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Table 5 Summary Table of Included Nine Systematic Reviews

From: The effectiveness of interventions to reduce adverse outcomes among older adults following Emergency Department discharge: umbrella review

CITATION

NUMBER OF RCTs

DATE RANGE OF RCTs

PARTICIPANTS

INTERVENTION

OUTCOMES

Berning et al., 2020 [16]

AMSTAR 2 rating: Low

6

1996 to 2013

1094

Interventions organised via themes "Care transitions" evaluating interventions involving care coordination within the ED and care related to post-ED discharge care coordination. Physical needs in the emergency care setting"

Patient experience or satisfaction

Conroy et al., 2011 [38]

AMSTAR 2 rating: Critically Low

5

1999- 2005

2474

Comprehensive Geriatric Assessment (CGA)

Mortality

Institutionalisation

Functional outcomes: Barthel score

Quality of Life: SF36

Cognition: Mini -Mental State Examination

Readmissions: Full follow up period for all RCTS

Readmission at 1 month

Fealy et al., 2009 [39]

AMSTAR 2 rating: Critically Low

6

1996- 2005

2852

Gerontologically informed nursing assessment and referral intervention

Admission to hospital

Length of stay

Nursing home placement/admission

Functional Decline

Quality of Life: SF36

Patient and care giver satisfaction

Readmission to ED

Hastings & Heflin 2005 [30]

AMSTAR 2 rating: Critically Low

6

1999- 2004

NR

ED interventions (single and multi-strategy interventions)

Functional decline: (IADL and BADL, OARS),

ED readmission,

Institutionalisation

Death

Hughes et al., 2019 [36]

AMSTAR 2 rating: Low

9

1996- 2017

4561

ED interventions (single and multi-strategy interventions)

Functional decline

ED readmission

Patient experience

Quality of Life

Hospitalisation

Karam et al., 2015 [40]

AMSTAR 2 rating: Critically Low

3

2003–2007

1475

CGA and PERS

ED revisits

Hospital admission

Mortality

Nursing Home admission

Lowthian et al., 2015 [2]

AMSTAR 2 rating: Moderate

5

1996 to 2011

3447

ED-based care transition

Functional decline in ADL

Unplanned ED re-presentation: 1 month

Emergency hospital admission: 1 month after initial attendance

Mortality

Malik et al., 2018 [37]

AMSTAR 2 rating: Critically Low

7

1996–2015

NR

Geriatric focused nurse assessment and interventions in the ED

Hospitalisation at day 30 post intervention

Hospital readmission

ED revisits

Morello et al., 2019 [74]

AMSTAR 2 rating: Critically Low

12

1999–2018

3986

Multifactorial falls prevention interventions

Rate of falls: Falls calendars or diaries

Number of fallers: Falls calendars or diaries

Falls related ED presentation

  1. CGA Comprehensive Geriatric Assessment
  2. ED Emergency Department
  3. NR Not reported
  4. PERS Personal Emergency Response System
  5. RCT Randomised Controlled Trial