Evidence map›Paper›PMID 38017388›Full record

Observational studyBMC geriatrics2023

Decreasing hospitalizations through geriatric hotlines: a prospective French multicenter study of people aged 75 and above.

Luc Goethals, Nathalie Barth, Laure Martinez, Noémie Lacour, Magali Tardy, Jérôme Bohatier, Marc Bonnefoy, Cédric Annweiler, Caroline Dupre, Bienvenu Bongue and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03959475 (A Descriptive Multicenter Investigation of Geriatrics Hotlines), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 18% 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.

NCT03959475 completednot on this map

A Descriptive Multicenter Investigation of Geriatrics Hotlines : Description of the Health Care Pathways and Conditions of Subjects Aged 75 and Over

Typeobservational_patient_registrySponsorSupport and Education Technic CentreRan2018 to 2020Enrolled2,000ConditionsGeriatric, Elderly
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Observational
  3. Observational
  4. Article
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

11 authors at 5 institutions in 2 countries.

Luc GoethalsSAINBIOSE laboratory, U1059 INSERM - University of Jean Monnet, Saint-Etienne, France. luc.goethals@outlook.fr.
Nathalie BarthSAINBIOSE laboratory, U1059 INSERM - University of Jean Monnet, Saint-Etienne, France.
Laure MartinezDepartment of Clinical Gerontology, Saint-Etienne University Hospital, Saint-Etienne, France.
Noémie LacourDepartment of Clinical Gerontology, Firminy Hospital, Firminy, France.
Magali TardyDepartment of Clinical Gerontology, Saint-Chamond Hospital, Saint-Chamond, France.
Jérôme BohatierDepartment of Clinical Gerontology, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.
Marc BonnefoyDepartment of Clinical Gerontology, Lyon Sud University Hospital, Lyon, France.
Cédric AnnweilerDepartment of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital of Angers, Angers, France.
Caroline DupreSAINBIOSE laboratory, U1059 INSERM - University of Jean Monnet, Saint-Etienne, France.
Bienvenu BongueSAINBIOSE laboratory, U1059 INSERM - University of Jean Monnet, Saint-Etienne, France.
Thomas CelarierChaire Santé des Ainés, University of Jean Monnet, Saint-Etienne, France.
Université Jean Monnet · FRInserm · FRCentre Hospitalier Universitaire de Saint-Étienne · FRHospices Civils de Lyon · FRWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Emergency unit of the hospital (Department) (ED) is the fastest and most common way for most French general practitioners (GPs) to respond to the complexity of managing older adults patients with multiple chronic diseases. In 2013, French regional health authorities proposed to set up telephone hotlines to promote interactions between GP clinics and hospitals. The main objective of our study was to analyze whether the hotlines and solutions proposed by the responding geriatrician reduced the number of hospital admissions, and more specifically the number of emergency room admissions.

methodsWe conducted a multicenter observational study from April 2018 to April 2020 at seven French investigative sites. A questionnaire was completed by all hotline physicians after each call.

resultsThe study population consisted of 4,137 individuals who met the inclusion and exclusion criteria. Of the 4,137 phone calls received by the participants, 64.2% (n = 2 657) were requests for advice, and 35.8% (n = 1,480) were requests for emergency hospitalization. Of the 1,480 phone calls for emergency hospitalization, 285 calls resulted in hospital admission in the emergency room (19.3%), and 658 calls in the geriatric short stay (44.5%). Of the 2,657 calls for advice/consultation/delayed hospitalization, 9.7% were also duplicated by emergency hospital admission.

conclusionThis study revealed the value of hotlines in guiding the care of older adults. The results showed the potential effectiveness of hotlines in preventing unnecessary hospital admissions or in identifying cases requiring hospital admission in the emergency room. Hotlines can help improve the care pathway for older adults and pave the way for future progress.

trial registrationRegistered under Clinical Trial Number NCT03959475. This study was approved and peer-reviewed by the Ethics Committee for the Protection of Persons of Sud Est V of Grenoble University Hospital Center (registered under 18-CETA-01 No.ID RCB 2018-A00609-46).

Indexed as

General PractitionersHotlinesAgedEmergency Service, HospitalHospitalizationHospitals, UniversityHumansProspective StudiesAged adultsEmergency admissionGeneral practitionerGeriatricianHealth careHotline

Identifiers

PMID38017388
PMCPMC10685561
OpenAlexW4389080441

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.