Table 6Clinical evidence profile: enhanced versus standard access to physio- and/or occupational therapy

Quality assessmentNo of patientsEffectQualityImportance
No of studiesDesignRisk of biasInconsistencyIndirectnessImprecisionOther considerationsWeekend accessStandard accessRelative (95% CI)Absolute
STRATA: Older people
Mortality (at discharge)
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessno serious imprecisionnone

0/22

(0%)

0%--

⨁⨁⨁⨁

HIGH

CRITICAL
Mortality (at 3 months)
1randomised trialsserious1no serious inconsistencyno serious indirectnessvery serious2none

3/22

(13.6%)

16%RR 0.85 (0.21 to 3.4)24 fewer per 1000 (from 126 fewer to 384 more)

⨁◯◯◯

VERY LOW

CRITICAL
Adverse events (non-injurious fall)
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessvery serious2none

1/22

(4.5%)

4%RR 1.14 (0.08 to 17.11)6 more per 1000 (from 37 fewer to 644 more)

⨁⨁◯◯

LOW

CRITICAL
Readmission to acute hospital
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessno serious imprecisionnone

0/22

(0%)

0%--

⨁⨁⨁⨁

HIGH

IMPORTANT
Quality of life (change in mobility from baseline) - Better indicated by higher values
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessserious2none2225-MD 2.4 higher (2.75 lower to 7.55 higher)

⨁⨁⨁◯

MODERATE

CRITICAL
STRATA: Stroke
Adverse events - Strata: Stroke
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessvery serious2none

16/96

(16.7%)

12.8%RR 1.31 (0.65 to 2.61)40 more per 1000 (from 45 fewer to 206 more)

⨁⨁◯◯

LOW

CRITICAL
Length of rehabilitation stay (Better indicated by lower values)
1randomised trialsno serious risk of biasno serious inconsistencyno serious indirectnessno serious imprecisionnone0--MD 2.9 lower (17.9 lower to 12.1 higher)

⨁⨁⨁⨁

HIGH

CRITICAL
1

Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias.

2

Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs.

From: Chapter 31, Enhanced inpatient access to physiotherapy and occupational therapy

Cover of Emergency and acute medical care in over 16s: service delivery and organisation
Emergency and acute medical care in over 16s: service delivery and organisation.
NICE Guideline, No. 94.
National Guideline Centre (UK).
Copyright © NICE 2018.

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