K Lambe
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
Lambe, K; Guerra, S; Salazar de Pablo, G; Ayis, S; Cameron, ID; Foster, NE; Godfrey, E; Gregson, CL; Martin, FC; Sackley, C; Walsh, N; Sheehan, KJ
Authors
S Guerra
G Salazar de Pablo
S Ayis
ID Cameron
NE Foster
E Godfrey
CL Gregson
FC Martin
C Sackley
Nicola Walsh Nicola.Walsh@uwe.ac.uk
Professor in Knowledge Mobilisation & Muscul
KJ Sheehan
Abstract
Background: 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. Methods: A systematic search of Cochrane Library, MEDLINE, Embase, PsychInfo, PEDro, BASE, and OpenGrey for published and unpublished systematic reviews of inpatient rehabilitation interventions for older adults following an unplanned admission to hospital from database inception to December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). Results: 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. Conclusion: 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. Trial registration: PROSPERO Registration CRD42018114323.
Citation
Lambe, K., Guerra, S., Salazar de Pablo, G., Ayis, S., Cameron, I., Foster, N., Godfrey, E., Gregson, C., Martin, F., Sackley, C., Walsh, N., & Sheehan, K. (2022). 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. BMC Geriatrics, 22(1), Article 501. https://doi.org/10.1186/s12877-022-03169-2
Journal Article Type | Article |
---|---|
Acceptance Date | May 26, 2022 |
Online Publication Date | Jun 11, 2022 |
Publication Date | 2022-06 |
Deposit Date | Jun 17, 2022 |
Publicly Available Date | Jun 22, 2022 |
Journal | BMC Geriatrics |
Electronic ISSN | 1471-2318 |
Publisher | BioMed Central |
Peer Reviewed | Peer Reviewed |
Volume | 22 |
Issue | 1 |
Article Number | 501 |
DOI | https://doi.org/10.1186/s12877-022-03169-2 |
Keywords | Physiotherapy; Exercise; Geriatrics; Acute care; Hospital; Trauma; Injury; Illness |
Public URL | https://uwe-repository.worktribe.com/output/9573806 |
Additional Information | Accepted for publication but not yet published, so presumable this version can be made available then |
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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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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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http://creativecommons.org/licenses/by/4.0/
Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/
Copyright Statement
© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which
permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the
original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or
other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line
to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory
regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this
licence, visit http:// creat iveco mmons. org/ licen ses/ by/4. 0/. The Creative Commons Public Domain Dedication waiver (http:// creat iveco
mmons. org/ publi cdoma in/ zero/1. 0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
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