Health interventions for the reduction of hospital readmission within 30 days in clinical patients: An integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i2.25273

Keywords:

Patient readmission; Patient discharge; Continuity of patient care; Quality indicators, health care.

Abstract

Study with the objective of analysing the evidence available in the scientific literature on the interventions used to reduce hospital readmissions within 30 days in clinical patients who were discharged from the hospital to the home. An integrative review was carried out on the online Medical Literature Analysis and Retrieval System and Latin American and Caribbean Literature in Health Sciences databases. Intervention research, published between January 2009 and April 2020, in Portuguese, English and Spanish, was included. The sample consisted of 71 articles. The most frequently performed interventions were telephone contact after discharge (73.2%), health education after discharge (71.8%) and health education during hospitalization (67.6%). Identification of readmission risk (12.9%), home visits after discharge (26.8%) and discharge planning (28.2%) were the least mentioned. The interventions were performed predominantly by a multidisciplinary team (39.5%). There was a significant reduction in readmissions in 50.7% of the studies. It was found that the interventions are aimed at preparing the patient during hospitalization for the return home and post-discharge monitoring to reinforce the care plans and clarify doubts, this important combination of different actions by the multiprofessional team impacts readmission rates.

References

Alshabanat, A., Otterstatter, M. C., Sin, D. D., Road, J., Rempel, C., Burns, J., … & FitzGerald, J. M. (2017). Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates. International Journal of Chronic Obstructive Pulmonary Disease, 12, 961–971. https://doi.org/10.2147/COPD.S124385

Altfeld, S. J., Shier, G. E., Rooney, M., Johnson, T. J., Golden, R. L., Karavolos, K., … & Perry, A. J. (2013). Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist, 53(3), 430-440.

Amarasingham, R., Patel, P. C., Toto, K., Nelson, L. L., Swanson, T. S., Moore, B. J., Xie, B., … & Halm, E. A. (2013). Allocating scarce resources in real-time to reduce heart failure readmissions: a prospective, controlled study. BMJ Quality & Safety, 22(12), 998–1005. https://doi.org/10.1136/bmjqs-2013-001901

Auerbac, A. D., Kripalani, S., Vasilevskis, E. E., Sehgal, N., Lindenauer, P. K., Metlay, J. P., … & Schnipper JL. (2016). Preventability and causes of readmissions in a national cohort of general medicine patients. JAMA Internal Medicine, 176(4), 484-493.

Bach, Q. N., Peasah, S. K., & Barber, E. (2019). Review of the Role of the Pharmacist in Reducing Hospital Readmissions. Journal of Pharmacy Practice, 32(6), 617–624. https://doi.org/10.1177/0897190018765500

Bae-Shaaw, Y. H., Eom, H., Chun, R. F., & Steven Fox, D. (2020). Real-world evidence on impact of a pharmacist-led transitional care program on 30- and 90-day readmissions after acute care episodes. American Journal of Health-system Pharmacy, 77(7), 535–545. https://doi.org/10.1093/ajhp/zxaa012

Baker, M., Bell, C. M., Xiong, W., Etchells, E., Rossos, P. G., Shojania, K. G., … & Fernandes, O. (2018). Do Combined Pharmacist and Prescriber Efforts on Medication Reconciliation Reduce Postdischarge Patient Emergency Department Visits and Hospital Readmissions? Journal of Hospital Medicine, 13(3), 152–157. https://doi.org/10.12788/jhm.2857

Balaban, R. B., Galbraith, A. A., Burns, M. E., Vialle-Valentin, C. E., Larochelle, M. R. & Ross-Degnan, D. (2015). A patient navigator intervention to reduce hospital readmissions among high-risk safety-net patients: a randomized controlled trial. Journal of General Internal Medicine, 30(7), 907-915.

Bell, S. P., Schnipper, J. L., Goggins, K., Bian, A., Shintani, A., Roumie, C. L., … & Kripalani, S. (2016). Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. Journal of General Internal Medicine, 31(5), 470-477.

Benzo, R., Vickers, K., Novotny, P. J., Tucker, S., Hoult, J., Neuenfeldt, P., … & McEvoy, C. (2016). Health coaching and chronic obstructive pulmonary disease rehospitalization. a randomized study. American Journal of Respiratory and Critical Care Medicine, 194(6), 672-80.

Bhatt, S. P., Wells, J. M., Iyer, A. S., Kirkpatrick, D. P., Parekh, T. M., Leach, L. T., Anderson, E. M., … & Dransfield, M. T. (2017). Results of a Medicare Bundled Payments for Care Improvement Initiative for Chronic Obstructive Pulmonary Disease Readmissions. Annals of the American Thoracic Society, 14(5), 643–648. https://doi.org/10.1513/AnnalsATS.201610-775BC

Bilchick, K., Moss, T., Welch, T., Levy, W., Stukenborg, G., Lawlor, B. T., … & Mazimba, S. (2019). Improving Heart Failure Readmission Costs and Outcomes With a Hospital-to-Home Readmission Intervention Program. American Journal of Medical Quality: the official journal of the American College of Medical Quality, 34(2), 127–135. https://doi.org/10.1177/1062860618788436

Bonetti, A. F., Bagatim, B. Q., Mendes, A. M., Rotta, I., Reis, R. C., Fávero, M. L. D., … & Pontarolo, R. (2018). Impact of discharge medication counseling in the cardiology unit of a tertiary hospital in Brazil: a randomized controlled trial. Clinics, 73, e325.

Bowles, K. H., Chittams, J., Heil, E., Topaz, M., Rickard, K., Bhasker, M., … & Hanlon, A. L. (2015). Successful electronic implementation of discharge referral decision support has a positive impact on 30- and 60-day readmissions. Research in Nursing & Health, 38(2), 102–114. https://doi.org/10.1002/nur.21643

Budiman, T., Snodgrass, K., & Komatsu Chang, A. (2016). Evaluation of Pharmacist Medication Education and Post-discharge Follow-up in Reducing Readmissions in Patients With ST-Segment Elevation Myocardial Infarction (STEMI). The Annals of Pharmacotherapy, 50(2), 118–124. https://doi.org/10.1177/1060028015620425

Chava, R., Karki, N., Ketlogetswe, K., & Ayala, T. (2019). Multidisciplinary rounds in prevention of 30-day readmissions and decreasing length of stay in heart failure patients: A community hospital based retrospective study. Medicine, 98(27), e16233. https://doi.org/10.1097/MD.0000000000016233

Christy, S., Sin, B., & Gim, S. (2016). Impact of an Integrated Pharmacy Transitions of Care Pilot Program in an Urban Hospital. Journal of Pharmacy Practice, 29(5), 490–494. https://doi.org/10.1177/0897190014568674

Clarkson, J. N., Schaffer, S. D., & Clarkson, J. J. (2017). The Effect of an Interprofessional Heart Failure Education Program on Hospital Readmissions. Journal for Healthcare Quality: official publication of the National Association for Healthcare Quality, 39(2), 78–84. https://doi.org/10.1097/JHQ.0000000000000027

Conner, K.O., Meng, H., Marino, V. & Boaz, T. L. (2020). Individual and organizational factors associated with hospital readmission rates: evidence from a U.S. national sample. Journal of Applied Gerontology, 39(10), 1153-1158.

Costantino, M. E., Frey, B., Hall, B., & Painter, P. (2013). The influence of a postdischarge intervention on reducing hospital readmissions in a Medicare population. Population Health Management, 16(5), 310–316. https://doi.org/10.1089/pop.2012.0084

Davis, K. K., Mintzer, M., Himmelfarb, C. R. D., Hayat, M. J., Rotman, S. & Allen, J. (2012). Targeted intervention improves knowledge but not self-care or readmissions in heart failure patients with mild cognitive impairment. European Journal of Heart Failure, 14(9), 1041-1049.

Dedhia, P., Kravet, S., Bulger, J., Hinson, T., Sridharan, A., Kolodner, K., … & Howell, E. (2009). A quality improvement intervention to facilitate the transition of older adults from three hospitals back to their homes. Journal of the American Geriatrics Society, 57(9), 1540–1546. https://doi.org/10.1111/j.1532-5415.2009.02430.x

Deek, H., Chang, S., Newton, P. J., Noureddine, S., Inglis, S. C., Arab, G. A., … & Davidson, P. M. (2017). An evaluation of involving family caregivers in the self-care of heart failure patients on hospital readmission: randomised controlled trial (the FAMILY study). International Journal of Nursing Studies, 75, 101-111.

Dhalla, I. A., O'Brien, T., Morra, D., Thorpe, K. E., Wong, B. M., Mehta, R., … & Laupacis, A. (2014). Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. JAMA, 312(13), 1305–1312.

Di Pollina, L., Guessous, I., Petoud, V., Combescure, C., Buchs, B., Schaller, P., … & Gaspoz, J. M. (2017). Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: a prospective controlled trial. BMC geriatrics, 17(1), 53. https://doi.org/10.1186/s12877-017-0449-9

Farrell, T. W., Tomoaia-Cotisel, A., Scammon, D. L., Brunisholz, K., Kim, J., Day, J., … & Magill, M. K. (2015). Impact of an integrated transition management program in primary care on hospital readmissions. Journal for Healthcare Quality : official publication of the National Association for Healthcare Quality, 37(1), 81–92. https://doi.org/10.1097/01.JHQ.0000460119.68190.98

Farris, K. B., Carter, B. L., Xu, Y., Dawson, J. D., Shelsky, C., Weetman, D. B., Kaboli, P. J., … & Brooks, J. M. (2014). Effect of a care transition intervention by pharmacists: an RCT. BMC Health Services Research, 14, 406. https://doi.org/10.1186/1472-6963-14-406

Fischer, C., Anema, H. A. & Klazinga, N. S. (2012). The validity of indicators for assessing quality of care: a review of the European literature on hospital readmission rate. European Journal of Public Health, 22(4), 484-491.

Garnier, A., Rouiller, N., Gachoud, D., Nachar, C., Voirol, P., Griesser, A. C., … & Lamy, O. (2018). Effectiveness of a transition plan at discharge of patients hospitalized with heart failure: a before-and-after study. ESC Heart Failure, 5(4), 657–667. https://doi.org/10.1002/ehf2.12295

Graabaek, T., Hedegaard, U., Christensen, M. B., Clemmensen, M. H., Knudsen, T., & Aagaard, L. (2019). Effect of a medicines management model on medication-related readmissions in older patients admitted to a medical acute admission unit-A randomized controlled trial. Journal of Evaluation in Clinical Practice, 25(1), 88–96. https://doi.org/10.1111/jep.13013

Graham, J., Tomcavage, J., Salek, D., Sciandra, J., Davis, D. E., & Stewart, W. F. (2012). Postdischarge monitoring using interactive voice response system reduces 30-day readmission rates in a case-managed Medicare population. Medical Care, 50(1), 50–57. https://doi.org/10.1097/MLR.0b013e318229433e

Haag, J. D., Davis, A. Z., Hoel, R. W., Armon, J. J., Odell, L. J., Dierkhising, R. A., & Takahashi, P. Y. (2016). Impact of Pharmacist-Provided Medication Therapy Management on Healthcare Quality and Utilization in Recently Discharged Elderly Patients. American Health & Drug Benefits, 9(5), 259–268.

Hansen, L. O., Young, R. S., Hinami, K., Leung, A., & Williams, M. V. (2011). Interventions to reduce 30-day rehospitalization: a systematic review. Annals of Internal Medicine, 155(8), 520–528. https://doi.org/10.7326/0003-4819-155-8-201110180-00008

Hawes, E. M., Maxwell, W. D., White, S. F., Mangun, J., & Lin, F. C. (2014). Impact of an outpatient pharmacist intervention on medication discrepancies and health care resource utilization in posthospitalization care transitions. Journal of Primary Care & Community Health, 5(1), 14–18. https://doi.org/10.1177/2150131913502489

Howie-Esquivel, J., Carroll, M., Brinker, E., Kao, H., Pantilat, S., Rago, K., & De Marco, T. (2015). A Strategy to Reduce Heart Failure Readmissions and Inpatient Costs. Cardiology Research, 6(1), 201–208. https://doi.org/10.14740/cr384w

Huynh, Q. L., Whitmore, K., Negishi, K., Marwick, T. H. & ETHELRED Investigators. (2019). Influence of risk on reduction of readmission and death by disease management programs in heart failure. Journal of Cardiac Failure, 25(5), 330-339.

Jennings, J. H., Thavarajah, K., Mendez, M. P., Eichenhorn, M., Kvale, P., & Yessayan, L. (2015). Predischarge bundle for patients with acute exacerbations of COPD to reduce readmissions and ED visits: a randomized controlled trial. Chest, 147(5), 1227–1234. https://doi.org/10.1378/chest.14-1123

Johnson-Warrington, V., Rees, K., Gelder, C., Morgan, M. D., & Singh, S. J. (2016). Can a supported self-management program for COPD upon hospital discharge reduce readmissions? A randomized controlled trial. International Journal of Chronic Obstructive Pulmonary Disease, 11, 1161–1169. https://doi.org/10.2147/COPD.S91253

Johnson, A. E., Winner, L., Simmons, T., Eid, S. M., Hody, R., Sampedro, A., … & Parakh, K. (2016). Using Innovative Methodologies From Technology and Manufacturing Companies to Reduce Heart Failure Readmissions. American Journal of Medical Quality: the official journal of the American College of Medical Quality, 31(3), 272–278. https://doi.org/10.1177/1062860614562627

Jones, C. E., Hollis, R. H., Wahl, T. S., Oriel, B. S., Itani, K. M., Morris, M. S., & Hawn, M. T. (2016). Transitional care interventions and hospital readmissions in surgical populations: a systematic review. American Journal of Surgery, 212(2), 327–335. https://doi.org/10.1016/j.amjsurg.2016.04.004

Kang, E., Gillespie, B. M., Tobiano, G., & Chaboyer, W. (2020). General surgical patients' experience of hospital discharge education: A qualitative study. Journal of Clinical Nursing, 29(1-2), e1–e10. https://doi.org/10.1111/jocn.15057

Kripalani, S., Chen, G., Ciampa, P., Theobald, C., Cao, A., McBride, M., …& Speroff, T. (2019). A transition care coordinator model reduces hospital readmissions and costs. Contemporary Clinical Trials, 81, 55–61. https://doi.org/10.1016/j.cct.2019.04.014

Kwan, J. L., Morgan, M. W., Stewart, T. E., & Bell, C. M. (2015). Impact of an innovative inpatient patient navigator program on length of stay and 30-day readmission. Journal of Hospital Medicine, 10(12), 799–803. https://doi.org/10.1002/jhm.2442

Lee, K. H., Low, L. L., Allen, J., Barbier, S., Ng, L. B., Ng, M. J., … & Tan, S. Y. (2015). Transitional care for the highest risk patients: findings of a randomised control study. International Journal of Integrated Care, 15, e039. https://doi.org/10.5334/ijic.2003

Lee, R., Malfair, S., Schneider, J., Sidhu, S., Lang, C., Bredenkamp, N., … & Virani, A. (2019). Evaluation of Pharmacist Intervention on Discharge Medication Reconciliation. The Canadian Journal of Hospital Pharmacy, 72(2), 111–118.

Lima, M. A. D. S., Magalhães, A. M. M., Oelke, N. D., Marques, G. Q., Lorenzini, E., Weber, L. A. F. & Fan, I. (2018). Care transition strategies in Latin American countries: an integrative review. Revista Gaúcha de Enfermagem, 39, e20180119.

Linden, A., & Butterworth, S. (2014). A comprehensive hospital-based intervention to reduce readmissions for chronically ill patients: a randomized controlled trial. The American Journal of Managed Care, 20(10), 783–792.

Low, L. L., Tan, S. Y., Ng, M. J., Tay, W. Y., Ng, L. B., Balasubramaniam, K., … & Lee, K. H. (2017). Applying the Integrated Practice Unit Concept to a Modified Virtual Ward Model of Care for Patients at Highest Risk of Readmission: A Randomized Controlled Trial. PloS One, 12(1), e0168757. https://doi.org/10.1371/journal.pone.0168757

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: a guide to best practice. (3rd ed.). Philadelphia: Wolters Kluwer Health.

Mennuni, M., Gulizia, M. M., Alunni, G., Amico, A. F., Bovenzi, F. M., Caporale, R., … & Zuin, G. (2016). Position paper ANMCO: Gestione della dimissione ospedaliera [ANMCO Position paper: Hospital discharge planning]. Giornale italiano di cardiologia, 17(9), 657–686. https://doi.org/10.1714/2448.25660

Morales, B. P., Planas, R., Bartoli, R., Morillas, R. M., Sala, M., Casas, I., … & Masnou, H. (2018). HEPACONTROL. A program that reduces early readmissions, mortality at 60 days, and healthcare costs in decompensated cirrhosis. Digestive and Liver Disease: official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 50(1), 76–83. https://doi.org/10.1016/j.dld.2017.08.024

Murphy, J. A., Schroeder, M. N., Rarus, R. E., Yakubu, I., McKee, S., & Martin, S. J. (2019). Implementation of a Cardiac Transitions of Care Pilot Program: A Prospective Study of Inpatient and Outpatient Clinical Pharmacy Services for Patients With Heart Failure Exacerbation or Acute Myocardial Infarction. Journal of Pharmacy Practice, 32(1), 68–76. https://doi.org/10.1177/0897190017743129

Murphy, J. A., Schroeder, M. N., Ridner, A. T., Gregory, M. E., Whitner, J. B., & Hackett, S. G. (2020). Impact of a Pharmacy-Initiated Inpatient Diabetes Patient Education Program on 30-Day Readmission Rates. Journal of Pharmacy Practice, 33(6), 754–759. https://doi.org/10.1177/0897190019833217

Neta, A. C. F., Jorge, A. O., Viudes, M. A. A., Silva, K. L., Orlando, C. R. P., Almeida, L. H., Cruz, M. C. S. … & Costa, J. M. (2017). O perfil das reinternações de um hospital de ensino de Belo Horizonte no ano de 2013. Revista Salusvita, 36(2), 443-461.

Odeh, M., Scullin, C., Fleming, G., Scott, M. G., Horne, R., & McElnay, J. C. (2019). Ensuring continuity of patient care across the healthcare interface: Telephone follow-up post-hospitalization. British Journal of Clinical Pharmacology, 85(3), 616–625. https://doi.org/10.1111/bcp.13839

Ohuabunwa, U., Jordan, Q., Shah, S., Fost, M., & Flacker, J. (2013). Implementation of a care transitions model for low-income older adults: a high-risk, vulnerable population. Journal of the American Geriatrics Society, 61(6), 987–992. https://doi.org/10.1111/jgs.12276

Oscalices, M. I. L., Okuno, M. F. P., Lopes, M. C. B. T., Campanharo, C. R. V. & Batista, R. E. A. (2019). Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial. Revista Latino-Americana de Enfermagem, 27, e3159. https://doi.org/10.1590/1518-8345.2484.3159

Otsuka, S., Smith, J. N., Pontiggia, L., Patel, R. V., Day, S. C., & Grande, D. T. (2019). Impact of an interprofessional transition of care service on 30-day hospital reutilizations. Journal of Interprofessional Care, 33(1), 32–37. https://doi.org/10.1080/13561820.2018.1513466

Patel, A., Dodd, M. A., D'Angio, R., Hellinga, R., Ahmed, A., Vanderwoude, M., & Sarangarm, P. (2019). Impact of discharge medication bedside delivery service on hospital reutilization. American Journal of Health-system Pharmacy: AJHP: official journal of the American Society of Health-System Pharmacists, 76(23), 1951–1957. https://doi.org/10.1093/ajhp/zxz197

Patel, M. S., Patel, N., Small, D. S., Rosin, R., Rohrbach, J. I., Stromberg, N., … & Asch, D. A. (2016). Change In Length of Stay and Readmissions among Hospitalized Medical Patients after Inpatient Medicine Service Adoption of Mobile Secure Text Messaging. Journal of General Internal Medicine, 31(8), 863–870. https://doi.org/10.1007/s11606-016-3673-7

Rafferty, A., Denslow, S., & Michalets, E. L. (2016). Pharmacist-Provided Medication Management in Interdisciplinary Transitions in a Community Hospital (PMIT). The Annals of Pharmacotherapy, 50(8), 649–655. https://doi.org/10.1177/1060028016653139

Riegel, B., Creber, R. M., Hill, J., Chittams, J., & Hoke, L. (2016). Effectiveness of Motivational Interviewing in Decreasing Hospital Readmission in Adults With Heart Failure and Multimorbidity. Clinical Nursing Research, 25(4), 362–377. https://doi.org/10.1177/1054773815623252

Sales, V. L., Ashraf, M. S., Lella, L. K., Huang, J., Bhumireddy, G., Lefkowitz, L., …& Heitner, J. F. (2013). Utilization of trained volunteers decreases 30-day readmissions for heart failure. Journal of Cardiac Failure, 19(12), 842–850. https://doi.org/10.1016/j.cardfail.2013.10.008

Sarangarm, P., London, M. S., Snowden, S. S., Dilworth, T. J., Koselke, L. R., Sanchez, C. O., …& Ray, G. (2013). Impact of pharmacist discharge medication therapy counseling and disease state education: Pharmacist Assisting at Routine Medical Discharge (project PhARMD). American Journal of Medical Quality: the official journal of the American College of Medical Quality, 28(4), 292–300. https://doi.org/10.1177/1062860612461169

Shcherbakova, N., & Tereso, G. (2016). Clinical pharmacist home visits and 30-day readmissions in Medicare Advantage beneficiaries. Journal of Evaluation in Clinical Practice, 22(3), 363–368. https://doi.org/10.1111/jep.12495

Shu, C. C., Hsu, N. C., Lin, Y. F., Wang, J. Y., Lin, J. W., & Ko, W. J. (2011). Integrated postdischarge transitional care in a hospitalist system to improve discharge outcome: an experimental study. BMC Medicine, 9, 96. https://doi.org/10.1186/1741-7015-9-96

Shull, M. T., Braitman, L. E., Stites, S. D., DeLuca, A., & Hauser, D. (2018). Effects of a pharmacist-driven intervention program on hospital readmissions. American Journal of Health-system Pharmacy: AJHP: official journal of the American Society of Health-System Pharmacists, 75(9), e221–e230. https://doi.org/10.2146/ajhp170287

Singh, D., Fahim, G., Ghin, H. L., & Mathis, S. (2021). Effects of Pharmacist-Conducted Medication Reconciliation at Discharge on 30-Day Readmission Rates of Patients With Chronic Obstructive Pulmonary Disease. Journal of Pharmacy Practice, 34(3), 354–359. https://doi.org/10.1177/0897190019867241

Smith, K. J., Handler, S. M., Kapoor, W. N., Martich, G. D., Reddy, V. K., & Clark, S. (2016). Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Discharge Medication Errors. American Journal of Medical Quality: the official journal of the American College of Medical Quality, 31(4), 315–322. https://doi.org/10.1177/1062860615574327

Soong, C., Kurabi, B., Wells, D., Caines, L., Morgan, M. W., Ramsden, R., & Bell, C. M. (2014). Do post discharge phone calls improve care transitions? A cluster-randomized trial. PloS One, 9(11), e112230. https://doi.org/10.1371/journal.pone.0112230

Souza, D. K. & Peixoto, S. V. (2017). Descriptive study on the evolution of hospitalization costs for ambulatory care sensitive conditions in Brazil, 2000-2013. Revista Epidemiologia e Serviços de Saúde, 26(2), 285-294. https://doi.org/10.5123/s1679-49742017000200006

Stewart, S. A., Worth, L., & Burton, C. (2015). Evaluating a Telehealth Follow-up Program for Cardiology Patients Using Administrative Data. Studies in Health Technology and Informatics, 209, 156–161.

Stranges, P. M., Marshall, V. D., Walker, P. C., Hall, K. E., Griffith, D. K., & Remington, T. (2015). A multidisciplinary intervention for reducing readmissions among older adults in a patient-centered medical home. The American Journal of Managed Care, 21(2), 106–113.

Takahashi, P. Y., Naessens, J. M., Peterson, S. M., Rahman, P. A., Shah, N. D., Finnie, D. M., Weymiller, A. J., Thorsteinsdottir, B., & Hanson, G. J. (2016). Short-term and long-term effectiveness of a post-hospital care transitions program in an older, medically complex population. Healthcare (Amsterdam, Netherlands), 4(1), 30–35. https://doi.org/10.1016/j.hjdsi.2015.06.006

Tavares, M. G., Tedesco-Silva Junior, H. & Pestana, J. O. M. (2020). Readmissão hospitalar precoce no transplante renal: artigo de revisão. Brazilian Journal of Nephrology, 42(2), 231-237. https://doi.org/10.1590/2175-8239-JBN-2019-0089

Thygesen, L. C., Fokdal, S., Gjørup, T., Taylor, R. S., Zwisler, A. D., & Prevention of Early Readmission Research Group (2015). Can municipality-based post-discharge follow-up visits including a general practitioner reduce early readmission among the fragile elderly (65+ years old)? A randomized controlled trial. Scandinavian Journal of Primary Health Care, 33(2), 65–73. https://doi.org/10.3109/02813432.2015.1041831

Truong, J. T., & Backes, A. C. (2015). The impact of a Continuum of Care Resident Pharmacist on heart failure readmissions and discharge instructions at a community hospital. SAGE Open Medicine, 3, 2050312115577986. https://doi.org/10.1177/2050312115577986

Verhaegh, K. J., Buurman, B. M., Veenboer, G. C., de Rooij, S. E., & Geerlings, S. E. (2014). The implementation of a comprehensive discharge bundle to improve the discharge process: a quasi-experimental study. The Netherlands Journal of Medicine, 72(6), 318–325.

Voss, R., Gardner, R., Baier, R., Butterfield, K., Lehrman, S., & Gravenstein, S. (2011). The care transitions intervention: translating from efficacy to effectiveness. Archives of Internal Medicine, 171(14), 1232–1237. https://doi.org/10.1001/archinternmed.2011.278

Walker, P. C., Bernstein, S. J., Jones, J. N., Piersma, J., Kim, H. W., Regal, R. E., … & Flanders, S. A. (2009). Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Archives of Internal Medicine, 169(21), 2003–2010. https://doi.org/10.1001/archinternmed.2009.398

Weber, L. A. F., Lima, M. A. D. S. & Acosta, A. M. (2019). Quality of care transition and its association with hospital readmission. Aquichan, 19(4), e1945. https://doi.org/10.5294/aqui.2019.19.4.5

Weber, L., Lima, M., Acosta, A., & Marques, G. (2017). Transição do Cuidado do Hospital para o Domicílio: Revisão Integrativa. Cogitare Enfermagem, 22(3). http://dx.doi.org/10.5380/ce.v22i3.47615

Wee, S. L., Loke, C. K., Liang, C., Ganesan, G., Wong, L. M., & Cheah, J. (2014). Effectiveness of a national transitional care program in reducing acute care use. Journal of the American Geriatrics Society, 62(4), 747–753. https://doi.org/10.1111/jgs.12750

Whittemore, R. & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x

Wiegmann, L. E., Belisle, M. S., Alvarez, K. S. & Kale, N. J. (2020). Aiming beyond: a pharmacist impact on 90-day readmissions and clinical outcomes within a family medicine service. Journal of Pharmacy Practice, 33(6), 738-744. https://doi.org/10.1177/0897190019825970

Wiest, D., Yang, Q., Wilson, C., & Dravid, N. (2019). Outcomes of a Citywide Campaign to Reduce Medicaid Hospital Readmissions With Connection to Primary Care Within 7 Days of Hospital Discharge. JAMA Network Open, 2(1), e187369. https://doi.org/10.1001/jamanetworkopen.2018.7369

Wright, E. A., Graham, J. H., Maeng, D., Tusing, L., Zaleski, L., Martin, R., …& Parry, D. T. (2019). Reductions in 30-day readmission, mortality, and costs with inpatient-to-community pharmacist follow-up. Journal of the American Pharmacists Association: JAPhA, 59(2), 178–186. https://doi.org/10.1016/j.japh.2018.11.005

Xiang, X., Zuverink, A., Rosenberg, W., & Mahmoudi, E. (2019). Social work-based transitional care intervention for super utilizers of medical care: a retrospective analysis of the bridge model for super utilizers. Social Work in Health Care, 58(1), 126–141. https://doi.org/10.1080/00981389.2018.1547345

Yang S. (2017). Impact of pharmacist-led medication management in care transitions. BMC Health Services Research, 17(1), 722. https://doi.org/10.1186/s12913-017-2684-3

Zemaitis, C. T., Morris, G., Cabie, M., Abdelghany, O., & Lee, L. (2016). Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilitated Discharge Counseling and Medication Reconciliation Program. Hospital Pharmacy, 51(6), 468–473. https://doi.org/10.1310/hpj5106-468

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17/01/2022

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ACOSTA, A. M.; LIMA, M. A. D. da S.; MARQUES, G. Q. .; ABREU, A. P. .; SANSEVERINO, A. X. .; OELKE, N. . Health interventions for the reduction of hospital readmission within 30 days in clinical patients: An integrative review. Research, Society and Development, [S. l.], v. 11, n. 2, p. e2011225273, 2022. DOI: 10.33448/rsd-v11i2.25273. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25273. Acesso em: 22 dec. 2024.

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Health Sciences