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Nursing issues
Systematic review with meta-analysis
Nurse-led early discharge planning for chronic disease reduces hospital readmission rates and all-cause mortality
  1. Mary Fox
  1. York University, Toronto, Ontario, Canada
  1. Correspondence to Dr Mary Fox, York University, Toronto, Ontario, Canada; maryfox{at}yorku.ca

https://doi.org/10.1136/eb-2015-102197

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    Commentary on: Zhu QM, Liu J, Hu HY, et al. Effectiveness of nurse-led early discharge planning programmes for hospital inpatients with chronic disease or rehabilitation needs: a systematic review and meta-analysis. J Clin Nurs 2015;24:2993–3005.OpenUrlCrossRefPubMed

    Implications for practice and research

    • The study found that nurse-led early discharge planning programmes (DPPs) are effective in reducing hospital readmissions by 28%, hospital readmission lengths of stay by slightly more than 2 days and all-cause mortality by 30% compared to standard care defined as non-nurse led DPPs not initiated early.

    • Nurse-led early DPPs may reduce total and readmission costs.

    • Zhu and colleagues advise future researchers to standardise costs to permit meta-analyses of cost data. They also recommended future researchers to examine the effects of nurse-led early DPPs on patient quality of life and satisfaction with discharge planning.

    Context

    Zhu and colleagues explain that reducing hospital length of stay and readmissions are …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.