Evidence map›Paper›PMID 16267077›Full record

Trial reportBMJ (Clinical research ed.)2005

Transitional care facility for elderly people in hospital awaiting a long term care bed: randomised controlled trial.

Maria Crotty, Craig H Whitehead, Rachel Wundke, Lynne C Giles, David Ben-Tovim, Paddy A Phillips

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

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. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Effectiveness of intermediate care in nursing-led in-patient units.The Cochrane database of systematic reviews · 2007
    Pooled it
  6. Customized Birthweight Standard for the Population in the Republic of Kazakhstan.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Family meetings for older adults in intermediate care settings: the impact of patient cognitive impairment and other characteristics on shared decision making.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  11. Improved outcomes for elderly patients who received care on a transitional care unit.Canadian family physician Medecin de famille canadien · 2014
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Intermediate care for older people in the U.K.Clinical medicine (London, England) · 2010
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Maria CrottyDepartment of Rehabilitation and Aged Care, Flinders University, Repatriation General Hospital, Daw Park SA 5041, Australia. maria.crotty@flinders.edu.au
Craig H Whitehead
Rachel Wundke
Lynne C Giles
David Ben-Tovim
Paddy A Phillips

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effectiveness of moving patients who are waiting in hospital for a long term care bed to an off-site transitional care facility.

designRandomised controlled trial.

settingThree public hospitals in Southern Adelaide.

participants320 elderly patients (mean age 83 years) in acute hospital beds (212 randomised to intervention, 108 to control).

interventionsA transitional care facility where all patients received a single assessment from a specialist elder care team and appropriate ongoing therapy.

main outcome measuresLength of stay in hospital, rates of readmission, deaths, and patient's functional level (modified Barthel index), quality of life (assessment of quality of life), and care needs (residential care scale) at four months.

resultsFrom admission, those in the intervention group stayed a median of 32.5 days (95% confidence interval 29 to 36 days) in hospital. In the control group the median length of stay was 43.5 days (41 to 51 days) (95% confidence interval for difference 6 to 16 days). Patients in the intervention group took a median of 21 days (6 to 27 days) longer to be admitted to permanent care than those in the control group. In both groups few patients went home (14 (7%) in the intervention group v 9 (9%) in the control group). There were no significant differences in death rates (28% v 27%) or rates of transfer back to hospital (28% v 25%).

conclusionsFor frail elderly patients who are awaiting a residential care bed transfer out of hospital to an off-site transitional care unit with focus on aged care "unblocks beds" without adverse effects.

Indexed as

Aged, 80 and overFemaleFollow-Up StudiesHomes for the AgedHospitalizationHospitals, PublicHumansLong-Term CareMaleNursing HomesPatient TransferSouth Australia

Identifiers

PMID16267077
PMCPMC1283272

What OpenQuestion holds

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Registered trials

None linked

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.