A Systematic Review of Nurse-Assisted Case Management to Improve Hospital Discharge Transition Outcomes for the Elderly

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A Systematic Review of Nurse-Assisted Case Management to Improve Hospital Discharge Transition Outcomes for the Elderly

Purpose: This article reviews 15 clinical trials of nurse-assisted case management intended to improve posthospital transitions of elderly patients to other settings. Primary Practice Setting(s): Hospitals. Methodology and Sample: The trials were selected after a systematic search of the PubMed database for the period 1996 to 2006. Results: Eight of the 15 interventions showed reduced hospital readmission rates and/or fewer hospital days. These findings were observed across patients with all cause and heart failure, a variety of hospital types, and variations in the intervention. Reductions in the use of emergency departments were observed in 3 of the 11 studies investigating this. Lower expenditures were reported by all 6 studies reporting such comparisons. Implications for CM Practice: Home visits/continuous contact with patients, early postdischarge and frequent contacts, patient education, and the use of specialized nurses who could offer appropriate training and coaching were often credited as program strengths.

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