Evidence map›Paper›PMID 27146416›Full record

ArticleJournal of comparative effectiveness research2016

Effects of alternative interventions among hospitalized, cognitively impaired older adults.

Mary D Naylor, Karen B Hirschman, Alexandra L Hanlon, Kathryn H Bowles, Christine Bradway, Kathleen M McCauley, Mark V Pauly

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of comparative effectiveness research, 2016. 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT00294307 completednot on this map

Hospital to Home: Cognitively Impaired Elders/Caregivers

TypeobservationalSponsorUniversity of PennsylvaniaRan2006 to 2012Enrolled814ConditionsDementia, Dementia, Vascular, Alzheimer Disease, Delirium, Dementia, Amnestic, Cognitive DisordersArmsAugmented Standard Care (ASC), Resource Nurse Care (RNC), Advanced Practice Nurse Care (APNC)
NCT04384289 nacompletednot on this mapstarted 2017, after this paper: background citation

The Effects of Nurse Led Transitional Care Model on Elderly Patients Undergoing Open Heart Surgery: A Randomized Controlled Trial

TypeinterventionalSponsorAbant Izzet Baysal UniversityRan2017 to 2018Enrolled66ConditionsNursing Care, Quality of Life, Transitional CareArmsNursing care based on the Transitonal Care Model
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Implementation Fidelity of the Transitional Care Model: A Mixed Methods Study.Global implementation research and applications · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Home Health Utilization in Assisted Living Settings.Medical care research and review : MCRR · 2020
    Article
  9. 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

7 authors.

Mary D NaylorNew Courtland Center for Transitions & Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Karen B HirschmanNew Courtland Center for Transitions & Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Alexandra L HanlonNew Courtland Center for Transitions & Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Kathryn H BowlesUniversity of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA.
Christine BradwayUniversity of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA.
Kathleen M McCauleyNew Courtland Center for Transitions & Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Mark V PaulyUniversity of Pennsylvania Wharton School, Philadelphia, PA, USA.

Funding

Hospital to Home: Cognitively Impaired Elders/CaregiversR01AG023116 · NIA · UNIVERSITY OF PENNSYLVANIA · PI NAYLOR, MARY D · 2005 to 2009
$2.3M
NIA NIH HHS R01 AG023116
6 · The paper itself

Abstract

aimCompare within site effects of three interventions designed to enhance outcomes of hospitalized cognitively impaired elders.

methodsProspective, nonrandomized, confirmatory phased study. In Phase I, 183 patients received one of three interventions: augmented standard care (ASC), resource nurse care (RNC) or Transitional Care Model (TCM). In Phase II, 205 patients received the TCM.

resultsTime to first rehospitalization or death was longer for the TCM versus ASC group (p = 0.017). Rates for total all-cause rehospitalizations and days were significantly reduced in the TCM versus ASC group (p < 0.001, both). No differences were observed between RNC versus TCM.

conclusionFindings suggest the TCM is more effective than ASC. However, potential effects of the RNC relative to the TCM warrant further study.

Indexed as

InpatientsAgedCognition DisordersHumansPatient CarePatient ReadmissionProspective Studiescognitive impairmentdementiaevidence-based interventionsrehospitalizations

Identifiers

PMID27146416
PMCPMC4926523

What OpenQuestion holds

Textmetadata
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.