ArticleAge and ageing2022
What influences decisions to transfer older care-home residents to the emergency department? A synthesis of qualitative reviews.
Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07153341 (A Pre-Post Trial Evaluating the Supporting Transitions and Empowering Preferences), which is not on this map. Cited by 9 papers.
What it found
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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.
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.
A Pre-Post Trial Evaluating the Supporting Transitions and Empowering Preferences (STEP) Decision Support Intervention for Long-Term Care Residents Facing Hospital Transfer Decisions During Acute Health Crises
Who cites it
9 citing papers in PubMed.
- Identifying predictors and measuring variation in hospitalisation for older adult care home residents: a retrospective cohort study using routinely collected data.Age and ageing · 2026Article
- Registered Nurse-Led Assessments in Australian Residential Aged Care Homes: A Scoping Review.Journal of advanced nursing · 2026Article
- "The first transition is from resident to patient": understanding the decisional needs of long-term care residents preparing for hospital transitions.The Gerontologist · 2025Article
- "We Didn't Ask to Be Sick:" Equipping Residents and Care Partners for Transitions From Long-Term Care to Hospital.Journal of the American Geriatrics Society · 2025Article
- Emergency Department Discharges Following Falls in Residential Aged Care Residents: A Scoping Review.Journal of clinical medicine · 2025Review
- Factors Associated with Emergency Department Discharge After Falls in Residential Aged Care Facilities: A Rural Australian Observational Study.Journal of clinical medicine · 2025Article
- Care home quality and 'inappropriate' emergency healthcare use-failing to engage with complexity.Age and ageing · 2025Article
- Predictors of nursing home conveyances to emergency department.International journal of emergency medicine · 2024Article
- Patients near death receiving specialized palliative home care being transferred to inpatient care - a registry study.BMC palliative care · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundcare home residents aged over 65 have disproportionate rates of emergency department (ED) attendance and hospitalisation. Around 40% attendances may be avoidable, and hospitalisation is associated with harms. We synthesised the evidence available in qualitative systematic reviews of different stakeholders' experiences of decisions to transfer residents to the ED.
methodssix electronic databases, references and citations of included reviews and relevant policy documents were searched. Reviews of qualitative studies exploring factors that influenced care home staff, medical practitioners, residents' family or residents' experiences and factors influencing decisions to transfer residents to the ED were included. Thematic analysis was used to synthesise findings.
resultssix previous reviews were included, which synthesised the findings of 34 primary studies encompassing 152 care home residents, 283 resident family members or carers and 447 care home staff. Of the primary studies, 19 were conducted in the North America, seven in Australia, five were conducted in Scandinavia, two in the United Kingdom and one in Holland. Three themes were identified: (i) power dynamics between residents, family members, care home staff and health care professionals (external to the care home) influence decisions; (ii) admission can be necessary; however, (iii) some decisions may be driven by factors other than clinical need.
conclusiontransfer decisions are complex and are determined not just by changes in health status interventions aimed at reducing avoidable transfers need to address the key role family members have in transfer decisions, the medical legal fears of care home staff and barriers to accessing community services.
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