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What works? interventions to reduce readmission after hip fracture : a rapid review of systematic reviews
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Sutton, E.L. and Kearney, Rebecca S. (2021) What works? interventions to reduce readmission after hip fracture : a rapid review of systematic reviews. Injury, 52 (7). pp. 1851-1860. doi:10.1016/j.injury.2021.04.049 ISSN 0020-1383.
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Official URL: http://dx.doi.org/10.1016/j.injury.2021.04.049
Abstract
Background
Hip fracture is a common serious injury in older people and reducing readmission after hip fracture is a priority in many healthcare systems. Interventions which significantly reduce readmission after hip fracture have been identified and the aim of this review is to collate and summarise the efficacy of these interventions in one place.
Methods
In a rapid review of systematic reviews one reviewer (ELS) searched the Ovid SP version of Medline and the Cochrane Database of Systematic Reviews. Titles and abstracts of 915 articles were reviewed. Nineteen systematic reviews were included. (ELS) used a data extraction sheet to capture data on interventions and their effect on readmission. A second reviewer (RK) verified data extraction in a random sample of four systematic reviews. Results were not meta-analysed. Odds and risk ratios are presented where available.
Results
Three interventions significantly reduce readmission in elderly populations after hip fracture: personalised discharge planning, self-care and regional anaesthesia. Three interventions are not conclusively supported by evidence: Oral Nutritional Supplementation, integration of care, and case management. Two interventions do not affect readmission after hip fracture: Enhanced Recovery pathways and comprehensive geriatric assessment.
Conclusions
Three interventions are most effective at reducing readmissions in older people: discharge planning, self-care, and regional anaesthesia. Further work is needed to optimise interventions and ensure the most at-risk populations benefit from them, and complete development work on interventions (e.g. interventions to reduce loneliness) and intervention components (e.g. adapting self-care interventions for dementia patients) which have not been fully tested yet.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RD Surgery R Medicine > RJ Pediatrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
Library of Congress Subject Headings (LCSH): | Hip joint -- Fractures, Hip joint -- Fractures -- Treatment, Hip joint -- Fractures -- Patients -- Rehabilitation, Older people -- Medical care, Medical care -- Needs assessment | ||||||||
Journal or Publication Title: | Injury | ||||||||
Publisher: | Elsevier | ||||||||
ISSN: | 0020-1383 | ||||||||
Official Date: | 1 July 2021 | ||||||||
Dates: |
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Volume: | 52 | ||||||||
Number: | 7 | ||||||||
Page Range: | pp. 1851-1860 | ||||||||
DOI: | 10.1016/j.injury.2021.04.049 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 13 May 2021 | ||||||||
Date of first compliant Open Access: | 24 April 2022 |
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