Evidence map›Paper›PMID 37740898›Full record

ArticleAge and ageing2023

'Auspicious liaisons'-evaluating the impact of a liaison geriatrician initiative on older adults psychiatric wards.

Peter Swann, Abraham Tolley, Theodoros Paschalis, Daniel Zahedi, Heng C Wong, Viveca Kirthisingha, Eladia Ruiz-Mendoza, Judy Rubinsztein

Open access · hybridAbstract read
In one paragraph

Article in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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.

Peter SwannDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Abraham TolleySchool of Clinical Medicine, University of Cambridge, Cambridge, UK.ORCID 0000-0002-4739-4575
Theodoros PaschalisCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Daniel ZahediSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Heng C WongSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Viveca KirthisinghaCambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
Eladia Ruiz-MendozaNorth West Anglia NHS Foundation Trust, Peterborough, UK.
Judy RubinszteinCambridgeshire and Peterborough NHS Foundation Trust, OPAC, Cambridge, UK.
University of Cambridge · GBCambridgeshire and Peterborough NHS Foundation Trust · GBCambridge University Hospitals NHS Foundation Trust · GBPeterborough City Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough liaison services in acute hospitals are now the norm, the reverse is not usually available for patients in mental health trusts. Following the introduction of support from geriatricians to older people's mental health inpatient wards, we wanted to see if this intervention was effective and acceptable to clinicians.

methodsWe performed a retrospective cohort service evaluation on the impact of a liaison geriatrician, using routinely collected data, and assessed acceptability among medical staff by semi-structured interview.

interventionOur service introduced regular sessions from consultant community geriatricians across older adults psychiatric wards including a mixture of video conference and face-to-face input.

resultsThere was no significant decrease in emergency transfers but there was a significant reduction in length of stay with an associated cost benefit for the service after the introduction of a liaison geriatrician. There was a significant increase in geriatrician consultations and a decrease in specialty consultations to other specialists. There was no change in discharge prescriptions or destination. There was a significant reduction in falls in the intervention arm but not in falls leading to emergency hospital admissions geriatricians gave confidence to psychiatrists of all grades to treat physical health care issues.

conclusionsA liaison geriatrician service may be a component in reducing length of stay (although there are many others) and improving continuity of care, although it confers no impact on emergency transfers. The intervention was highly acceptable to clinicians.

Indexed as

GeriatriciansPsychiatric Department, HospitalAgedHospitalizationHospitalsHumansRetrospective Studiesdementiaolder peoplepsychiatryservice

Identifiers

PMID37740898
PMCPMC10789238
OpenAlexW4386980222

What OpenQuestion holds

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LicenceCC BY
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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.