Evidence map›Paper›PMID 23875866›Full record

Trial reportBMC geriatrics2013

One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial: "Continuum of care for frail older people".

Kajsa Eklund, Katarina Wilhelmson, Helena Gustafsson, Sten Landahl, Synneve Dahlin-Ivanoff

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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.

NCT01260493 nacompletednot on this map

Continuum of Care, From the Emergency Ward to Living at Home - Implementation and Evaluation of an Intervention for Frail Elderly People

TypeinterventionalSponsorVardalinstitutet The Swedish Institute for Health SciencesRan2008 to 2011Enrolled181ConditionsFrail Elderly PeopleArmsintegrated health care chain
NCT03682523 nacompletednot on this mapstarted 2022, after this paper: background citation

The Breaking "Bad Rest" Study: Interrupting Sedentary Time to Reverse Frailty Levels in Acute Care

TypeinterventionalSponsorOlga TheouRan2022 to 2023Enrolled50ConditionsSedentary LifestyleArmsSedentary behavior reduction intervention
3 · Its place in the literature

Who cites it

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

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  4. Emergency Department Interventions for Older Adults: A Systematic Review.Journal of the American Geriatrics Society · 2019
    Pooled it
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  6. Predicting risk and outcomes for frail older adults: an umbrella review of frailty screening tools.JBI database of systematic reviews and implementation reports · 2017
    Pooled it
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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

5 authors.

Kajsa Eklund
Katarina Wilhelmson
Helena Gustafsson
Sten Landahl
Synneve Dahlin-Ivanoff

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe intervention; "Continuum of Care for Frail Older People", was designed to create an integrated continuum of care from the hospital emergency department through the hospital and back to the older person's own home. The aim of this study is to evaluate the effects of the intervention on functional ability in terms of activities of daily living (ADL).

methodsThe study is a non-blinded controlled trial with participants randomised to either the intervention group or a control group with follow-ups at three-, six- and 12 months. The intervention involved collaboration between a nurse with geriatric competence at the emergency department, the hospital wards and a multi-professional team for care and rehabilitation of the older people in the municipality with a case manager as the hub. Older people who sought care at the emergency department at Sahlgrenska University Hospital/Mölndal and who were discharged to their own homes in the municipality of Mölndal, Sweden were asked to participate. Inclusion criteria were age 80 and older or 65 to 79 with at least one chronic disease and dependent in at least one ADL. Analyses were made on the basis of the intention-to-treat principle. Outcome measures were ADL independence and eight frailty indicators. These were analysed, using Chi-square and odds ratio (OR).

resultsA total of 161 participated in the study, 76 persons allocated to the control group and 85 to the intervention group were analysed throughout the study. There were no significant differences between the groups with regards to change in frailty compared to baseline at any follow-up. At both the three- and twelve-month follow-ups the intervention group had doubled their odds for improved ADL independence compared to the control (OR 2.37, 95% CI; 1.20 - 4.68) and (2.04, 95% CI; 1.03 - 4.06) respectively. At six months the intervention group had halved their odds for decreased ADL independence (OR 0.52, 95% CI; 0.27 - 0.98) compared to the control group.

conclusionsThe intervention has the potential to reduce dependency in ADLs, a valuable benefit both for the individual and for society.

trial registrationClinicalTrials.gov: NCT01260493.

Indexed as

Activities of Daily LivingFrail ElderlyAgedAged, 80 and overContinuity of Patient CareEmergency Service, HospitalFemaleFollow-Up StudiesGeriatric AssessmentHumansMaleTime FactorsTreatment Outcome

Identifiers

PMID23875866
PMCPMC3750658

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.