Evidence map›Paper›PMID 27089927›Full record

Trial reportBMC geriatrics2016

Health and social support services in older adults recently discharged from hospital: service utilisation and costs and exploration of the impact of a home-exercise intervention.

I Farag, K Howard, S O'Rourke, M L Ferreira, S R Lord, J C T Close, C Vogler, C M Dean, R G Cumming, C Sherrington

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Review
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

10 authors.

I FaragThe George Institute for Global Health, Musculoskeletal Division, Sydney Medical School, The University of Sydney, Level 13, 321 Kent Street, Sydney, NSW, 2000, Australia. ifarag@georgeinstitute.org.au.
K HowardInstitute for Choice, University of South Australia, North Sydney, NSW, 2060, Australia.
S O'RourkeThe George Institute for Global Health, Musculoskeletal Division, Sydney Medical School, The University of Sydney, Level 13, 321 Kent Street, Sydney, NSW, 2000, Australia.
M L FerreiraThe George Institute for Global Health, Musculoskeletal Division, Sydney Medical School, The University of Sydney, Level 13, 321 Kent Street, Sydney, NSW, 2000, Australia.
S R LordNeuroscience Research Australia, University of New South Wales, Randwick, NSW, 2031, Australia.
J C T CloseNeuroscience Research Australia, University of New South Wales, Randwick, NSW, 2031, Australia.
C VoglerSydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia.
C M DeanFaculty of Human Sciences, Macquarie University, North Ryde, NSW, 2113, Australia.
R G CummingSydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia.
C SherringtonThe George Institute for Global Health, Musculoskeletal Division, Sydney Medical School, The University of Sydney, Level 13, 321 Kent Street, Sydney, NSW, 2000, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdmission to hospital can lead to persistent deterioration in physical functioning, particularly for the more vulnerable older population. As a result of this physical deterioration, older people who have been recently discharged from hospital may be particularly high users of health and social support services. Quantify usage and costs of services in older adults after hospitalisation and explore the impact of a home-exercise intervention on service usage.

methodThe present study was a secondary analysis of data from a randomised controlled trial (ACTRN12607000563460). The trial involved 340 participants aged 60 years and over with recent hospitalisation. Service use and costs were compared between intervention (12 months of home-exercise prescribed in 10 visits from a physiotherapist) and control groups.

results33 % of participants were re-admitted to hospital, 100 % consulted a General Medical Practitioner and 63 % used social services. 56 % of costs were associated with hospital admission and 22 % with social services. There was reduction in General Medical Practitioner services provided in the home in the intervention group (IRR 0.23, CI 0.1 to 0.545, p < 0.01) but no significant between-group difference in service use or in costs for other service categories.

conclusionThere appears to be substantial hospital and social service use and costs in this population of older people. No significant impact of a home-based exercise program was evident on service use or costs.

trial registrationAustralian and New Zealand Clinical Trial Registry ACTRN12607000563460 >TrialSearch.

Indexed as

AgedAged, 80 and overAustraliaExercise TherapyFemaleHome Care ServicesHospital CostsHospitalizationHumansMaleMiddle AgedNew ZealandPatient Acceptance of Health CarePatient DischargeSocial SupportSocial WorkCostsHospitalisationMobility improvementOlder peopleResource use

Identifiers

PMID27089927
PMCPMC4835837

What OpenQuestion holds

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Registered trials

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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.