Evidence map›Paper›PMID 38233746›Full record

ArticleBMC geriatrics2024

Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial.

Bastian Abel, Martin Bongartz, Kilian Rapp, Patrick Roigk, Janine Peiter, Brigitte Metz, Benjamin Finger, Gisela Büchele, Michel Wensing, Catharina Roth and 9 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. [Telemedicine in the rehabilitation of older people living at home].Zeitschrift fur Gerontologie und Geriatrie · 2025
    Review
  7. Article
  8. Article
  9. 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

19 authors at 8 institutions in 1 country.

Bastian Abel *Department of Clinical Gerontology, Robert-Bosch-Hospital, Stuttgart, Germany.
Martin Bongartz *Center for Geriatric Medicine, Heidelberg University Hospital, Agaplesion Bethanien Hospital Heidelberg, Heidelberg, Germany.
Kilian RappDepartment of Clinical Gerontology, Robert-Bosch-Hospital, Stuttgart, Germany.
Patrick RoigkDepartment of Clinical Gerontology, Robert-Bosch-Hospital, Stuttgart, Germany.
Janine PeiterGeriatric Center Karlsruhe, ViDia Christian Clinics Karlsruhe, Karlsruhe, Germany.
Brigitte MetzGeriatric Center Karlsruhe, ViDia Christian Clinics Karlsruhe, Karlsruhe, Germany.
Benjamin FingerDepartment of Telemedicine, Robert-Bosch-Hospital, Stuttgart, Germany.
Gisela BücheleInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.
Michel WensingDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Heidelberg, Germany.
Catharina RothDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Heidelberg, Germany.
Oliver SchmidbergerDepartment of Clinical Gerontology, Robert-Bosch-Hospital, Stuttgart, Germany.
Hans-Helmut KönigDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Sophie GottschalkDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Judith DamsDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Oliver DeusterInterdisciplinary Center for Clinical Trials (IZKS) at the University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Désirée ImmelAOK Baden-Württemberg, Statutory Health Insurance Company, Stuttgart, Germany.
William MicolCenter for Geriatric Medicine, Heidelberg University Hospital, Agaplesion Bethanien Hospital Heidelberg, Heidelberg, Germany.
Jürgen M BauerCenter for Geriatric Medicine, Heidelberg University Hospital, Agaplesion Bethanien Hospital Heidelberg, Heidelberg, Germany.
Petra BenzingerCenter for Geriatric Medicine, Heidelberg University Hospital, Agaplesion Bethanien Hospital Heidelberg, Heidelberg, Germany. petra.benzinger@agaplesion.de.
Robert Bosch Hospital · DEUniversity Hospital Heidelberg · DEUniversität Hamburg · DEHeidelberg University · DESt. Vincentius-Kliniken · DENational Association of Statutory Health Insurance Physicians · DEUniversität Ulm · DEUniversity Medical Center of the Johannes Gutenberg University Mainz · DE

Funding

German Innovation Fund ('New Forms of Care') coordinated by the Innovation Committee of the Federal Joint Committee, Berlin, Germany 01NVF20017
6 · The paper itself

Abstract

backgroundGeriatric rehabilitation aims to maintain the functional reserves of older adults in order to optimize social participation and prevent disability. After discharge from inpatient geriatric rehabilitation, patients are at high risk for decreased physical capacity, increased vulnerability, and limitations in mobility. As a result, ageing in place becomes uncertain for a plethora of patients after discharge from geriatric rehabilitation and effective strategies to prevent physical decline are required. Collaboration between different health-care providers is essential to improve continuity of care after discharge from inpatient geriatric rehabilitation. The aim of this study is to evaluate the effectiveness of a multi-professional home-based intervention program (GeRas) to improve functional capacity and social participation in older persons after discharge from inpatient geriatric rehabilitation.

methodsThe study is a multicenter, three-arm, randomized controlled trial with a three-month intervention period. Two hundred and seventy community-dwelling older people receiving inpatient geriatric rehabilitation will be randomized with a 1:1:1 ratio to one of the parallel intervention groups (conventional IG or tablet IG) or the control group (CG). The participants of both IGs will receive a home-based physical exercise program supervised by physical therapists, a nutritional recommendation by a physician, and social counseling by social workers of the health insurance company. The collaboration between the health-care providers and management of participants will be realized within a cloud environment based on a telemedicine platform and supported by multi-professional case conferences. The CG will receive usual care, two short handouts on general health-related topics, and facultative lifestyle counseling with general recommendations for a healthy diet and active ageing. The primary outcomes will be the physical capacity measured by the Short Physical Performance Battery and social participation assessed by the modified Reintegration to Normal Living Index, three months after discharge. DISCUSSION: The GeRas program is designed to improve the collaboration between health-care providers in the transition from inpatient geriatric rehabilitation to outpatient settings. Compared to usual care, it is expected to improve physical capacity and participation in geriatric patients after discharge from inpatient geriatric rehabilitation.

trial registrationGerman Clinical Trials Register (DRKS00029559). Registered on October 05, 2022.

Indexed as

InpatientsPatient DischargeAgedAged, 80 and overExercise TherapyHumansIndependent LivingMulticenter Studies as TopicQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeGeriatric patientsMulti-professionalNutritionOlder adultsParticipationPhysical capacityPhysical exercisePhysical trainingPost-wardSocio-medicalTabletTelemedicineTransitional care

Identifiers

PMID38233746
PMCPMC10795216
OpenAlexW4390940911

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.