Evidence map›Paper›PMID 30901483›Full record

ArticleInternational journal of geriatric psychiatry2019

Predicting admission to long-term care and mortality among community-based, dependent older people in Ireland.

Niamh Aspell, Maria O'Sullivan, Eamon O'Shea, Kate Irving, Chloe Duffy, Rebecca Gorman, Austin Warters

Open access · hybridAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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  15. Estimation of Life Expectancy for Dependent Population in a Multi-State Context.International journal of environmental research and public health · 2021
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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

7 authors at 4 institutions in 2 countries.

Niamh AspellNorth Dublin Homecare Ltd., Dublin, Ireland.ORCID 0000-0001-8672-4605
Maria O'SullivanTrinity College Dubin, Centre for Health Sciences, St. James' Hospital, Dublin, Ireland.
Eamon O'SheaCentre for Economic and Social Research on Dementia, National University of Ireland, Galway, Ireland.ORCID 0000-0002-5521-5987
Kate IrvingSchool of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
Chloe DuffyTrinity College Dubin, Centre for Health Sciences, St. James' Hospital, Dublin, Ireland.
Rebecca GormanTrinity College Dubin, Centre for Health Sciences, St. James' Hospital, Dublin, Ireland.
Austin WartersServices for Older People, Health Service Executive, Community Healthcare Organisation, Ballymun Healthcare Facility, Dublin, Ireland.ORCID 0000-0001-5970-721X
Trinity College Dublin · IEHealth Service Executive · IEDublin City University · IEOllscoil na Gaillimhe – University of Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify factors that predict admission to long-term care (LTC) and mortality among community-based, dependent older people in Ireland, who were in receipt of formal home support.

methodsAn audit was conducted of all community-dwelling older adults receiving government funded home support during 2017 in the Dublin North Central, Health Service Executive administrative area. Data were extracted from the Common Summary Assessment Report (CSAR), a mandatory form used in the provision of home support. Multiple logistic regression analysis was used to examine the factors associated with admission to LTC and mortality, with the results presented as odds ratios (OR) and 95% confidence intervals.

resultsThe audit comprised 1597 community-dwelling older adults with a mean age of 83.3 (SD: 7.2) years. The prevalence of transition to LTC and mortality was 8% and 9%, respectively, during the 12-month period. Factors significantly associated with admission to LTC were "cognitive dysfunction" [OR 2.10 (1.41-3.14), P < .001] and the intensity of home support [OR 1.05 (1.01-1.06), P < .003], as measured by weekly formal care hours. Physical dependency and advanced age (aged 95 years +) were significantly associated with mortality in this population (P < .001).

conclusion"Cognitive dysfunction" and intensity of formal home support were associated with transition to LTC, while physical dependency and advanced age were associated with mortality. Investment in personalised, cognitive-specific, services and supports are necessary to keep people with dementia and related cognitive impairments living at home for longer.

Indexed as

AgedAged, 80 and overCognitive DysfunctionDementiaFemaleHospitalizationHumansIndependent LivingIrelandLong-Term CareMaleOdds RatioPrevalenceageingbalance of caredementiadomiciliary carelong-term care

Identifiers

PMID30901483
PMCPMC6619240
OpenAlexW2939387169

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.