Evidence map›Paper›PMID 34553113›Full record

ArticleAging medicine (Milton (N.S.W))2021

Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions.

Jun Dai, Frank Liu, Deni Irwanto, Manoj Kumar, Nabaraj Tiwari, Jack Chen, Yinghua Xu, Matthew Smith, Daniel Ky Chan

Abstract read
In one paragraph

Article in Aging medicine (Milton (N.S.W)), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Identifying the core components of a nursing home hospital avoidance programme.International journal of older people nursing · 2023
    Article
  10. Article
  11. 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

9 authors.

Jun DaiAged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.ORCID https://orcid.org/0000-0001-8502-7146
Frank LiuAged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.
Deni IrwantoAged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.
Manoj KumarAged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.
Nabaraj TiwariAged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.
Jack ChenIngham Institute & Simpson Centre for Health Services Research SWS Clinical School/UNSW Sydney NSW Australia.
Yinghua XuAged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.
Matthew SmithAged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.
Daniel Ky ChanAged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.ORCID https://orcid.org/0000-0003-0481-3933

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionResidential aged care facility (RACF) residents frequently present to the emergency department (ED) and are often admitted to hospital. Some presentations and admissions may be avoidable. In 2013, Bankstown-Lidcombe Hospital introduced a subacute geriatric outreach service (SGOS), which had little impact on reducing ED presentations. In 2015, Bankstown-Lidcombe Hospital introduced an acute geriatric outreach service (AGOS), a geriatrician-led team that assesses and treats acutely unwell patients in RACFs. We aim to determine whether the AGOS reduces the risk of hospital admission for RACF residents.

methodsHospital admissions data from 2010 to 2019 were used to conduct an interrupted time series (ITS) analysis. AGOS activity data were also summarized.

resultsThe average number of admissions from RACF per month declined from 42.8 during the SGOS period to 27.1 during the AGOS period. The difference of 15.7 admissions from RACF per month was statistically significant (95% CI 12.1-19.2; DISCUSSION: The AGOS probably reduced the risk of hospital admission for RACF residents.

Indexed as

Geriatrichealth service evaluationhealth services for the agedhospital avoidancehospital in the nursing homeresidential facilities, hospital avoidance

Identifiers

PMID34553113
PMCPMC8444962

What OpenQuestion holds

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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.