Summary of the best evidence for preventing unplanned readmission in elderly patients with ischemic stroke
10.3760/cma.j.cn115682-20240927-05362
- VernacularTitle:预防老年缺血性脑卒中患者非计划性再入院的最佳证据总结
- Author:
Zhanghui GUO
1
;
Chao SUN
;
Hong GUO
;
Huixiu HU
;
Yu DUAN
;
Yingyu CHEN
Author Information
1. 北京中医药大学护理学院，北京 100029
- Publication Type:Journal Article
- Keywords:
Stroke;
Aged;
Unplanned readmission;
Prevention;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2025;31(12):1590-1598
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and integrate the evidence related to the prevention of unplanned readmission in elderly patients with ischemic stroke.Methods:A computerized search was conducted on various guideline websites and databases for clinical decisions, best practices, guidelines, evidence summaries, systematic reviews, and expert consensuses regarding the prevention of unplanned readmission in elderly patients with ischemic stroke. The search period was from the establishment of the databases to August 31, 2024. The literature quality evaluation criteria of the Joanna Briggs Institute Evidence-Based Health Care Centre and so on were used to evaluate the quality of different types of studies.Results:A total of 25 articles were included, consisting of one clinical decision, nine guidelines, six evidence summaries, eight systematic reviews, and one expert consensus. Evidence was integrated from two themes: discharge planning services (including five dimensions: principles, preliminary assessment, comprehensive assessment, plan formulation and implementation, tracking and evaluation) and early functional rehabilitation (including four dimensions: rehabilitation time, rehabilitation plan, rehabilitation intensity, and functional rehabilitation) , forming 39 pieces of best evidence.Conclusions:This study provides an evidence-based basis for the clinical nursing practice of preventing unplanned readmission in elderly patients with ischemic stroke. Evidence users need to select the best evidence according to the clinical reality to promote the smooth transition of patients and reduce the readmission rate.
