Evidence map›Paper›PMID 23581914›Full record

SynthesisJournal of the American Geriatrics Society2013

Infection prevention in long-term care: a systematic review of randomized and nonrandomized trials.

Mayuko Uchida, Monika Pogorzelska-Maziarz, Philip W Smith, Elaine Larson

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. The relationship between emergency department crowding and patient outcomes: a systematic review.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2014
    Pooled it
  4. Bone Density and Fractures in HIV-infected Postmenopausal Women: A Systematic Review.The Journal of the Association of Nurses in AIDS Care : JANAC
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Severe aspiration pneumonia in the elderly.Journal of intensive medicine · 2024
    Review
  10. Article
  11. The situation of infection in the elderly in Spain: a multidisciplinary opinion document.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2020
    Article
  12. Article
  13. Review
  14. Family Experiences and Perspectives on Infection Prevention in Pediatric Long-Term Care.Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
    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

4 authors.

Mayuko UchidaCenter for Health Policy, School of Nursing, Columbia University, New York, NY 10032, USA. mu2188@columbia.edu
Monika Pogorzelska-Maziarz
Philip W Smith
Elaine Larson

Funding

Prevention of Nosocomial Infections and Cost-Effectiveness Refined (P-NICER)R01NR010107 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI STONE, PATRICIA W. · 2007 to 2012
$3.2M
Training in Interdisciplinary Research to Prevent Infections (TIRI)T32NR013454 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LARSON, ELAINE LUCILLE, SAIMAN, LISA · 2012 to 2017
$1.4M
Training in Interdisciplinary Research to Reduce Antimicrobial Resistance (TIRAR)T90NR010824 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LARSON, ELAINE LUCILLE · 2007 to 2011
$1.0M
Comparative and Cost Effectiveness Analyses of HAI Reduction in Nursing HomesF31NR013810 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI UCHIDA-NAKAKOJI, MAYUKO · 2012 to 2013
$57k
NINR NIH HHS F31 NR013810NINR NIH HHS R01 NR010107NINR NIH HHS R01NR010107NINR NIH HHS T32 NR013454NINR NIH HHS T90 NR010824
6 · The paper itself

Abstract

The purpose of this systematic review was to critically review and synthesize current evidence and the methodological quality of nonpharmacological infection-prevention interventions in long-term care (LTC) facilities for older adults. Two reviewers searched three electronic databases for studies published over the last decade assessing randomized and nonrandomized trials designed to reduce infections in older adults in which primary outcomes were infection rates and reductions of risk factors related to infections. To establish clarity and standardized reporting of findings, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist was used. Data extracted included study design, sample size, type and duration of interventions, outcome measures reported, and findings. Two reviewers independently assessed study quality using a validated quality assessment tool. Twenty-four articles met inclusion criteria; the majority were randomized control trials (67%) in which the primary purpose was to reduce pneumonia (66%). Thirteen (54%) studies reported statistically significant results in favor of interventions on at least one of their outcome measures. The methodological clarity of available evidence was limited, placing them at potential risk of bias. Gaps and inconsistencies surrounding interventions in LTC are evident. Future interventional studies need to enhance methodological rigor using clearly defined outcome measures and standardized reporting of findings.

Indexed as

AgedAged, 80 and overAnti-Bacterial AgentsCross InfectionFemaleGeriatric AssessmentHealth EducationHealth PromotionHealth StatusHumansInfection ControlMaleMiddle AgedPatient Care TeamPneumoniaRisk FactorsAnti-Bacterial Agents

Identifiers

PMID23581914
PMCPMC3627497

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.