Tobiano G, Chaboyer W, Turner K, Eskes A M, Patel B, Colquhoun J, Ferronato L, Gillespie B M
NHMRC Centre of Research Excellence in Wiser Wound Care, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, QLD Australia 4222.
Gold Coast University Hospital, Gold Coast Hospital & Health Service, 1 Hospital Blvd, Southport, QLD 4215, Australia.
Int J Nurs Stud Adv. 2025 Apr 8;8:100328. doi: 10.1016/j.ijnsa.2025.100328. eCollection 2025 Jun.
The few reviews available on surgical transitional care interventions focus on intervention effectiveness on readmissions, showing that transitional care interventions may reduce readmissions. More detailed guidance is needed for clinicians and researchers to adapt and implement these interventions and evaluate their effect.
To identify, synthesise and map the evidence on surgical transitional care intervention components and surgical patient outcomes.
Scoping review.
Medline, CINAHL and EMBASE were searched, followed by backward and forward citation searching. Two researchers independently screened titles and abstracts, and then full-texts. Data were extracted about study and intervention characteristics by one researcher, and checked for accuracy by a second researcher. To summarise the data, intervention components and outcome measures were categorised according to an existing list of transitional care intervention components and a core outcome set for perioperative patients, which were presented as tables, figures, and text.
Of 5176 articles found, 30 studies were included. Most studies focussed on cardiothoracic, general and orthopaedic surgery, and were primarily conducted in Asia and North America. Outcomes frequently measured were hospital readmissions, followed by health-related quality of life. Pre-discharge assessment, education and discharge planning, post-discharge telephone calls, and caregiver involvement were the most common intervention components. Generally, they demonstrated positive outcomes for hospital readmission and patient satisfaction.
There is large focus on re-admission as an outcome measure, presenting an opportunity to explore a broader range of patient-centred and transition specific outcome measures. While common transitional care intervention components were uncovered, the evidence-base for each individual component is unclear. Gaps were found in surgical populations and settings, with most transitional care interventions focussing on cardiothoracic surgery across a limited geographic context, highlighting the opportunity to build the evidence-base for surgical transitional care interventions across a range of contexts.
The Open Science Framework (https://osf.io/kf2v7/).
现有的关于外科过渡护理干预的少数综述聚焦于干预对再入院率的有效性，表明过渡护理干预可能降低再入院率。临床医生和研究人员需要更详细的指导，以调整和实施这些干预措施并评估其效果。
识别、综合并梳理关于外科过渡护理干预组成部分和外科患者结局的证据。
范围综述。
检索了Medline、CINAHL和EMBASE数据库，随后进行了前后向引文检索。两名研究人员独立筛选标题和摘要，然后筛选全文。由一名研究人员提取有关研究和干预特征的数据，并由另一名研究人员检查准确性。为总结数据，根据现有的过渡护理干预组成部分列表和围手术期患者的核心结局集，对干预组成部分和结局指标进行分类，并以表格、图表和文本形式呈现。
在检索到的5176篇文章中，纳入了30项研究。大多数研究集中于心胸外科、普通外科和骨科手术，主要在亚洲和北美进行。经常测量的结局是医院再入院率，其次是与健康相关的生活质量。出院前评估、教育和出院计划、出院后电话随访以及照顾者参与是最常见的干预组成部分。总体而言，它们在医院再入院率和患者满意度方面显示出积极结果。
作为结局指标，再入院受到了大量关注，这为探索更广泛的以患者为中心且针对过渡阶段的结局指标提供了机会。虽然发现了常见的过渡护理干预组成部分，但每个组成部分的证据基础尚不清楚。在外科人群和环境方面存在差距，大多数过渡护理干预集中在有限地理范围内的心胸外科手术，这凸显了在一系列环境中建立外科过渡护理干预证据基础的机会。
开放科学框架（https://osf.io/kf2v7/）
