Observational studyJournal of the American Geriatrics Society2019
Hospital-Associated Complications of Older People: A Proposed Multicomponent Outcome for Acute Care.
Observational study in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.
What it found
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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
54 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Admission avoidance hospital at home.The Cochrane database of systematic reviews · 2024Pooled it
- Exercise for acutely hospitalised older medical patients.The Cochrane database of systematic reviews · 2022Pooled it
- Non-pharmacological interventions for preventing delirium in hospitalised non-ICU patients.The Cochrane database of systematic reviews · 2021Pooled it
- Non-pharmacological interventions for preventing delirium in hospitalised non-ICU patients.The Cochrane database of systematic reviews · 2021Pooled it
- Statin use and functional response to multicomponent exercise in acutely hospitalized older adults: secondary analysis of a randomized trial.European geriatric medicine · 2026Article
- The interaction between frailty and patient characteristics and its association with hospital-related adverse events in older adults.BMC geriatrics · 2026Article
- Risk factors associated with nursing-sensitive adverse events in older hospitalised patients: A retrospective chart review.International journal of nursing studies advances · 2026Article
- Frailty and geriatric complications in older patients with IBD: a nationwide hospital claims database study across Japan.Aging clinical and experimental research · 2026Article
- What's in a Number: Do Transfer Rates Reflect Nursing Home Quality?Journal of the American Geriatrics Society · 2026Article
- Social support and hospitalization in the elderly: investigating the role of frailty trajectories.European journal of public health · 2026Article
- The Participation of Older Persons in the Adoption of Age-Friendly Care Models in Hospital Settings: A Scoping Review.Nursing & health sciences · 2026Article
- Educational needs of junior doctors caring for hospitalised older adults.Age and ageing · 2026Article
- Risk factors for frequent unplanned hospital visits in older multimorbid patients after an emergency department visit: a retrospective cohort study.Aging clinical and experimental research · 2025Article
- Association of Serum Creatinine-Cystatin C Ratio With Hospital-Associated Complications and Post-Discharge Mortality.Geriatrics & gerontology international · 2025Observational
- Innovative utilization of quality improvement processes to strengthen interdisciplinary geriatric care model.BMC geriatrics · 2025Article
- Human Metapneumovirus Epidemiology Among Middle-aged and Older Adults Hospitalized With Acute Respiratory Infection.The Journal of infectious diseases · 2025Observational
- Effect of hospital-acquired complications on hospital length of stay and cost for older adults after a hip fracture in New South Wales, Australia.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- What Is Important to Older People When Accessing Urgent Health Care: Key Considerations and Recommendations From Consumer Consultations.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Potentially inappropriate polypharmacy is an important predictor of 30-day emergency hospitalisation in older adults: a machine learning feature validation study.Age and ageing · 2025Article
- Implementing an Activity and Mobility Promotion Approach to Improve Patient Mobility.The American journal of nursing · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo propose a new multicomponent measure of hospital-associated complications of older people (HAC-OP) and evaluate its validity in a large hospital sample.
designObservational study using baseline (pre-intervention) data from the Collaboration for Hospitalised Elders Reducing the Impact of Stays in Hospital cluster randomized controlled trial.
settingAcute medical and surgical wards in 4 hospitals in Queensland, Australia.
participantsIndividuals aged 65 and older (mean age 76, 48% female) with a hospital stay of 72 hours or longer (N=434). MEASUREMENTS: We developed a multicomponent measure including 5 well-recognized hospital-associated complications of older people: hospital-associated delirium, functional decline, incontinence, falls, and pressure injuries. To evaluate construct validity, we examined associations with common risk factors (aged ≥75, functional impairment, cognitive impairment, history of falls). To evaluate predictive validity, we examined the association between length of stay, facility discharge, and 6-month mortality and any HAC-OP and total number of HAC-OP.
resultsOverall, 192 (44%) participants had 1 or more HAC-OP during their admission. Any HAC-OP was strongly associated with the proposed shared risk factors, and there was a strong and graded association between HAC-OP and length of stay (9.1±7.4 days for any HAC-OP vs 6.8 ±4.1 days with none, p < .001), facility discharge (59/192 (31%) vs 27/242 (11%), p < .001) and 6-month mortality (26/192 (14%) vs 17/242 (7%), p = .02).
conclusionThis study provides evidence of construct and predictive validity of the proposed measure of HAC-OP as a potential outcome measure for research investigating and improving hospital care of older people. J Am Geriatr Soc 67:352-356, 2019.
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