Evidence map›Paper›PMID 35012480›Full record

ArticleBMC geriatrics2022

Video-telehealth to support clinical assessment and management of acutely unwell older people in Residential Aged Care: a pre-post intervention study.

Carolyn Hullick, Jane Conway, Alix Hall, Wendy Murdoch, Janean Cole, Jacqueline Hewitt, Christopher Oldmeadow, John Attia

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06901167 (Evaluation of a Region-wide Residential In-Reach), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 3% 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.

NCT06901167 narecruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of a Region-wide Residential In-Reach (RIR) Program in Regional and Rural Health Services: A Stepped-wedge Trial

TypeinterventionalSponsorMonash UniversityRan2025 to 2026Enrolled100ConditionsAged, Acute DiseaseArmsResidential In-Reach Program
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review.International journal of environmental research and public health · 2022
    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

8 authors at 4 institutions in 1 country.

Carolyn HullickSchool of Medicine and Public Health, University of Newcastle, Callaghan, Australia. Carolyn.hullick@health.nsw.gov.au.
Jane ConwaySchool of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
Alix HallSchool of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
Wendy MurdochBelmont Hospital, Hunter New England Local Health District, Belmont, Australia.
Janean ColeAnglican Care, Booragul, Australia.
Jacqueline HewittHunter New England Central Coast Primary Health Network, Newcastle West, Australia.
Christopher OldmeadowHunter Medical Research Institute, New Lambton Heights, Australia.
John AttiaSchool of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
Hunter Medical Research Institute · AUUniversity of Newcastle Australia · AUBelmont Hospital · AUHunter New England Local Health District · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder people living in Residential Aged Care (RAC) are at high risk of clinical deterioration. Telehealth has the potential to provide timely, patient-centred care where transfer to hospital can be a burden and avoided. The extent to which video telehealth is superior to other forms of telecommunication and its impact on management of acutely unwell residents in aged care facilities has not been explored previously.

methodsIn this study, video-telehealth consultation was added to an existing program, the Aged Care Emergency (ACE) program, aiming at further reducing Emergency Department (ED) visits and hospital admissions. This controlled pre-post study introduced video-telehealth consultation as an additional component to the ACE program for acutely unwell residents in RACs. Usual practice is for RACs and ACE to liaise via telephone. During the study, when the intervention RACs called the ED advanced practice nurse, video-telehealth supported clinical assessment and management. Five intervention RACs were compared with eight control RACs, all of whom refer to one community hospital in regional New South Wales, Australia. Fourteen months pre-video-telehealth was compared with 14 months post-video-telehealth using generalized linear mixed models for hospital admissions after an ED visit and ED visits. One thousand two hundred seventy-one ED visits occurred over the 28-month study period with 739 subsequent hospital admissions.

resultsThere were no significant differences in hospital admission or ED visits after the introduction of video-telehealth; adjusted incident rate ratios (IRR) were 0.98 (confidence interval (CI) 0.55 to 1.77) and 0.89 (95% CI 0.53 to 1.47) respectively.

conclusionsVideo-telehealth did not show any incremental benefit when added to a structured hospital avoidance program with nursing telephone support.

trial registrationThe larger Aged Care Emergency evaluation is registered with ANZ Clinical Trials Registry, ACTRN12616000588493.

Indexed as

Emergency Medical ServicesTelemedicineAgedEmergency Service, HospitalHospitalizationHospitalsHumansAgedAged 80 and overAvoidable hospitalizationGeriatric emergency medicineImplementation scienceLong-term careNursingTelehealthTelemedicineTransitional care

Identifiers

PMID35012480
PMCPMC8744579
OpenAlexW4205470182

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.