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National Guideline Centre (UK). Emergency and acute medical care in over 16s: service delivery and organisation. London: National Institute for Health and Care Excellence (NICE); 2018 Mar. (NICE Guideline, No. 94.)
Emergency and acute medical care in over 16s: service delivery and organisation.
Show detailsTable 7Clinical evidence summary: Pharmacist at discharge compared to no ward-based pharmacist
| Outcomes | No of Participants (studies) Follow up | Quality of the evidence (GRADE) | Relative effect (95% CI) | Anticipated absolute effects | |
|---|---|---|---|---|---|
| Risk with no ward-pharmacist | Risk difference with pharmacist at discharge (95% CI) | ||||
|
Quality of life Global health index |
204 (1 study) 6 months |
⊕⊝⊝⊝ due to risk of bias, imprecision |
The mean quality of life in the control groups was 2.77 |
The mean quality of life in the intervention groups was 0.23 higher (0.02 lower to 0.48 higher) | |
|
Quality of life Summated EQ-5D index |
204 (1 study) 6 months |
⊕⊕⊝⊝ LOWa due to risk of bias |
The mean quality of life in the control groups was 0.43 |
The mean quality of life in the intervention groups was 0.05 higher (0.05 lower to 0.15 higher) | |
|
Quality of life EQ-VAS index. Scale from: 0 to 100. |
204 (1 study) 6 months |
⊕⊕⊝⊝ LOWa due to risk of bias |
The mean quality of life in the control groups was 56.3 |
The mean quality of life in the intervention groups was 2.8 higher (1.83 lower to 7.43 higher) | |
| Prescription errors identification at outpatient follow-up |
85 (1 study) 6 weeks |
⊕⊝⊝⊝ due to risk of bias, imprecision | RR 0.57 (0.37 to 0.88) | 682 per 1000 |
293 fewer per 1000 (from 82 fewer to 430 fewer) |
| Readmission |
83 (1 study) 15-22 days |
⊕⊕⊝⊝ due to risk of bias, imprecision | RR 0.36 (0.14 to 0.91) | 325 per 1000 |
208 fewer per 1000 (from 29 fewer to 279 fewer) |
| Prescriber errors (drug therapy inconsistencies and omissions) |
147 (1 study) at discharge |
⊕⊕⊕⊝ MODERATEa due to risk of bias | RR 0.06 (0.01 to 0.44) | 563 per 1000 |
529 fewer per 1000 (from 315 fewer to 557 fewer) |
- (a)
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.
- (b)
Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs.
- Table 7, Clinical evidence summary: Pharmacist at discharge compared to no ward-...Table 7, Clinical evidence summary: Pharmacist at discharge compared to no ward-based pharmacist - Emergency and acute medical care in over 16s: service delivery and organisation
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