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Review: hospital based case management does not reduce length of hospital stay or readmissions in adults

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 Q Does hospital based case management reduce length of hospital stay and readmissions in adults?

METHODS

Embedded ImageData sources:

Medline (1996–2003), CINAHL (1982–2003), HealthSTAR (1975–2003), bibliographies of relevant reviews, and content experts.

Embedded ImageStudy 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.

Embedded ImageOutcomes:

length of stay and readmission.

MAIN RESULTS

12 RCTs (2876 patients, mean age 72 y) met the selection criteria. 11 …

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