Evidence map›Paper›PMID 29593022›Full record

Trial reportBMJ open2018

Hospital at Home care for older patients with cognitive impairment: a protocol for a randomised controlled feasibility trial.

Maaike A Pouw, Agneta H Calf, Barbara C van Munster, Jan C Ter Maaten, Nynke Smidt, Sophia E de Rooij

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

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Admission avoidance hospital at home.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
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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.

Maaike A PouwDepartment of Geriatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Agneta H CalfDepartment of Geriatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Barbara C van MunsterDepartment of Geriatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Jan C Ter MaatenDepartment of Internal Medicine, Emergency Department, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Nynke SmidtDepartment of Geriatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Sophia E de RooijDepartment of Geriatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn acute hospital admission is a stressful life event for older people, particularly for those with cognitive impairment. The hospitalisation is often complicated by hospital-associated geriatric syndromes, including delirium and functional loss, leading to functional decline and nursing home admission. Hospital at Home care aims to avoid hospitalisation-associated adverse outcomes in older patients with cognitive impairment by providing hospital care in the patient's own environment. METHODS AND ANALYSIS: This randomised, non-blinded feasibility trial aims to assess the feasibility of conducting a randomised controlled trial in terms of the recruitment, use and acceptability of Hospital at Home care for older patients with cognitive impairment. The quality of care will be evaluated and the advantages and disadvantages of the Hospital at Home care programme compared with usual hospital care. Eligible patients will be randomised either to Hospital at Home care in their own environment or usual hospital care. The intervention consists of hospital level care provided at patients' homes, including visits from healthcare professionals, diagnostics (laboratory tests, blood cultures) and treatment. The control group will receive usual hospital care. Measurements will be conducted at baseline, during admission, at discharge and at 3 and 6 months after the baseline assessment. ETHICS AND DISSEMINATION: Institutional ethics approval has been granted. The findings will be disseminated through public lectures, professional and scientific conferences, as well as peer-reviewed journal articles. The study findings will contribute to knowledge on the implementation of Hospital at Home care for older patients with cognitive disorders. The results will be used to inform and support strategies to deliver eligible care to older patients with cognitive impairment. TRIAL REGISTRATION NUMBER: e020313; Pre-results.

Indexed as

Home Care ServicesPatient DischargeAgedAged, 80 and overCognitive DysfunctionFeasibility StudiesFemaleFollow-Up StudiesGeriatricsHospitalsHumansMaleNetherlandsProgram EvaluationQuality of Health Careagedcognition disordersdementiahome care services; hospital-basedhospital at home

Identifiers

PMID29593022
PMCPMC5875621

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.