| Objectives To systematic review the effectiveness of transitional care for children patients in China;to summarize the variety of disease,the situation of transitional care intervention,the number of research,and regional distribution,and regional distribution,to analyze the gaps of Chinese transitional care for children patients in organization and implementation,and to provide theoretical evidence for standardized transitional care mode for children patients in Chia.Methods Randomized controlled trials(RCTs),clinical controlled trials(CCTs)and cross-over studies about the clinical effects of transitional care of children in China were searched in The Cochrane Library,JBI Library,EBSCO,Pub Med,Elsevier,CBM,CNKI,VIP and Wan Fang Data from inception to December 2016.Two reviewers independently screened literature,extracted data and assessed the risk of bias of included studies.Then meta-analysis was performed using Rev Man 5.3 software.Results 1.Two hundred and thirty-three articles were found after through system comprehensive literature retrieval.There were two hundred and twenty articles during 2007-2016,accounting for 94.42% of the nearly 10 years’ articles.There were twenty_eight kinds of disease,such as asthmatic,the growth and development of premature infant,nephrotic syndrome,cerebral palsy,etc.2.Thirty-five studies were included in this systematic review.Fifteen studies were about premature infants(ten RCTs and five CCTs)and twenty were about asthmatic(eighteen RCTs and two CCTs).The total number of three thousand and three hundred and five,there were twenty-three articles in more than six moths of transitional care intervention.3.Transitional care for premature infants:(1)The growth and development of premature infant:six moths:WMD=0.73,95%CI(0.58,0.88),P<0.00001;twelve moths:WMD=0.32,95%CI(0.18,0.45),P<0.00001.(2)intelligence development:development quotient(DQ)at six month,WMD=7.61,95%CI(6.98,8.25),P<0.00001;(3)Readmission:OR=0.2,95%CI(0.11,0.35),P<0.00001;(4)Prevalence:OR=0.19,95%CI(0.12,0.28),P<0.00001;(5)Breast feeding reat:OR=19.21,95%CI(3.59,102.72),P=0.0006.4.Transitional care for asthmatic:(1)Pulmonary function(FEV1%):six moths:WMD=1.16,95%CI(-0.12,2.53),P=0.1;one year:WMD=1.77,95%CI(0.82,2.71),P=0.0003;(2)Asthma control level:WMD=4.07,95%CI(3.19,4.94),P<0.00001,OR=6.07,95%CI(2.23,16.52),P=0.0004;(3)Quality of life:SGRQ :WMD=-15.28,95%CI(-16.61,-13.94),P<0.00001;PQLAQ :WMD=7.45,95%CI(6.00,8.89),P<0.00001.Conclusions 1.Transitional care has been paid extensive attention in children.The number of relative studies has increased obviously since 2011.There are 28 kids of disease,most of chronic diseases;2.More research is premature infant,asthmatic at present;3.Transitional care model could promote physical growth and intelligent development for premature infants,reduce the readmission and prevalence,increase the rate of breast feeding.4.For asthmatic children,transitional care could alleviate the impact of the disease in children’s lives,to improve the quality of life,to reduce the burden of family and society;5.There is not a system process of transitional care,intervention evaluation is not unified,compared with the developed countries remain to be improved in intervention model;We should be combined with national conditions and situation in our country,and develop transitional care model to children. |
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