SynthesisJournal of the American Geriatrics Society2012
Effectiveness of acute geriatric unit care using acute care for elders components: a systematic review and meta-analysis.
Synthesis in Journal of the American Geriatrics Society, 2012. 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 114 papers, 14 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
114 citing papers in PubMed, 14 syntheses or guidelines pooled it.
- Outcomes of emergency department observation units for geriatric assessment: a systematic review and meta-analysis.Singapore medical journal · 2026Pooled it
- Optimizing efficiency in the acute care chain: a systematic review on the implementation and impact of interdisciplinary short-term monitoring in acute care units.Internal and emergency medicine · 2026Pooled it
- Clinical Practice Guideline: Comprehensive Geriatric Assessment in the Hospital.Deutsches Arzteblatt international · 2025Guideline
- Age-Friendly Healthcare: An Evolutionary Concept Analysis.Journal of clinical nursing · 2024Pooled it
- Acute care models for older people living with frailty: a systematic review and taxonomy.BMC geriatrics · 2023Pooled it
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- Prevalence of Hospital-Associated Disability in Older Adults: A Meta-analysis.Journal of the American Medical Directors Association · 2020Pooled it
- Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Quality indicators for in-hospital geriatric co-management programmes: a systematic literature review and international Delphi study.BMJ open · 2018Pooled it
- Pooled it
- Pooled it
- Frequencies and reasons for unplanned emergency department return visits by older adults: a cohort study.BMC geriatrics · 2023Trial
- CHERISH (collaboration for hospitalised elders reducing the impact of stays in hospital): protocol for a multi-site improvement program to reduce geriatric syndromes in older inpatients.BMC geriatrics · 2017Trial
- Trial
- Trial
- Specialist geriatric medical assessment for patients discharged from hospital acute assessment units: randomised controlled trial.BMJ (Clinical research ed.) · 2013Trial
- Integrating frailty and acute illness severity scoring for risk stratification in acute geriatric care: Review and practical guide.World journal of critical care medicine · 2026Review
54 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo compare the effectiveness of acute geriatric unit care, based on all or part of the Acute Care for Elders (ACE) model and introduced in the acute phase of illness or injury, with that of usual care.
designSystematic review and meta-analysis of 13 randomized controlled and quasi-experimental trials with parallel comparison groups retrieved from multiple sources.
settingAcute care geriatric and nongeriatric hospital units.
participantsAcutely ill or injured adults (N = 6,839) with an average age of 81.
interventionsAcute geriatric unit care characterized by one or more ACE components: patient-centered care, frequent medical review, early rehabilitation, early discharge planning, prepared environment. MEASUREMENTS: Falls, pressure ulcers, delirium, functional decline at discharge from baseline 2-week prehospital and hospital admission statuses, length of hospital stay, discharge destination (home or nursing home), mortality, costs, and hospital readmissions.
resultsAcute geriatric unit care was associated with fewer falls (risk ratio (RR) = 0.51, 95% confidence interval (CI) = 0.29-0.88), less delirium (RR = 0.73, 95% CI = 0.61-0.88), less functional decline at discharge from baseline 2-week prehospital admission status (RR = 0.87, 95% CI = 0.78-0.97), shorter length of hospital stay (weighted mean difference (WMD) = -0.61, 95% CI = -1.16 to -0.05), fewer discharges to a nursing home (RR = 0.82, 95% CI = 0.68-0.99), lower costs (WMD = -$245.80, 95% CI = -$446.23 to -$45.38), and more discharges to home (RR = 1.05, 95% CI = 1.01-1.10). A nonsignificant trend toward fewer pressure ulcers was observed. No differences were found in functional decline between baseline hospital admission status and discharge, mortality, or hospital readmissions.
conclusionAcute geriatric unit care, based on all or part of the ACE model and introduced during the acute phase of older adults' illness or injury, improves patient- and system-level outcomes.
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Registered trials
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.