Evidence map›Paper›PMID 28093420›Full record

Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2017

Incidence of venous thromboembolism in care homes: a prospective cohort study.

Patricia N Apenteng, Fd Richard Hobbs, Andrea Roalfe, Usman Muhammad, Carl Heneghan, David Fitzmaurice

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. A systematic approach to venous thromboembolism prevention: a focus on UK experience.Research and practice in thrombosis and haemostasis · 2023
    Article
  5. Article
  6. Article
  7. Clinical Characteristics and Risk Factors of Patients with Lung Cancer Complicated with Pulmonary Embolism: A Case Control Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
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

6 authors.

Patricia N ApentengPrimary Care Clinical Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham.
Fd Richard HobbsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Andrea RoalfePrimary Care Clinical Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham.
Usman MuhammadPrimary Care Clinical Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham.
Carl HeneghanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
David FitzmauricePrimary Care Clinical Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham.

Funding

Department of Health IS-SPC-0514-10043Medical Research Council G9900264
6 · The paper itself

Abstract

backgroundCare home residents have venous thromboembolism (VTE) risk profiles similar to medical inpatients; however, the epidemiology of VTE in care homes is unclear.

aimTo determine the incidence of VTE in care homes. DESIGN AND

settingObservational cohort study of 45 care homes in Birmingham and Oxford, UK.

methodA consecutive sample of care home residents was enrolled and followed up for 12 months. Data were collected via case note reviews of care home and GP records; mortality information was supplemented with Health and Social Care Information Centre (now called NHS Digital) cause of death data. All potential VTE events were adjudicated by an independent committee according to three measures of diagnostic certainty: definite VTE (radiological evidence), probable VTE (high clinical indication but no radiological evidence), or possible VTE (VTE cannot be ruled out). (Study registration number: ISTCTN80889792.)

resultsThere were 1011 participants enrolled, and the mean follow-up period was 312 days (standard deviation 98 days). The incidence rate was 0.71 per 100 person years of observation (95% confidence interval [CI] = 0.26 to 1.54) for definite VTE, 0.83 per 100 person years (95% CI = 0.33 to 1.70) for definite and probable VTE, and 2.48 per 100 person years (95% CI = 1.53 to 3.79) for definite, probable, and possible VTE.

conclusionThe incidence of VTE in care homes in this study (0.71-2.48 per 100 person years) is substantial compared with that in the community (0.117 per 100 person years) and in people aged ≥70 years (0.44 per 100 person years). Further research regarding risk stratification and VTE prophylaxis in this population is needed.

Indexed as

Nursing HomesPrimary PreventionAgedAged, 80 and overAnticoagulantsComorbidityFemaleFollow-Up StudiesHumansIncidenceLong-Term CareMaleProspective StudiesRisk FactorsStockings, CompressionVenous ThromboembolismAnticoagulantscare home residentsdeep vein thrombosisnursing home residentspulmonary embolismvenous thromboembolismVTE incidence

Identifiers

PMID28093420
PMCPMC5308119

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.