Effect of inpatient rehabilitation treatment ingredients on functioning, quality of life, length of stay, discharge destination, and mortality among older adults with unplanned admission: an overview review.
Effect of inpatient rehabilitation treatment ingredients on functioning, quality of life, length of stay, discharge destination, and mortality among older adults with unplanned admission: an overview review.
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DOI：
10.1186/s12877-022-03169-2
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发表时间：
2022-06-11
期刊：
影响因子：
4.1
通讯作者：
Sheehan, K. J.
中科院分区：
文献类型：
--
作者：
Lambe, K.;Guerra, S.;de Pablo, G. Salazar;Ayis, S.;Cameron, I. D.;Foster, N. E.;Godfrey, E.;Gregson, C. L.;Martin, F. C.;Sackley, C.;Walsh, N.;Sheehan, K. J.
综合住院康复治疗成分（与任何比较）对计划外住院的老年人的功能、生活质量、住院时间、出院目的地和死亡率的有效性的证据。对科克伦图书馆、MEDLINE、Embase、PsychInfo、PEDro、BASE和OpenGrey进行系统检索，以获得从数据库建立到2020年12月期间针对老年人计划外入院后的住院康复干预的已发表和未发表的系统综述。重复筛选合格性、质量评估和数据提取，包括采用治疗理论框架提取治疗组分及其各自的成分。总体和按治疗成分完成随机效应荟萃分析。用不一致性值（I2）评估统计异质性。纳入了中低质量的系统性综述（n = 12），包括44项非重叠相关RCT。当纳入康复干预时，与比较相比，耐力运动、早期干预和塑造知识对住院后的步行耐力有很大影响。与对照组相比，早期干预、重复练习活动、目标和计划、增加医疗护理和/或出院计划增加了出院回家的可能性。日常生活活动（ADL）的证据相互矛盾。康复干预对功能活动、力量或生活质量无效，也不能减少住院时间或死亡率。因此，我们没有探索治疗成分对这些结局的潜在作用。观察到的益处通常是针对老年人群体的亚组，耐力运动对老年慢性阻塞性肺疾病患者的耐力有效，早期干预对髋部骨折患者的耐力有效。未来的研究应该确定这些治疗成分在亚组中观察到的有效性是否可以更广泛地推广到老年人。有必要根据既定框架更透明地报告干预措施的组成部分和成分，以便今后进行综合和/或推广。PROSPERO注册CRD 42018114323。在线版本包含补充材料，可通过10.1186/s12877-022-03169-2获得。
To synthesise the evidence for the effectiveness of inpatient rehabilitation treatment ingredients (versus any comparison) on functioning, quality of life, length of stay, discharge destination, and mortality among older adults with an unplanned hospital admission. A systematic search of Cochrane Library, MEDLINE, Embase, PsychInfo, PEDro, BASE, and OpenGrey for published and unpublished systematic reviews of inpatient rehabilitation interventions for older adults following an unplanned admission to hospital from database inception to December 2020. Duplicate screening for eligibility, quality assessment, and data extraction including extraction of treatment components and their respective ingredients employing the Treatment Theory framework. Random effects meta-analyses were completed overall and by treatment ingredient. Statistical heterogeneity was assessed with the inconsistency-value (I2). Systematic reviews (n = 12) of moderate to low quality, including 44 non-overlapping relevant RCTs were included. When incorporated in a rehabilitation intervention, there was a large effect of endurance exercise, early intervention and shaping knowledge on walking endurance after the inpatient stay versus comparison. Early intervention, repeated practice activities, goals and planning, increased medical care and/or discharge planning increased the likelihood of discharge home versus comparison. The evidence for activities of daily living (ADL) was conflicting. Rehabilitation interventions were not effective for functional mobility, strength, or quality of life, or reduce length of stay or mortality. Therefore, we did not explore the potential role of treatment ingredients for these outcomes. Benefits observed were often for subgroups of the older adult population e.g., endurance exercise was effective for endurance in older adults with chronic obstructive pulmonary disease, and early intervention was effective for endurance for those with hip fracture. Future research should determine whether the effectiveness of these treatment ingredients observed in subgroups, are generalisable to older adults more broadly. There is a need for more transparent reporting of intervention components and ingredients according to established frameworks to enable future synthesis and/or replication. PROSPERO Registration CRD42018114323. The online version contains supplementary material available at 10.1186/s12877-022-03169-2.
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影响因子：
4
作者：
Hozo SP;Djulbegovic B;Hozo I
通讯作者：
Hozo I
DOI：
10.1136/bmj.c1718
发表时间：
2010-04-20
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Bachmann S;Finger C;Huss A;Egger M;Stuck AE;Clough-Gorr KM
通讯作者：
Clough-Gorr KM
影响因子：
9.7
作者：
Fleming, Lisa M.;Zhao, Xin;Kociol, Robb D.
通讯作者：
Kociol, Robb D.
影响因子：
168.9
作者：
Beswick, Andrew D.;Rees, Karen;Dieppe, Paul;Ayis, Salma;Gooberman-Hill, Rachael;Horwood, Jeremy;Ebrahim, Shah
通讯作者：
Ebrahim, Shah
影响因子：
6.3
作者：
Fox, Mary T.;Persaud, Malini;Schraa, Ellen
通讯作者：
Schraa, Ellen