Evidence map›Paper›PMID 30720792›Full record

ArticleInternational journal of environmental research and public health2018

Evaluating the Impact of the Dementia Care in Hospitals Program (DCHP) on Hospital-Acquired Complications: Study Protocol.

Mark Yates, Jennifer J Watts, Kasia Bail, Mohammadreza Mohebbi, Sean MacDermott, Jessica C Jebramek, Henry Brodaty

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Correlates of Mild Cognitive Impairment of Community-Dwelling Older Adults in Wuhan, China.International journal of environmental research and public health · 2018
    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

7 authors at 4 institutions in 1 country.

Mark YatesBallarat Health Services, Deakin University, Faculty of Health, School of Medicine, Ballarat, VIC 3350, Australia. mark.yates@deakin.edu.au.ORCID 0000-0001-5845-138X
Jennifer J WattsCentre for Population Health Research, Faculty of Health, Deakin University, Burwood, VIC 3125, Australia. j.watts@deakin.edu.au.ORCID 0000-0001-8095-8638
Kasia BailHealth Research Institute and Synergy Nursing and Midwifery Research Centre, University of Canberra, Canberra, ACT 2617, Australia. Kasia.Bail@canberra.edu.au.
Mohammadreza MohebbiBiostatistics Unit, Faculty of Health, Deakin University, Geelong, VIC 3220, Australia. m.mohebbi@deakin.edu.au.
Sean MacDermottLa Trobe University, School of Rural Health, Mildura, VIC 3520, Australia. s.macdermott@latrobe.edu.au.
Jessica C JebramekSchool of Psychology, Deakin University, Geelong, VIC 3220, Australia. jjebramek@deakin.edu.au.
Henry BrodatyCentre for Healthy Brain Ageing, Dementia Collaborative Research Centre, University of New South Wales, Sydney, NSW 2052, Australia. h.brodaty@unsw.edu.au.
Deakin University · AULa Trobe University · AUUniversity of Canberra · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the increasing number of older people, many with cognitive impairment (CI), in hospitals, there is yet to be an evaluation of hospital-wide interventions improving the management of those with CI. In hospitalized patients with CI, there are likely to be associations between increased complications that impact on outcomes, length of stay, and costs. This prospective study will evaluate the effectiveness of an established hospital CI support program on patient outcomes, patient quality of life, staff awareness of CI, and carer satisfaction. Using a stepped-wedge, continuous-recruitment method, the pre-intervention patient data will provide the control data for usual hospital care. The intervention, the Dementia Care in Hospitals Program, provides hospital-wide CI awareness and support education, and screening for all patients aged 65+, along with a bedside alert, the Cognitive Impairment Identifier. The primary outcome is a reduction in hospital-acquired complications: urinary tract infections, pressure injuries, pneumonia and delirium. Secondary outcome measures include cost effectiveness, patient quality of life, carer satisfaction, staff awareness of CI, and staff perceived impact of care. This large-sample study across four sites offers an opportunity for research evaluation of health service functioning at a whole-of-hospital level, which is important for sustainable change in hospital practice.

Indexed as

Cognitive DysfunctionDementiaAgedCaregiversControlled Clinical Trials as TopicCost-Benefit AnalysisDeliriumHealth PersonnelHospitalsHumansIatrogenic DiseaseMulticenter Studies as TopicPneumoniaPressure UlcerProgram EvaluationProspective Studiesacute hospitalcost and cost analysisdelirium and cognitive disorderseducationnonclinical staff dementianursingsystem redesign

Identifiers

PMID30720792
PMCPMC6165270
OpenAlexW2888942502

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.