Effects of interventions for reducing emergency admissions from nursing homes
The quality of the evidence was judged as very low. Overall there were relatively few studies evaluating the effects of interventions to reduce hospital admissions from nursing homes. Although the results of the evaluation of several of the interventions showed a reduction in admissions, the evidenc...
| Main Authors: | , , |
|---|---|
| Corporate Author: | |
| Format: | eBook |
| Language: | English |
| Published: |
Oslo, Norway
Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH)
2013, 2013
|
| Subjects: | |
| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | The quality of the evidence was judged as very low. Overall there were relatively few studies evaluating the effects of interventions to reduce hospital admissions from nursing homes. Although the results of the evaluation of several of the interventions showed a reduction in admissions, the evidence for these results was graded as of low or very low quality. Our confidence in the results corresponds to this, which means that we cannot draw any definitive conclusions for the effect of any of the interventions Interventions to standardize treatment and care: Four out of seven interventions for structuring and standardizing treatment and care yielded fewer hospital admissions for the intervention groups. The results for mortality, however, were unclear. The quality of the evidence was assessed as being low or very low. 2. Geriatric specialist services: Geriatric specialist teams compared with usual care demonstrated fewer hospital admissions in the intervention groups. The quality of the evidence was judged as being very low. 3. Influenza vaccination: Promoting influenza vaccination of health personnel in nursing homes demonstrated unclear results for hospital admissions, but yielded fewer deaths for the intervention group. The quality of the evidence was judged as low. Influenza vaccination of nursing home residents showed fewer hospital admissions and fewer cases of influenza-like illness and deaths for the intervention group, but for laboratory confirmed influenza the result was unclear. Nursing home residents are often characterized by longevity, multiple chronic illnesses and a low level of physical and mental function. These characteristics contribute to nursing home residents' vulnerability for acute and deteriorating illness. When occurring, the decision of whether to hospitalize makes an important and complex part of the clinical decision making. The aim of this report was to give a systematic review of the effect of interventions to reduce hospitalizations from nursing homes. We emphasize that hospital admissions from nursing homes can be both appropriate and essential for the elderly to receive the best possible health care. The focus of this report is on reducing unnecessary admissions, i.e. where there are medically sound alternatives to hospitalization in the nursing home. We included four systematic reviews and five primary studies in this review. In total there were eleven unique interventions that were evaluated, gathered in three main categories. 1. |
|---|---|
| Item Description: | English summary excerpted from full report in Norwegian: Effekter av tiltak for å redusere akutte sykehusinnleggelser fra sykehjem. - Excerpt of Systematic review no. 07-2013 |
| Physical Description: | 1 PDF file (10 pages) |
| ISBN: | 9788281215306 |