Evidence map›Paper›PMID 38616544›Full record

SynthesisJournal of clinical nursing2025

A systematic review of reasons and risks for acute service use by older adult residents of long-term care.

Eamon Merrick, Katherine Bloomfield, Christopher Seplaki, Kay Shannon, Carol Wham, Rhona Winnington, Stephen Neville, Kasia Bail, Margaret Fry, Murray Turner and 1 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Eamon MerrickFaculty of Health, University of Technology Sydney and Northern Sydney Local Health District, Sydney, New South Wales, Australia.ORCID 0000-0003-4269-6360
Katherine BloomfieldDepartment of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-6679-1763
Christopher SeplakiDepartment of Public Health Sciences and Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.ORCID 0000-0001-8296-7714
Kay ShannonSchool of Clinical Science, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0003-1062-2578
Carol WhamSchool of Sport, Exercise and Nutrition, Massey University, Palmerston North, New Zealand.ORCID 0000-0002-5136-1346
Rhona WinningtonSchool of Clinical Science, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-6504-2856
Stephen NevilleDepartment of Wellbeing and Ageing, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-1699-6143
Kasia BailDepartment of Nursing, University of Canberra, Canberra, Australia.ORCID 0000-0002-4797-0042
Margaret FryFaculty of Health, University of Technology Sydney and Northern Sydney Local Health District, Sydney, New South Wales, Australia.ORCID 0000-0003-1265-7096
Murray TurnerFaculty of Health, University of Canberra, Canberra, Australia.ORCID 0000-0001-6326-8707
Joanna MacFarlaneStable Psychology, Auckland, New Zealand.ORCID 0000-0001-8264-1757

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

objectivesTo identify the reasons and/or risk factors for hospital admission and/or emergency department attendance for older (≥60 years) residents of long-term care facilities.

backgroundOlder adults' use of acute services is associated with significant financial and social costs. A global understanding of the reasons for the use of acute services may allow for early identification and intervention, avoid clinical deterioration, reduce the demand for health services and improve quality of life.

designSystematic review registered in PROSPERO (CRD42022326964) and reported following PRISMA guidelines.

methodsThe search strategy was developed in consultation with an academic librarian. The strategy used MeSH terms and relevant keywords. Articles published since 2017 in English were eligible for inclusion. CINAHL, MEDLINE, Scopus and Web of Science Core Collection were searched (11/08/22). Title, abstract, and full texts were screened against the inclusion/exclusion criteria; data extraction was performed two blinded reviewers. Quality of evidence was assessed using the NewCastle Ottawa Scale (NOS).

resultsThirty-nine articles were eligible and included in this review; included research was assessed as high-quality with a low risk of bias. Hospital admission was reported as most likely to occur during the first year of residence in long-term care. Respiratory and cardiovascular diagnoses were frequently associated with acute services use. Frailty, hypotensive medications, falls and inadequate nutrition were associated with unplanned service use.

conclusionsModifiable risks have been identified that may act as a trigger for assessment and be amenable to early intervention. Coordinated intervention may have significant individual, social and economic benefits. RELEVANCE TO CLINICAL PRACTICE: This review has identified several modifiable reasons for acute service use by older adults. Early and coordinated intervention may reduce the risk of hospital admission and/or emergency department. REPORTING

methodThis systematic review was conducted and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Emergency Service, HospitalHospitalizationLong-Term CareAgedAged, 80 and overHumansMiddle AgedRisk Factorsagedemergency servicehospitalhospitalisationlong‐term care

Identifiers

PMID38616544
PMCPMC11808469

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.