Evidence map›Paper›PMID 32357941›Full record

ArticleIsrael journal of health policy research2020

Elderly bedridden patients with dementia use over one quarter of resources in internal medicine wards in an Israeli hospital.

Inbal Weiss Salz, Yehuda Carmeli, Avi Levin, Noga Fallach, Tali Braun, Sharon Amit

Open access · goldAbstract read
In one paragraph

Article in Israel journal of health policy research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Physical Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  5. 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

6 authors at 1 institution in 1 country.

Inbal Weiss SalzNational Center for Infection Control and Antibiotic Resistance, Tel Aviv Sourasky Medical Center, 6 Weizmann St. Tel Aviv, 64239, Tel Aviv, Israel.
Yehuda CarmeliNational Center for Infection Control and Antibiotic Resistance, Tel Aviv Sourasky Medical Center, 6 Weizmann St. Tel Aviv, 64239, Tel Aviv, Israel. yehudac@tlvmc.gov.il.
Avi LevinDepartment of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Noga FallachNational Center for Infection Control and Antibiotic Resistance, Tel Aviv Sourasky Medical Center, 6 Weizmann St. Tel Aviv, 64239, Tel Aviv, Israel.
Tali BraunDepartment of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Sharon AmitDepartment of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Tel Aviv Sourasky Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElderly bedridden patients with dementia (EBRPD) are a growing segment of the population. We aimed to describe acute care hospitalization of EBRPD in internal medicine wards: the prevalence of EBRPD, their impact on hospital resources and hospital ecology, one-year survival, and one-year readmission-free survival.

methodsThe study setting was the internal medicine division of one tertiary care hospital in Israel. We conducted a point-prevalence survey to measure the prevalence of EBRPD and the prevalence of multidrug-resistant organism (MDRO) carriage. We also conducted a retrospective chart review of EBRPD who were hospitalized in the internal medicine division in order to assess resource use, survival, and readmission.

resultsIn the point prevalence surveys (N = 1667 patients), EBRPD comprised 24.3% of patients and 59.0% of mechanically ventilated patients. EBRPD were twice as likely to be colonized or infected by MDROs as other patients (39.3% vs. 18%, p < 0.001); thus, 41% of MDRO carriers during the survey days were EBRPD. In the retrospective study (N = 517 EBRPD), 80% of EBRPD received antibiotics; on average, they received an antibiotic on 87.7% of their hospital days. One-year survival was 35.6% and one-year readmission-free survival was 16.4%.

conclusionsAcute care hospitalization of EBRPD accounted for a high proportion of bed occupancy and ventilator use in internal medicine wards. EBRPD significantly increase the potential for MDRO transmission. Policymakers should seek alternatives to acute care hospitalization for EBRPD.

Indexed as

AgedAged, 80 and overBedridden PersonsCross-Sectional StudiesDementiaFemaleHealth ResourcesHumansIsraelMaleMiddle AgedPatients' RoomsPrevalenceRetrospective StudiesAntibiotic resistanceGeriatricsMortalityResource utilization

Identifiers

PMID32357941
PMCPMC7193696
OpenAlexW3020932961

What OpenQuestion holds

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LicenceCC BY
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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.