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ACP Journal Club |19 September 2017

Review: In older patients with chronic disease, transitional care reduces mortality and readmissions

Henry S. Sacks, PhD, MD

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Le Berre M, Maimon G, Sourial N, Guériton M, Vedel I. Impact of transitional care services for chronically ill older patients: a systematic evidence review. J Am Geriatr Soc. 2017;65:1597-608. 28403508

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In older patients with chronic disease, do interventions for transitional care (TC) from hospital to primary care improve outcomes?
Included studies compared TC with usual care in patients ≥ 65 years of age who had ≥ 1 chronic disease and were being discharged from hospital to home. TC provided care coordination and continuity, preplanned and structured follow-up after discharge, and ≥ 1 follow-up ≤ 30 days after discharge. Exclusion criteria included alcohol dependence, hip fracture, spinal cord injury, stroke, myocardial infarction, and depression. Outcomes included all-cause mortality, hospital readmission, emergency department (ED) visits, and quality of life.
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Sacks HS. Review: In older patients with chronic disease, transitional care reduces mortality and readmissions. Ann Intern Med. ;167:JC32. doi: 10.7326/ACPJC-2017-167-6-032

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Published: Ann Intern Med. 2017;167(6):JC32.

DOI: 10.7326/ACPJC-2017-167-6-032

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2017 American College of Physicians
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