Evidence map›Paper›PMID 38679640›Full record

ArticleEuropean geriatric medicine2024

Differences in emergency department visits and hospitalization between German and Dutch nursing home residents: a cross-national survey.

Alexander M Fassmer, Sytse U Zuidema, Sarah I M Janus, Falk Hoffmann

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. 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

4 authors.

Alexander M FassmerDivision of Outpatient Care and Pharmacoepidemiology, Department of Health Services Research, School VI - School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Lower Saxony, Germany. alexander.fassmer@uni-oldenburg.de.ORCID 0000-0001-9456-2546
Sytse U ZuidemaDepartment of Primary and Long-Term Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Sarah I M JanusDepartment of Primary and Long-Term Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Falk HoffmannDivision of Outpatient Care and Pharmacoepidemiology, Department of Health Services Research, School VI - School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Lower Saxony, Germany.

Funding

Niedersächsisches Ministerium für Wissenschaft und Kultur ZN3730
6 · The paper itself

Abstract

purposeAssessing and comparing German and Dutch nursing home perspectives on residents' hospital transfers.

methodsCross-sectional study among German and Dutch nursing homes. Two surveys were conducted in May 2022, each among 600 randomly selected nursing homes in Germany and the Netherlands. The questionnaires were identical for both countries. The responses were compared between the German and Dutch participants.

resultsWe received 199 German (response: 33.2%) and 102 Dutch questionnaires (response: 17.0%). German nursing homes estimated the proportion of transfers to hospital during 1 year to be higher than in Dutch facilities (emergency department visits: 26.5% vs. 7.9%, p < 0.0001; hospital admissions: 29.5% vs. 10.5%, p < 0.0001). In German nursing homes, the proportion of transfers to hospital where the decision was made by the referring physician was lower than in the Dutch facilities (58.8% vs. 88.8%, p < 0.0001). More German nursing homes agreed that nursing home residents are transferred to the hospital too frequently (24.5% vs. 10.8%, p = 0.0069). German nursing homes were much more likely than Dutch facilities to believe that there was no alternative to transfer to a hospital when a nursing home resident had a fall (66.3% vs. 12.8%, p < 0.0001).

conclusionGerman nursing home residents are transferred to hospital more frequently than Dutch residents. This can probably be explained by differences in the care provided in the facilities. Future studies should, therefore, look more closely at these two systems and examine the extent to which more intensive outpatient care can avoid transfers to hospital.

Indexed as

Emergency Room VisitsEmergency Service, HospitalHospitalizationNursing HomesPatient TransferAgedAged, 80 and overCross-Sectional StudiesFemaleGermanyHomes for the AgedHumansMaleNetherlandsSurveys and QuestionnairesEmergency department visitsGermanyHospitalizationNursing home residentsThe Netherlands

Identifiers

PMID38679640
PMCPMC11329595

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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.