Review: hospital based case management does not reduce length of hospital stay or readmissions in adults
Q Does hospital based case management reduce length of hospital stay and readmissions in adults?
Medline (1996–2003), CINAHL (1982–2003), HealthSTAR (1975–2003), bibliographies of relevant reviews, and content experts.
Study selection and assessment:
randomised controlled trials (RCTs) that assessed the effects of hospital based case management on length of stay or readmission rate in inpatients ⩾18 years of age. Studies of patients with mental illness, outpatient services, or hospital-to-community based or community based case management were excluded. Methodological quality of individual studies was assessed using the 5 point Jadad scale; intervention quality was assessed based on the presence of 6 components: comprehensive assessment, education/consultation, collaboration, discharge planning, linkage with community, and monitoring/follow up.
length of stay and readmission.
12 RCTs (2876 patients, mean age 72 y) met the selection criteria. 11 …