Hospital Discharge Care Intervention Reduces Readmissions


Patients who happen to be given transitional care right before as well as during the discharge from the hospital happen to be less likely to be readmitted, as per new research from the University of Manchester.

The systematic review as well as the network meta-analysis, which happened to be published in the journal JAMA Network Open, happened to consider data across 126 trials with 97,408 people participating in them.

It displayed that interventions were associated with a decent number of reductions when it came to readmissions at 180 days post-discharge.

Although the types of changes that were implemented varied across the studies, common changes went on to include improved discharge planning, a review of medication, multi-agency team meetings, case management, psychological support, home visits, along with peer support.

It is well to be noted that the low-complexity interventions included one to three alterations to the usual care that were applied together and were associated with a 55% decrease in readmissions at 180 days post-discharge.

Apparently, the medium-complexity interventions with four to seven changes to usual care happened to be associated with a 42% decrease during the same time period.

Even at 30 days, the low-complexity interventions were associated with a 22% dip in the odds of readmission, as well as the medium-complexity interventions were associated with an 18% decrease.When it came to high-complexity interventions, which had eight or more changes to the regular practice applied together, got associated with a 24% dip in readmissions at 180 days post-discharge.

Maria Panagioti, who is the principle investigator as well as the senior lecturer from the University of Manchester, opined that this study elaborates that more changes to regular practice are not always better so as to reduce health care needs as well as prevent emergency department visits for patients shifting from the hospital to the community.

One needs to think about what alterations to the usual care happen to be truly meaningful for patients in case if professionals can execute those changes, and also how those changes can get together as a coherent care bundle.

They strongly recommend that the NHS goes on to develop a set of patient- along with staff-reported outcomes so as to better capture the entire range of benefits as well as impacts of transitional care interventions, specifically those that have high complexity.

A research fellow from the University of Manchester as well as the lead author of the study, Natasha Tyler, added that this study demonstrates that transitional care arrangements are indeed a powerful way so as to avoid readmission to the hospital since patients feel better involved in decisions and are also supported through a particularly vulnerable stage across the care pathway.

It indeed happens to be a well-known fact that a rising demand for urgent hospital care has gone on to create pressure to discharge patients to the community. They know of some of those patients who are discharged too early or without the required support in order to recover in the community.

There also happens to be evidence that one in every five patients may feel suboptimal or unsafe care at the time of discharge from the hospital, majorly due to the prompt decrease in continuity of care along with coordination issues with regards to multiple independent professionals as well as agencies.

Therefore, it is indeed very important to gauge the value of intermediate care and how effectively it can be delivered.