Evidence map›Paper›PMID 30203668›Full record

Trial reportJournal of comparative effectiveness research2018

Cost impact of the transitional care model for hospitalized cognitively impaired older adults.

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

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of comparative effectiveness research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00294307 (Hospital to Home), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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.

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)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Implementation Fidelity of the Transitional Care Model: A Mixed Methods Study.Global implementation research and applications · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
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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

8 authors.

Mark V PaulyThe Wharton School at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Karen B HirschmanNewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA.
Alexandra L HanlonNewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA.
Liming HuangNewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA.
Kathryn H BowlesNewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA.
Christine BradwayNewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA.
Kathleen McCauleyNewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, USA.
Mary D NaylorNewCourtland Center for Transitions & Health at the University of Pennsylvania School of Nursing, Philadelphia, PA, 19104, 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

aimThe goal of this study was to compare postacute care costs of three care management interventions. MATERIALS &

methodsA total of 202 hospitalized older adults with cognitive impairment received either Augmented Standard Care, Resource Nurse Care or the Transitional Care Model. The Lin method was used to estimate costs at 30 and 180 days postindex hospital discharge.

resultsThe Transitional Care Model had significantly lower costs than the Augmented Standard Care group at both 30 (p < 0.001) and 180 days (p = 0.03) and significantly lower costs than Resource Nurse Care at 30 days (p = 0.02).

conclusionThese findings suggest that the Transitional Care Model can reduce both the amount of other postacute care and the total cost of care compared with alternative services for cognitively impaired older adults. Clinicaltrials.gov : NCT00294307.

Indexed as

AgedAged, 80 and overCaregiversCognitive DysfunctionCosts and Cost AnalysisFemaleHealth ResourcesHumansMaleNursesPatient Acceptance of Health CarePatient DischargePennsylvaniaTransitional CareAlzheimer's diseasedementiahome carepostacute carerehospitalization

Identifiers

PMID30203668
PMCPMC6219439

What OpenQuestion holds

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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.