Evidence map›Paper›PMID 35413884›Full record

ArticleBMC geriatrics2022

Clinical factors associated with recent medical care visits in nursing homes: a multi-site cross-sectional study.

Rebecca H Correia, Fabrice I Mowbray, Darly Dash, Paul R Katz, Andrea Moser, Ryan P Strum, Aaron Jones, Ahmad von Schlegell, Andrew P Costa

Abstract read
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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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Rebecca H CorreiaDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada. correirh@mcmaster.ca.
Fabrice I MowbrayDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Darly DashDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Paul R KatzDepartment of Geriatrics, Florida State University College of Medicine, Tallahassee, FL, USA.
Andrea MoserDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Ryan P StrumDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Aaron JonesDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Ahmad von SchlegellTrillium Health Partners, Mississauga, ON, Canada.
Andrew P CostaDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe examined which resident-level clinical factors influence the provision of a recent medical care visit in nursing homes (NHs).

designMulti-site cross-sectional. SETTING AND

participantsWe extracted data on 3,556 NH residents from 18 NH facilities in Ontario, Canada, who received at minimum, an admission and first-quarterly assessment with the Resident Assessment Instrument Minimum Data Set (MDS) 2.0 between November 1, 2009, and October 31, 2017.

methodsWe conducted a secondary analysis of routinely collected MDS 2.0 data. The provision of a recent medical care visit by a physician (or authorized clinician) was assessed in the 14-day period preceding a resident's first-quarterly MDS 2.0 assessment. We utilized best-subset multivariable logistic regression to model the adjusted associations between resident-level clinical factors and a recent medical care visit.

resultsTwo thousand eight hundred fifty nine (80.4%) NH residents had one or more medical care visits prior to their first-quarterly MDS 2.0 assessment. Six clinically relevant factors were identified to be associated with recent medical care visits in the final model: exhibiting wandering behaviours (OR = 1.34, 95% CI 1.09 - 1.63), presence of a pressure ulcer (OR = 1.37, 95% CI 1.05 - 1.78), a urinary tract infection (UTI) (OR = 1.52, 95% CI 1.06 - 2.18), end-stage disease (OR = 9.70, 95% CI 1.32 - 71.02), new medication use (OR = 1.31, 95% CI 1.09 - 1.57), and analgesic use (OR = 1.24, 95% CI 1.03 - 1.49). CONCLUSIONS AND IMPLICATIONS: Our findings suggest that resident-level clinical factors drive the provision of medical care visits following NH admission. Clinical factors associated with medical care visits align with the minimum competencies expected of physicians in NH practice, including managing safety risks, infections, medications, and death. Ensuring that NH physicians have opportunities to acquire and strengthen these competencies may be transformative to meet the ongoing needs of NH residents.

Indexed as

Nursing HomesPhysiciansCross-Sectional StudiesHospitalizationHumansOntarioLong-term careMedical visitsNursing homeNursing home physician

Identifiers

PMID35413884
PMCPMC9003172

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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.