Trial reportBMJ (Clinical research ed.)2005
Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04093245 (Supporting the Creation of a LEARNing INteGrated Health System to Mobilize Context-adapted Knowledge With a Wiki Platform to Improve the Transitions of Frail Seniors From From Hospitals and Emergency Departments to the cOMmunity), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Supporting the Creation of a LEARNing INteGrated Health System to Mobilize Context-adapted Knowledge With a Wiki Platform to Improve the Transitions of Frail Seniors From From Hospitals and Emergency Departments to the cOMmunity: Phase II
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comprehensive geriatric assessment for older adults admitted to hospital.The Cochrane database of systematic reviews · 2017Pooled it
- Comprehensive geriatric assessment for older adults admitted to hospital.The Cochrane database of systematic reviews · 2011Pooled it
- Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials.BMJ (Clinical research ed.) · 2010Pooled it
- Intermediate care in nursing home after hospital admission: a randomized controlled trial with one year follow-up.BMC research notes · 2014Trial
- Intermediate care at a community hospital as an alternative to prolonged general hospital care for elderly patients: a randomised controlled trial.BMC public health · 2007Trial
- A cost effectiveness analysis within a randomised controlled trial of post-acute care of older people in a community hospital.BMJ (Clinical research ed.) · 2006Trial
- Predictors of independence in older people: A longitudinal, population-based study using the CARE75 + cohort.BMC geriatrics · 2025Article
- Incidence of short-term community hospital stays and clinical profiles of patients: the Finnish Community Hospital Cohort Study.Scandinavian journal of primary health care · 2024Observational
- 'Localism and intimacy, and… other rather imponderable reasons of that sort': A qualitative study of patient experience of community hospitals in England.Health & social care in the community · 2022Article
- The Contribution of Case Mix, Skill Mix and Care Processes to the Outcomes of Community Hospitals: A Population-Based Observational Study.International journal of integrated care · 2021Article
- Clinical profile of rural community hospital inpatients in Sweden - a register study.Scandinavian journal of primary health care · 2021Article
- Learning Integrated Health System to Mobilize Context-Adapted Knowledge With a Wiki Platform to Improve the Transitions of Frail Seniors From Hospitals and Emergency Departments to the Community (LEARNING WISDOM): Protocol for a Mixed-Methods Implementation Study.JMIR research protocols · 2020Article
- Post-Acute Care as a Key Component in a Healthcare System for Older Adults.Annals of geriatric medicine and research · 2019Review
- [Profile and evolution of chronic complex patients in a subacute unit].Atencion primaria · 2017Article
- New institutionalisation following acute hospital admission: a retrospective cohort study.Age and ageing · 2017Article
- Community Hospitals in Selected High Income Countries: A Scoping Review of Approaches and Models.International journal of integrated care · 2016Article
- Effectiveness of an intermediate care hospital on readmissions, mortality, activities of daily living and use of health care services among hospitalized adults aged 60 years and older--a controlled observational study.BMC health services research · 2015Observational
- The influence of an intermediate care hospital on health care utilization among elderly patients--a retrospective comparative cohort study.BMC health services research · 2015Article
- Intermediate care: policy before evidence.BMJ (Clinical research ed.) · 2005Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the effects on independence in older people needing rehabilitation in a locality based community hospital compared with care on a ward for elderly people in a district general hospital.
designRandomised controlled trial.
settingCare in a community hospital and district general hospital in Bradford, England.
participants220 patients needing rehabilitation after an acute illness that required hospital admission.
interventionsPatients were randomly allocated to a locality based community hospital or to remain within a department for the care of elderly people in a district general hospital.
main outcome measuresPrimary outcomes were Nottingham extended activities of daily living scale and general health questionnaire 28 (carer). Secondary outcomes were activities of daily living (Barthel index), Nottingham health profile, hospital anxiety and depression scale, mortality, destination after discharge, satisfaction with services, carer strain index, and carer's satisfaction with services.
resultsThe median length of stay was 15 days for both the community hospital and the district general hospital groups (interquartile range: community hospital 9-25 days; district general hospital 9-24 days). Independence at six months was greater in the community hospital group (adjusted mean difference 5.30, 95% confidence interval 0.64 to 9.96). Results for the secondary outcome measures, including care satisfaction and measures of carer burden, were similar for both groups.
conclusionsCare in a locality based community hospital is associated with greater independence for older people than care in wards for elderly people in a district general hospital.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.