ArticleClinical medicine (London, England)2016
Appropriateness of unscheduled hospital admissions from care homes.
Article in Clinical medicine (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Appropriateness of transferring nursing home residents to emergency departments: a systematic review.BMC geriatrics · 2019Pooled it
- Effects of an interprofessional care concept in nursing homes evaluated in the SaarPHIR project: A cluster-randomized controlled trial.PloS one · 2025Trial
- Cluster randomised trial of a complex interprofessional intervention (interprof ACT) to reduce hospital admission of nursing home residents.Age and ageing · 2023Trial
- Avoidable emergency department admissions among nursing home residents - insights from a retrospective study.European geriatric medicine · 2026Article
- Use of a digital application to enhance communication and triage between care homes and national health service community services in the United Kingdom: a qualitative evaluation.BMC geriatrics · 2025Article
- Which acute deterioration tools are used in long-term care facilities and how have they been evaluated? A scoping review.BMC health services research · 2025Article
- Care home quality and 'inappropriate' emergency healthcare use-failing to engage with complexity.Age and ageing · 2025Article
- Efficacy of home healthcare on the management of tracheostomy patients.Saudi medical journal · 2024Article
- Hospital admissions and emergency department visits for people with dementia.QJM : monthly journal of the Association of Physicians · 2024Article
- Article
- 'Weighing up risks': a model of care home staff decision-making about potential resident hospital transfers.Age and ageing · 2022Article
- Implementation of the National Early Warning Score in UK care homes: a qualitative evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- How Do German General Practitioners Assess Medical Specialist Care Needs of Nursing Home Residents? Results of a Postal Survey in North-Western Germany.International journal of environmental research and public health · 2020Article
- Paramedics' Perspectives on the Hospital Transfers of Nursing Home Residents-A Qualitative Focus Group Study.International journal of environmental research and public health · 2020Article
- Perspectives of general practitioners and nursing staff on acute hospital transfers of nursing home residents in Germany: results of two cross-sectional studies.BMC family practice · 2020Article
- Distribution of the National Early Warning Score (NEWS) in care home residents.Age and ageing · 2019Article
- Effect on secondary care of providing enhanced support to residential and nursing home residents: a subgroup analysis of a retrospective matched cohort study.BMJ quality & safety · 2019Article
- Family perceptions of care at the end of life in UK nursing care homes.Journal of research in nursing : JRN · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Unscheduled hospital admissions from care homes are common and potentially avoidable but little guidance is available as to what constitutes an appropriate hospital admission. We surveyed healthcare professionals' opinions on a range of common scenarios affecting care-home residents. We developed seven clinical vignettes and an accompanying questionnaire. We used purposive sampling to obtain opinions from relevant primary care and secondary care teams. We asked assessors to comment on whether they would favour hospital admission and to justify their response using pre-selected options and/or free text. Admission to hospital was judged inappropriate in 54.6% of responses. Opinion on admission varied according to the case, with fewer than half of respondents agreeing for three of the seven cases. Recurring themes were uncertainty around services available to care homes and anticipatory care planning. The lack of consensus suggests that concepts surrounding inappropriate care-home admission are not shared by staff who provide care for this patient group.
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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.