Evidence map›Paper›PMID 36532949›Full record

ArticleClinical interventions in aging2022

Factors Associated with Transfer from an Acute Geriatric Unit to a Post-Acute Care Facility among Community-Dwelling Patients: Results from the DAMAGE Cohort.

Guillaume Deschasse, Elodie Drumez, Fabien Visade, Anne Charpentier, Céline Delecluse, Gilles Loggia, Pascale Lescure, Jadwiga Attier-Żmudka, Jennifer Bloch, Cédric Gaxatte and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinical interventions in aging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% 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.

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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

13 authors at 6 institutions in 1 country.

Guillaume DeschasseDepartment of Geriatrics, CHU Amiens-Picardie, Amiens, France.
Elodie DrumezULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, University Lille, CHU Lille, Lille, France.
Fabien VisadeULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, University Lille, CHU Lille, Lille, France.
Anne CharpentierDepartment of Geriatrics, CHU Lille, Lille, France.
Céline DelecluseGeriatrics Department, Lille Catholic Hospitals, Lille, France.
Gilles LoggiaCOMETE, INSERM, Normandie Univ, UNICAEN, Caen, France.ORCID 0000-0002-5061-2991
Pascale LescureDepartment of Geriatrics, Normandie Univ, UNICAEN, CHU de Caen Normandie, Caen, France.
Jadwiga Attier-ŻmudkaGeriatric Department, General Hospital of Saint-Quentin, Saint-Quentin, France.
Jennifer BlochDepartment of Geriatrics, CHU Lille, Lille, France.
Cédric GaxatteDepartment of Geriatrics, CHU Lille, Lille, France.
Frédéric BlochDepartment of Geriatrics, CHU Amiens-Picardie, Amiens, France.ORCID 0000-0002-6046-7097
François PuisieuxDepartment of Geriatrics, CHU Lille, Lille, France.
Jean-Baptiste BeuscartULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, University Lille, CHU Lille, Lille, France.
Centre Hospitalier Universitaire de Lille · FRUniversité Catholique de Lille · FRCentre Hospitalier de Saint-Quentin · FRCentre Hospitalier Universitaire Amiens-Picardie · FRInserm · FRNormandie Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute geriatric units (AGUs) require efficient discharge planning tools. Risk factors for discharge from an AGU to post-acute care (PAC) have not previously been investigated in detail. Methods: The objective is to identify risk factors for PAC transfer. The DAMAGE (prospective multicenter cohort) consecutively included more than 3500 subjects aged 75 or older and admitted to an AGU. The patients underwent a comprehensive geriatric assessment (CGA) during their stay in the AGU. Only community-dwelling patients admitted to the AGU from the emergency department were included in the analysis. We recorded the characteristics of the care pathway and identified risk factors for discharge to home or to a PAC facility. Results: 1928 patients were included. Loss of functional independence (a decrease in the Katz activities of daily living (ADL) score between 1 month prior to admission and AGU admission), living alone, social isolation, a high Katz ADL score at home, a low Katz ADL on admission, and delirium on admission were risk factors for transfer to PAC. Obesity, an elevated serum albumin level, and community-acquired infection were associated with discharge to home. Neither sex nor age was a risk factor for home discharge or transfer to PAC. Conclusion: The present results might help clinicians and discharge planning teams to identify patients at risk of transfer to PAC more reliably and promptly in AGUs.

Indexed as

Activities of Daily LivingSubacute CareAgedGeriatric AssessmentHumansIndependent LivingPatient DischargeProspective Studiesacute geriatric unitcare transitionshealth servicesrehabilitationrisk factors

Identifiers

PMID36532949
PMCPMC9748114
OpenAlexW4310903429

What OpenQuestion holds

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LicenceCC BY-NC
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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.