD000313. [DOI: 10.1002/14651858.CD000313.pub4] - DOI - PubMed

Publication types