SynthesisAge and ageing2017
Predicting discharge to institutional long-term care following acute hospitalisation: a systematic review and meta-analysis.
Synthesis in Age and ageing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled 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.
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
25 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Determining six-month prognosis among people with dementia living in care homes: a systematic review of prognostic tools.Age and ageing · 2026Pooled it
- Challenges to Systems of Long-Term Care: Mapping of the Central Concepts from an Umbrella Review.International journal of environmental research and public health · 2023Pooled it
- The impact of facility-based transitional care programs on function and discharge destination for older adults with cognitive impairment: a systematic review.BMC geriatrics · 2022Pooled it
- Predicting the need for supportive services after discharged from hospital: a systematic review.BMC health services research · 2020Pooled it
- Utility of Functional Metrics Assessed During Acute Care on Hospital Outcomes: A Systematic Review.PM & R : the journal of injury, function, and rehabilitation · 2019Pooled it
- Predicting Discharge to Institutional Long-Term Care After Stroke: A Systematic Review and Metaanalysis.Journal of the American Geriatrics Society · 2018Pooled it
- Functional Activities to Optimize Patient Outcomes in Home Health: A Pilot Randomized Controlled Trial.Journal of the American Medical Directors Association · 2026Trial
- Statin Use is Not Associated with Future Long-Term Care Admission: Extended Follow-Up of Two Randomised Controlled Trials.Drugs & aging · 2018Trial
- Article
- Insights into the gaps and requirements of long-term care in Iran: a qualitative content analysis approach.BMC geriatrics · 2026Article
- Institutionalization and home health care after acute hospitalizations of older persons in Norway.BMC health services research · 2025Article
- Shaping older adults' care policy: a scoping review of key determinants in post-acute and community reintegration transitions.BMC health services research · 2025Article
- Article
- Understanding Pathways into Care homes using Data (UnPiCD study): a retrospective cohort study using national linked health and social care data.Age and ageing · 2022Article
- Article
- Functional Status among Polymedicated Geriatric Inpatients at Discharge: A Population-Based Hospital Register Analysis.Geriatrics (Basel, Switzerland) · 2021Article
- A comparison of two national frailty scoring systems.Age and ageing · 2021Article
- Hearing and Cognitive Impairments Increase the Risk of Long-term Care Admissions.Innovation in aging · 2020Article
- Factors Affecting Discharge to Home of Medical Patients Treated in an Intensive Care Unit.International journal of environmental research and public health · 2019Article
- Long-Term Care Admissions Following Hospitalization: The Role of Social Vulnerability.Healthcare (Basel, Switzerland) · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Background: moving into long-term institutional care is a significant life event for any individual. Predictors of institutional care admission from community-dwellers and people with dementia have been described, but those from the acute hospital setting have not been systematically reviewed. Our aim was to establish predictive factors for discharge to institutional care following acute hospitalisation. Methods: we registered and conducted a systematic review (PROSPERO: CRD42015023497). We searched MEDLINE; EMBASE and CINAHL Plus in September 2015. We included observational studies of patients admitted directly to long-term institutional care following acute hospitalisation where factors associated with institutionalisation were reported. Results: from 9,176 records, we included 23 studies (n = 354,985 participants). Studies were heterogeneous, with the proportions discharged to a care home 3-77% (median 15%). Eleven studies (n = 12,642), of moderate to low quality, were included in the quantitative synthesis. The need for institutional long-term care was associated with age (pooled odds ratio (OR) 1.02, 95% confidence intervals (CI): 1.00-1.04), female sex (pooled OR 1.41, 95% CI: 1.03-1.92), dementia (pooled OR 2.14, 95% CI: 1.24-3.70) and functional dependency (pooled OR 2.06, 95% CI: 1.58-2.69). Conclusions: discharge to long-term institutional care following acute hospitalisation is common, but current data do not allow prediction of who will make this transition. Potentially important predictors evaluated in community cohorts have not been examined in hospitalised cohorts. Understanding these predictors could help identify individuals at risk early in their admission, and support them in this transition or potentially intervene to reduce their risk.
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