PDHA compared with usual care for adults with any diagnosis at all | ||||
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Patients or population: adults with any diagnosis at all (except mental disorders only) Setting: acute / sub-acute hospital care or rehabilitation unit Intervention: predischarge home assessment Comparison: usual care | ||||
Outcomes | SMD or MD or RR, [95% CI], I2, p | Number of participants (number of studies) | GRADE | Comments |
IADL/ADL. Various scales. Including studies with NEADL, NEADL (60), SMAF, SWED-QUAL Subscale Physical function. Higher score indicates better function. Mean duration of follow-up: 8 months (range 1–12 months) | SMD − 0.17 [− 0.76, 0.42], I2 = 90% p = 0.58 | 655 (7) | ⨁OOO very lowa | |
IADL/ADL. NEADL Score 0–22 points. Higher score indicates better results. Mean duration of follow-up: 2.8 months (range 1–6 months) | MD − 0.35 [− 1.31, 0.61], I2 = 79% p = 0.34 | 510 (5) | ⨁OOO very lowc | |
Quality of life. Various scales: EQ-5D overall score, EQ-5D subscale VAS, SWED-QUAL subscale general health perception. Higher score indicates better health status. Mean duration of follow-up: 2.6 months (range 1–6 months) | SMD 0.06 [− 030, 0.42] I2 = 42% p = 0.74 | 263 (5) | ⨁OOO lowc | |
Quality of life. EQ-5D overall score 0–1. Higher score indicates better health status. Mean duration of follow-up: 2.6 months (range 1–6 months) | MD 0.03 [− 0.08, 0.15], I2 = 0% p = 0.56 | 186 (3) | ⨁⨁OO lowb | |
Mobility. Various scales: Tinetti (scale 4–24) and RMI (0–15). Higher scores indicate better mobility. Mean duration of follow-up: 2 months (range 1–3 months) | SMD 1.24 [‘-0.69, 3.17], I2 = 78% p = 0.21 | 26 (2) | ⨁OOO very lowb | |
Fear of falling. FES-I Score 10–100. Higher scores indicate more confidence. Mean duration of follow-up: 3.3 months (range 1–6 months) | MD − 4.01 [− 10.4, 2.05], I2 = 51% p = 0.19 | 85 (3) | ⨁OOO very lowc | Fixed effect model: (MD − 4.74 [− 8.30, − 1.18] I2 = 51%, p = 0.009 |
Risk of falling Mean duration of follow-up: 9.2 months (range 1–12 months) | RR 0.88 [0.70, 1.09], I2 = 0% p = 0.25 | 501 (5) | ⨁⨁⨁Od moderate | |
Risk of readmission: Mean duration of follow-up: 5 months (range 1–12 months) | RR 1.09 [0.64, 1.87], I2 = 43% p = 0.74 | 590 (5) | ⨁⨁⨁Od moderate | |
Adverse effects of intervention: | Zero adverse events in both groups were reported in one study. | 59 (1) |