Evidence map›Paper›PMID 30425507›Full record

ArticleJournal of multidisciplinary healthcare2018

Risk assessment during preventive home visits among older people.

Astrid Fjell, Berit Seiger Cronfalk, Nina Carstens, Arvid Rongve, Lars M Rosseland Kvinge, Åke Seiger, Knut Skaug, Anne-Marie Boström

Open access · goldAbstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 22% of its field
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Social connectedness and cognitive outcomes in rural middle- to older-age adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. What makes older adults feel good?Aging clinical and experimental research · 2023
    Article
  5. Examining Older Adults' Home Functioning Using the American Housing Survey.International journal of environmental research and public health · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Risk of Fall among Older Adults and its Association with Cognitive Impairment in a Semi-Urban Community.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

8 authors at 4 institutions in 2 countries.

Astrid FjellDepartment of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden, astrid.fjell@ki.se.
Berit Seiger CronfalkDepartment of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden, astrid.fjell@ki.se.
Nina CarstensHospital Pharmacies Enterprise, Western Norway, Bergen, Norway.
Arvid RongveDepartment of Research and Innovation, Helse Fonna, Haugesund Hospital, Haugesund, Norway.
Lars M Rosseland KvingeFOUSAM, Western Norway University of Applied Sciences, Haugesund, Norway.
Åke SeigerDepartment of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Karolinska Institutet, Stockholm, Sweden.
Knut SkaugDepartment of Medicine, Helse Fonna, Haugesund Hospital, Haugesund, Norway.
Anne-Marie BoströmDepartment of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden, astrid.fjell@ki.se.
Karolinska Institutet · SEPrivatsykehuset Haugesund · NOWestern Norway University of Applied Sciences · NOKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreventive home visits (PHV) may contribute to identify risks and needs in older people, and thereby delay the onset of functional decline and illness, otherwise often followed by home care or admission to hospital or nursing homes. There is a need to increase knowledge about which factors are associated with different risk areas among older people, so that the PHV questionnaire focuses on relevant tests and questions to make the PHV more specific and have a clear focus and purpose.

objectiveThe objective of this study was to examine associations between five kinds of risks: risk of falls, malnutrition, polypharmacy, cognitive impairment, and risk of developing illness and factors related to lifestyle, health, and medical diagnoses among older people living at home.

methodsA cross-sectional study design was applied. PHV were conducted by nurses among 77-year-old people in an urban municipality and among ≥75-year-old people in a rural municipality. A questionnaire including tests and a risk assessment score for developing illness was used. Descriptive and inferential statistics including regression models were analyzed.

resultsThe total sample included 166 persons. Poor perceived health was associated with increased risk of developing illness and risk of fall, malnutrition, and polypharmacy. Lifestyle and health factors such as lack of social support, sleep problems, and feeling depressed were associated with risk of developing illness. Risk of falls, malnutrition, polypharmacy, and cognitive impairment were also associated with increased risk of developing illness. None of the independent factors related to lifestyle, health, or medical diagnosis were associated with risk of cognitive impairment.

conclusionPoor perceived health was associated with health-related risks in older persons living at home. Preventive health programs need to focus on social and lifestyle factors and self-reported health assessment to identify older people at risk of developing illnesses.

Indexed as

developing illnesslifestylelogistic regression analysisolder adultsperceived healthpreventive home visitsrisk assessmentsocial factors

Identifiers

PMID30425507
PMCPMC6205137
OpenAlexW2896194249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.