Evidence map›Paper›PMID 22665834›Full record

Trial reportHealth affairs (Project Hope)2012

Acute care for elders units produced shorter hospital stays at lower cost while maintaining patients' functional status.

Deborah E Barnes, Robert M Palmer, Denise M Kresevic, Richard H Fortinsky, Jerome Kowal, Mary-Margaret Chren, C Seth Landefeld

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Health affairs (Project Hope), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 7 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

41 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Exercise for acutely hospitalised older medical patients.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Comprehensive geriatric assessment for older adults admitted to hospital.The Cochrane database of systematic reviews · 2017
    Pooled it
  7. Pooled it
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Hospital to Home: Supporting the Transition From Hospital to Home for Older Adults.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2022
    Article
  14. Article
  15. The current landscape of Acute Care for Elders units in the United States.Journal of the American Geriatrics Society · 2022
    Article
  16. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Review
  17. Article
  18. Article
  19. Optimizing care for critically ill older adults.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Review
  20. Comprehensive Geriatric Assessment and Clinical Outcomes in the Older People at the Emergency Department.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Deborah E Barnespsychiatry at the University of California, San Francisco (UCSF), CA, USA. deborah.barnes@ucsf.edu
Robert M Palmer
Denise M Kresevic
Richard H Fortinsky
Jerome Kowal
Mary-Margaret Chren
C Seth Landefeld

Funding

Patient-Oriented Research in Skin DiseasesK24AR052667 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHREN, MARY-MARGARET · 2005 to 2014
$1.8M
Risk Indices for Disability among Hospitalized Older PersonsR01AG029233 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LANDEFELD, C. SETH · 2006 to 2008
$1.0M
PREVENTING FUNCTIONAL DECLINE OF HOSPITALIZED OLDER PATIENTSP60AG010418 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI ANETZBERGER, G J · 1993 to 1997
–
NIAMS NIH HHS K24 AR052667NIA NIH HHS AG10418NIA NIH HHS R01 AG029233
6 · The paper itself

Abstract

Acute Care for Elders Units offer enhanced care for older adults in specially designed hospital units. The care is delivered by interdisciplinary teams, which can include geriatricians, advanced practice nurses, social workers, pharmacists, and physical therapists. In a randomized controlled trial of 1,632 elderly patients, length-of-stay was significantly shorter-6.7 days per patient versus 7.3 days per patient-among those receiving care in the Acute Care for Elders Unit compared to usual care. This difference produced lower total inpatient costs-$9,477 per patient versus $10,451 per patient-while maintaining patients' functional abilities and not increasing hospital readmission rates. The practices of Acute Care for Elders Units, and the principles they embody, can provide hospitals with effective strategies for lowering costs while preserving quality of care for hospitalized elders.

Indexed as

Activities of Daily LivingHospital DepartmentsLength of StayAcute DiseaseAgedAged, 80 and overCosts and Cost AnalysisFemaleHealth Services for the AgedHumansMale

Identifiers

PMID22665834
PMCPMC3870859

What OpenQuestion holds

Textmetadata
LicenceTDM
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.