Digital tools for following up older patients after discharge are feasible and liked, but their effect on readmission remains unproven, systematic review finds

A systematic review of 1,972 identified records narrowed to 46 studies examining technology-based interventions — including video visits, mobile health apps and remote patient monitoring — used to follow up and manage older adults (aged 65 and over) after hospital discharge Synthesis (Sekhon et al.1). Across the included studies, digital post-discharge interventions were reported as feasible, with good patient engagement, adherence and retention, low dropout, and positive patient satisfaction.

However, the review found mixed findings on whether these tools reduce rehospitalisation rates or improve mental health outcomes compared with traditional post-discharge care — feasibility and acceptability are not the same question as clinical effectiveness, and the review does not resolve the latter.

For services considering digital post-discharge follow-up for older patients, the evidence base currently supports piloting on grounds of feasibility and patient acceptability, not yet on a demonstrated reduction in readmission or improved mental health outcomes.