Evidence map›Paper›PMID 27059831›Full record

ArticleJournal of the American Geriatrics Society2016

Geriatric Syndromes in Hospitalized Older Adults Discharged to Skilled Nursing Facilities.

Susan P Bell, Eduard E Vasilevskis, Avantika A Saraf, J M L Jacobsen, Sunil Kripalani, Amanda S Mixon, John F Schnelle, Sandra F Simmons

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
25.0field-weighted citation impact, top 1% of its field
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

43 citing papers in PubMed, 108 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. A 'COMMON SENSE' approach to geriatric patients in clinical practice.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Susan P BellCenter for Quality Aging, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
Eduard E VasilevskisCenter for Quality Aging, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
Avantika A SarafCenter for Quality Aging, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
J M L JacobsenCenter for Quality Aging, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
Sunil KripalaniCenter for Quality Aging, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
Amanda S MixonSection of Hospital Medicine, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
John F SchnelleCenter for Quality Aging, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
Sandra F SimmonsCenter for Quality Aging, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, Tennessee.
Vanderbilt Health · USGeriatric Research Education and Clinical Center · USVanderbilt Psychiatric Hospital · USVA Tennessee Valley Healthcare System · US

Funding

Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Predicting Acute Brain Dysfunction in Older Patients: A Quality Improvement ToolK23AG040157 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI VASILEVSKIS, EDUARD E · 2011 to 2015
$609k
Longitudinal Hemodynamic and Vascular Changes associated with FrailtyK23AG048347 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BELL, SUSAN POTTER · 2015 to 2016
$345k
NIA NIH HHS K23 AG040157NIA NIH HHS K23AG040157NIA NIH HHS K23 AG048347NICHD NIH HHS 2K12HD043483-11NICHD NIH HHS K12 HD043483PHS HHS 1C1CMS331006-01-00
6 · The paper itself

Abstract

objectivesTo determine the prevalence, recognition, co-occurrence, and recent onset of geriatric syndromes in individuals transferred from the hospital to a skilled nursing facility (SNF).

designQuality improvement project.

settingAcute care academic medical center and 23 regional partner SNFs.

participantsMedicare beneficiaries hospitalized between January 2013 and April 2014 and referred to SNFs (N = 686). MEASUREMENTS: Project staff measured nine geriatric syndromes: weight loss, lack of appetite, incontinence, and pain (standardized interview); depression (Geriatric Depression Scale); delirium (Brief Confusion Assessment Method); cognitive impairment (Brief Interview for Mental Status); and falls and pressure ulcers (hospital medical record using hospital-implemented screening tools). Estimated prevalence, new-onset prevalence, and common coexisting clusters were determined. The extent to which treating physicians commonly recognized syndromes and communicated them to SNFs in hospital discharge documentation was evaluated.

resultsGeriatric syndromes were prevalent in more than 90% of hospitalized adults referred to SNFs; 55% met criteria for three or more coexisting syndromes. The most-prevalent syndromes were falls (39%), incontinence (39%), loss of appetite (37%), and weight loss (33%). In individuals who met criteria for three or more syndromes, the most common triad clusters were nutritional syndromes (weight loss, loss of appetite), incontinence, and depression. Treating hospital physicians commonly did not recognize and document geriatric syndromes in discharge summaries, missing 33% to 95% of syndromes present according to research personnel.

conclusionGeriatric syndromes in hospitalized older adults transferred to SNFs are prevalent and commonly coexist, with the most frequent clusters including nutritional syndromes, depression, and incontinence. Despite the high prevalence, this clinical information is rarely communicated to SNFs on discharge.

Indexed as

Geriatric AssessmentSkilled Nursing FacilitiesAgedAged, 80 and overFemaleHealth Status IndicatorsHumansMaleMedicarePatient DischargePrevalenceQuality ImprovementQuality Indicators, Health CareSyndromeUnited Statescare transitionsgeriatric syndromesolder adultsskilled nursing facility

Identifiers

PMID27059831
PMCPMC4840035
OpenAlexW2315145097

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.