Evidence map›Paper›PMID 21879368›Full record

Trial reportJournal of general internal medicine2012

Geriatric syndromes in older homeless adults.

Rebecca T Brown, Dan K Kiely, Monica Bharel, Susan L Mitchell

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 8 pooled it
15.3field-weighted citation impact, top 1% of its field
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

126 citing papers in PubMed, 8 syntheses or guidelines pooled it, 256 citations in OpenAlex.

  1. Pooled it
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  7. A quantitative review of cognitive functioning in homeless adults.The Journal of nervous and mental disease · 2015
    Pooled it
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66 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Rebecca T BrownDivision of Gerontology of Beth Israel Deaconess Medical Center, Boston, MA 02131, USA. rebeccabrown@hsl.harvard.edu
Dan K Kiely
Monica Bharel
Susan L Mitchell
Hebrew SeniorLife · USBeth Israel Deaconess Medical Center · USMassachusetts General Hospital · US

Funding

VITAMIN D NUTRITION IN THE INSTITUTIONALIZED ELDERLYP01AG004390 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 1985 to 2008
$13.2M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG033640 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI MITCHELL, SUSAN L · 2009 to 2018
$1.8M
NIA NIH HHS AG004390NIA NIH HHS K24 AG033640NIA NIH HHS P01 AG004390NIA NIH HHS T32 AG023480
6 · The paper itself

Abstract

backgroundThe average age of the US homeless population is increasing. Little is known about the prevalence of geriatric syndromes in older homeless adults.

objectiveTo determine the prevalence of common geriatric syndromes in a sample of older homeless adults, and to compare these prevalences to those reported in the general older population.

designCross-sectional.

participantsTwo hundred and forty-seven homeless adults aged 50-69 recruited from eight homeless shelters in Boston, MA. MAIN MEASURES: Interviews and examinations for geriatric syndromes, including functional impairment, cognitive impairment, frailty, depression, hearing impairment, visual impairment, and urinary incontinence. The prevalences of these syndromes in the homeless cohort were compared to those reported in three population-based cohorts. KEY

resultsThe mean age of the homeless cohort was 56.0 years, and 19.8% were women. Thirty percent of subjects reported difficulty performing at least one activity of daily living, and 53.2% fell in the prior year. Cognitive impairment, defined as a Mini-Mental State Examination score <24, was present in 24.3% of participants; impaired executive function, defined as a Trail Making Test Part B duration >1.5 standard deviations above population-based norms, was present in 28.3% of participants. Sixteen percent of subjects met criteria for frailty, and 39.8% had major depression, defined as a score ≥10 on the Patient Health Questionnaire 9. Self-reported hearing and visual impairment was present among 29.7% and 30.0% of subjects, respectively. Urinary incontinence was reported by 49.8% of subjects. After multivariate adjustment for demographic characteristics, homeless adults were more likely to have functional impairment, frailty, depression, visual impairment and urinary incontinence compared to three population-based cohorts of older persons.

conclusionsGeriatric syndromes that are potentially amenable to treatment are common in older homeless adults, and are experienced at higher rates than in the general older population.

Indexed as

Activities of Daily LivingAgedAged, 80 and overAge FactorsCohort StudiesCross-Sectional StudiesDepressionFemaleFrail ElderlyGeriatric AssessmentHumansIll-Housed PersonsMaleMiddle AgedRisk FactorsUrinary Incontinence

Identifiers

PMID21879368
PMCPMC3250555
OpenAlexW2021599942

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.