Evidence map›Paper›PMID 32978747›Full record

Observational studyEuropean geriatric medicine2021

Adherence to recommendations of inpatient geriatric consultation teams: a multicenter observational study.

Mieke Deschodt, Anthony Jeuris, Bastiaan Van Grootven, Eline Van Waerebeek, Evie Gantois, Johan Flamaing, Anja Velghe

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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 5 institutions in 3 countries.

Mieke DeschodtDepartment of Public Health and Primary Care, Gerontology and Geriatrics, KU Leuven, Leuven, Belgium. mieke.deschodt@kuleuven.be.ORCID 0000-0003-1560-2277
Anthony JeurisJessa Ziekenhuis, Hasselt, Belgium.
Bastiaan Van GrootvenDepartment of Public Health and Primary Care, Academic Center for Nursing and Midwifery, KU Leuven, Leuven, Belgium.ORCID 0000-0002-3182-573X
Eline Van Waerebeek, Ghent, Belgium.
Evie GantoisResearch Foundation Flanders (FWO), Brussels, Belgium.
Johan FlamaingDepartment of Public Health and Primary Care, Gerontology and Geriatrics, KU Leuven, Leuven, Belgium.
Anja VelgheGeriatrics Department, University Hospitals Ghent, Ghent, Belgium.ORCID 0000-0002-0421-2719
Research Foundation - Flanders · BEGhent University Hospital · BEJessa Hospital · BEKU Leuven · BEUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInpatient geriatric consultation teams (IGCTs) provide recommendations for the care of older patients hospitalized on non-geriatric wards based on comprehensive geriatric assessment. The lack of adherence to their recommendations hinders the potential impact of IGCTs. We evaluated the adherence to IGCT recommendations and determined which team and recommendation characteristics are related to higher adherence rates.

methodsMulticenter observational study in older adults aged ≥ 75 years admitted to an acute non-geriatric ward. Demographic and adherence data were collected for 30 consecutive patients. A cross-sectional survey mapped team and organizational characteristics of the participating IGCTs.

resultsAnalyses were conducted in 278 patients (51.4% male, mean age 82.5 years, and median length of stay 10 days). There was a median number of 3 recommendations (range 1-13) per patient. The overall adherence rate was 69.7%. Recommendations related to 'social status' (82.4%) and 'functional status/mobility' (73.3%) were best adhered to. Recommendations related to 'medication' (53.2%) and 'nutritional status' (59.1%) were least adhered to. Adherence rates increased if recommendations were given to allied health professionals (OR = 6.37, 95% CI = 1.15-35.35) or by more experienced IGCTs (OR = 1.34, 95% CI = 1.04-1.72) and decreased when more recommendations were given (OR = 0.51, 95% CI = 0.33-0.80).

conclusionAdherence rate to IGCT recommendations increased if given to allied health professionals or by more experienced IGCTs and when fewer recommendations were given. Study replication in an international multicenter study with a larger number of centers and evaluating the quality of the recommendations is suggested.

Indexed as

Geriatric AssessmentInpatientsAgedAged, 80 and overCross-Sectional StudiesFemaleHospitalizationHumansMaleReferral and ConsultationGeriatric assessmentHospitalReferral and consultationTreatment adherence and compliance

Identifiers

PMID32978747
PMCPMC7900061
OpenAlexW3089289783

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.