Evidence map›Paper›PMID 36149932›Full record

SynthesisPloS one2022

Prediction models for the prediction of unplanned hospital admissions in community-dwelling older adults: A systematic review.

Jet H Klunder, Sofie L Panneman, Emma Wallace, Ralph de Vries, Karlijn J Joling, Otto R Maarsingh, Hein P J van Hout

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07136168 (Healthy Ageing - an Interdisciplinary Randomised Study of Health Dialogues in Primary Care), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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.

NCT07136168 narecruitingnot on this mapstarted 2025, after this paper: background citation

Healthy Ageing - an Interdisciplinary Randomised Study of Health Dialogues in Primary Care

TypeinterventionalSponsorLinkoeping UniversityRan2025 to 2031Enrolled2,952ConditionsFrailty, Ageing Well, Prevention Intervention, Health Related Quality of LifeArmsHealth dialogue
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Observational
  8. Predicting unplanned admissions to hospital in older adults using routinely recorded general practice data: development and validation of a prediction model.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  9. Article
  10. Article
  11. Observational
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.

Jet H KlunderDepartment of General Practice, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.ORCID 0000-0002-0463-6909
Sofie L PannemanDepartment of General Practice, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.
Emma WallaceDepartment of General Practice, University College Cork, Cork, Ireland.
Ralph de VriesMedical Library, Vrije Universiteit, Amsterdam, the Netherlands.ORCID 0000-0002-2075-7495
Karlijn J JolingAmsterdam Public Health, Aging & Later Life, Amsterdam, the Netherlands.
Otto R MaarsinghDepartment of General Practice, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.
Hein P J van HoutDepartment of General Practice, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentification of community-dwelling older adults at risk of unplanned hospitalizations is of importance to facilitate preventive interventions. Our objective was to review and appraise the methodological quality and predictive performance of prediction models for predicting unplanned hospitalizations in community-dwelling older adults. METHODS AND

findingsWe searched MEDLINE, EMBASE and CINAHL from August 2013 to January 2021. Additionally, we checked references of the identified articles for the inclusion of relevant publications and added studies from two previous reviews that fulfilled the eligibility criteria. We included prospective and retrospective studies with any follow-up period that recruited adults aged 65 and over and developed a prediction model predicting unplanned hospitalizations. We included models with at least one (internal or external) validation cohort. The models had to be intended to be used in a primary care setting. Two authors independently assessed studies for inclusion and undertook data extraction following recommendations of the CHARMS checklist, while quality assessment was performed using the PROBAST tool. A total of 19 studies met the inclusion criteria. Prediction horizon ranged from 4.5 months to 4 years. Most frequently included variables were specific medical diagnoses (n = 11), previous hospital admission (n = 11), age (n = 11), and sex or gender (n = 8). Predictive performance in terms of area under the curve ranged from 0.61 to 0.78. Models developed to predict potentially preventable hospitalizations tended to have better predictive performance than models predicting hospitalizations in general. Overall, risk of bias was high, predominantly in the analysis domain.

conclusionsModels developed to predict preventable hospitalizations tended to have better predictive performance than models to predict all-cause hospitalizations. There is however substantial room for improvement on the reporting and analysis of studies. We recommend better adherence to the TRIPOD guidelines.

Indexed as

HospitalizationIndependent LivingAgedHospitalsHumansProspective StudiesRetrospective Studies

Identifiers

PMID36149932
PMCPMC9506609

What OpenQuestion holds

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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.