Evidence map›Paper›PMID 31368855›Full record

SynthesisPalliative medicine2019

Hospitalizations of nursing home residents at the end of life: A systematic review.

Katharina Allers, Falk Hoffmann, Rieke Schnakenberg

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Palliative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 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.

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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Timing of Goals of Care Discussions in Nursing Homes: A Systematic Review.Journal of the American Medical Directors Association · 2023
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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

3 authors.

Katharina AllersDepartment of Health Services Research, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.ORCID 0000-0003-3458-8124
Falk HoffmannDepartment of Health Services Research, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.
Rieke SchnakenbergDepartment of Health Services Research, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnd-of-life hospitalizations in nursing home residents are common, although they are often burdensome and potentially avoidable.

aimWe aimed to summarize the existing evidence on end-of-life hospitalizations in nursing home residents.

designSystematic review (PROSPERO registration number CRD42017072276). DATA SOURCES: A systematic literature search was carried out in PubMed, CINAHL, and Scopus (date of search 9 April 2019). Studies were included if they reported proportions of in-hospital deaths or hospitalizations of nursing home residents in the last month of life. Two authors independently selected studies, extracted data, and assessed the quality of studies. Median with interquartile range was used to summarize proportions.

resultsA total of 35 studies were identified, more than half of which were from the United States (

conclusionThere is a wide variation in end-of-life hospitalizations, even between studies from the same country. Overall, such hospitalizations are common among nursing home residents, which indicates that interventions tailored to each specific health care system are needed to improve end-of-life care.

Indexed as

Age FactorsHospitalizationHospital MortalityHumansNursing HomesTerminal Careend of lifeHospitalizationin-hospital deathnursing homesystematic review

Identifiers

PMID31368855
PMCPMC6899437

What OpenQuestion holds

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Registered trials

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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.