Skip to main content

Table 5 Meta-analyses of the effectiveness of inpatient rehabilitation on function, quality of life, length of stay, discharge destination and mortality, versus comparison, among older adults with unplanned admission to acute care, overall and by treatment ingredient

From: 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

 

n

studies

n total (intervention)

n total (comparison)

Effect sizea (95% CI)

Z Score

p

Test for Heterogeneity

Test for small study sample bias†

Q

I2

p

p

Functional mobility after inpatient rehabilitation

overall

5

761

733

0.10 (−0.04, 0.24)

1.38

0.17

4.36

22.30

0.36

–

Functional mobility at longest follow-up (4–12 months)

overall

2

159

141

0.30 (− 0.26, 0.86)

1.05

0.29

3.15

68.22

0.08

–

ADL after inpatient rehabilitation

overall

15

1992

1937

0.21 (0.00, 0.42)

2.00

0.04

54.12

86.58

< 0.01

0.01

endurance exercise

4

109

116

0.51 (− 0.34, 1.36)

1.18

0.24

27.68

89.43

< 0.01

–

strengthening exercise

3

71

65

0.30 (−0.05, 0.64)

1.69

0.09

2.06

5.57

0.36

–

energy applied to soft tissue

3

58

56

0.95 (0.23, 1.66)

2.60

0.01

6.51

70.20

0.04

–

repeated practice activities

7

1274

1246

−0.02 (− 0.13, 0.10)

− 0.27

0.78

7.67

30.29

0.26

–

repeated exercise rehabilitation

3

545

542

0.42 (− 0.04, 0.87)

1.80

0.07

7.36

69.94

0.03

–

goals and planning

9

643

613

0.22 (−0.17, 0.61)

1.12

0.26

42.16

90.45

< 0.01

–

feedback and monitoring

7

266

262

0.33 (−0.19, 0.84)

1.24

0.21

36.36

88.02

< 0.01

–

shaping knowledge

4

362

360

−0.13 (− 0.27, 0.02)

−1.73

0.08

3.01

0.00

0.39

–

antecedents

2

762

732

−0.08 (− 0.44, 0.28)

−0.46

0.65

3.04

67.16

0.08

–

increased medical care

4

971

932

0.10 (−0.23, 0.43)

0.60

0.55

9.79

85.43

0.02

–

nutritional intervention

2

891

862

0.06 (−0.03, 0.15)

1.25

0.21

0.09

0.00

0.76

–

early intervention

2

215

200

0.35 (−0.23, 0.93)

1.17

0.24

4.86

79.43

0.03

–

ADL at longest follow-up (1–12 months)

overall

5

649

246

0.04 (−0.31, 0.38)

0.21

0.83

16.44

82.69

< 0.01

–

Improved ADL after inpatient rehabilitation (categorical)

overall

6

1445

1334

0.21 (− 0.07, 0.49)

1.49

0.14

17.85

71.46

< 0.01

–

Improved ADL at longest follow-up (categorical) (12 months)

overall

2

333

293

0.45 (−0.05, 0.96)

1.78

0.08

2.10

52.36

0.15

–

Walking speed after inpatient rehabilitation

overall

5

588

587

0.17 (0.05, 0.28)

2.85

< 0.01

6.16

0.00

0.19

–

strengthening exercise

2

59

56

−0.03 (−0.39, 0.34)

−0.14

0.89

0.09

0.00

0.76

–

repeated exercise rehabilitation

2

509

511

0.53 (−0.34, 1.40)

1.20

0.03

4.80

79.15

0.03

–

Walking endurance after inpatient rehabilitation

overall

6

173

134

1.50 (0.39, 2.60)

2.66

0.01

41.35

94.40

< 0.01

–

endurance exercise

3

110

71

2.44 (0.49, 4.38)

2.46

0.01

24.76

95.56

< 0.01

–

shaping knowledge

2

95

57

1.51 (0.56, 2.46)

3.11

< 0.01

5.97

83.24

0.01

–

early intervention

2

49

51

0.51 (0.12, 0.91)

2.56

0.01

0.04

0.00

0.85

–

Walking endurance Pre/post intervention change

overall

3

69

70

Log OR: 1.23 (0.68, 1.78)

4.36

< 0.01

4.32

54.96

0.12

–

endurance exercise

2

54

56

Log OR: 0.98 (0.59, 1.37)

4.94

< 0.01

0.01

0.00

0.92

–

Lower limb strength after inpatient rehabilitation

overall

5

130

146

0.02 (−0.50, 0.55)

0.09

0.93

32.91

80.26

< 0.01

–

Health related quality of life after inpatient rehabilitation

overall

5

795

788

−0.15 (− 0.37, 0.07)

−1.35

0.18

12.99

60.47

0.04

–

Health related quality of life at longest follow-up (12 months)

overall

2

578

572

0.01 (−0.11, 0.12)

0.12

0.91

0.03

0.00

0.85

–

Health related quality of life pre/post intervention change

overall

2

39

39

Log OR: −0.40 (− 0.84, 0.04)

−1.78

0.07

0.13

0.00

0.72

–

Length of stay (standardised mean difference)

overall

28

3461

3510

MD: −0.54 (−1.32, 0.23)

−1.38

0.17

233.20

88.13

< 0.01

< 0.001

Discharge destination: living at home after inpatient rehabilitation

overall

11

1914

1837

Log OR: 0.47 (0.17, 0.76)

3.07

< 0.01

19.03

45.95

0.04

0.22

repeated practice activities

6

1551

1232

Log OR: 0.49 (0.11, 0.87)

2.50

0.01

13.82

60.41

0.02

–

repeated exercise rehabilitation

2

44

31

Log OR: 0.94 (−0.03, 1.90)

1.91

0.06

0.12

0.00

0.73

–

goals and planning

2

55

25

Log OR: 0.83 (0.21, 1.45)

2.63

0.01

1.20

16.44

0.27

–

antecedents

5

1309

1208

Log OR: 0.20 (−0.25, 0.64)

0.86

0.39

7.99

47.82

0.09

–

increased medical care

8

1768

1683

Log OR: 0.38 (0.04, 0.73)

2.21

0.03

15.47

53.78

0.03

–

early intervention

7

632

647

Log OR: 0.60 (0.20, 1.00)

2.96

< 0.01

8.39

27.45

0.21

–

team meetings and care planning

6

1528

1421

Log OR: 0.42 (−0.04, 0.88)

1.80

0.07

15.46

65.52

0.01

–

discharge planning

6

1656

1580

Log OR: 0.46 (0.09, 0.84)

2.40

0.02

13.59

62.41

0.02

–

nutritional intervention

4

1414

1325

Log OR: 0.32 (−0.27, 0.91)

1.07

0.28

13.96

79.34

< 0.01

–

Discharge destination: living at home at longest follow-up (3–12 months)

overall

2

328

348

Log OR: 0.38 (0.03, 0.74)

2.14

0.03

0.16

0.00

0.69

–

Mortality after inpatient rehabilitation

overall

12

2853

2766

Log OR: −0.09 (− 0.40, 0.23)

−0.55

0.58

12.62

4.24

0.32

0.09

Mortality at longest follow-up (1–12 months)

overall

12

2108

2120

Log OR: −0.12 (− 0.28, 0.05)

− 1.42

0.16

8.29

0.00

0.69

0.49

  1. Abbreviations: CI confidence interval, OR odds ratio, MD mean difference a Hedges g unless stated otherwise † for meta-analysis with at least 10 randomised controlled trials