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Effectiveness of outpatient geriatric rehabilitation after inpatient geriatric rehabilitation or hospitalisation: a systematic review and meta-analysis
| Content Provider | Oxford Academic |
|---|---|
| Author | Preitschopf, Astrid Holstege, Marije Ligthart, Andrea Groen, Wim Burchell, George Pol, Margriet Buurman, Bianca |
| Copyright Year | 2023 |
| Abstract | Background: Due to the increasing number of older people with multi-morbidity, the demand for outpatient geriatric rehabilitation (OGR) will also increase.ObjectiveTo assess the effects of OGR on the primary outcome functional performance (FP) and secondary outcomes: length of in-patient stay, re-admission rate, patients' and caregivers' quality of life, mortality and cost-effectiveness. We also aim to describe the organisation and content of OGR.MethodsSystematic review and meta-analysis. Five databases were queried from inception to July 2022. We selected randomised controlled trials written in English, focusing on multidisciplinary interventions related to OGR, included participants aged ≥65 and reported one of the main outcomes. A meta-analysis was performed on FP, patients' quality of life, length of stay and re-admissions. The structural, procedural and environmental aspects of OGR were systematically mapped.ResultsWe selected 24 studies involving 3,405 participants. The meta-analysis showed no significant effect on the primary outcome FP (activity). It demonstrated a significant effect of OGR on shortening length of in-patient stay (P = 0.03, MD = −2.41 days, 95%CI: [−4.61—0.22]). Frequently used elements of OGR are: inpatient start of OGR with an interdisciplinary rehabilitation team, close cooperation with primary care, an OGR coordinator, individual goal setting and education for both patient and caregiver.ConclusionThis review showed that OGR is as effective as usual care on FP activity. It shows low certainty of evidence for OGR being effective in reducing the length of inpatient stay. Further research is needed on the various frequently used elements of OGR. |
| Related Links | https://academic.oup.com/ageing/article-pdf/52/1/afac300/48570454/afac300.pdf |
| File Format | |
| ISSN | 00020729 |
| e-ISSN | 14682834 |
| DOI | 10.1093/ageing/afac300 |
| Journal | Age and Ageing |
| Issue Number | 1 |
| Volume Number | 52 |
| Language | English |
| Publisher | Oxford Academic |
| Publisher Date | 2023-01-08 |
| Access Restriction | Open |
| Subject Keyword | Clinical Medicine Geriatric Medicine Medicine and Health Outpatient Geriatric Rehabilitation Functional Performance Length of Stay Re-admission Quality of Life Systematic Review Older People |
| Content Type | Text |
| Resource Type | Article |
| Subject | Aging Geriatrics and Gerontology |
