Evidence map›Paper›PMID 38886640›Full record

ArticleBMC geriatrics2024

Patient outcome quality indicators for older persons in acute care: original development data using interRAI AC-CGA.

Melinda G Martin-Khan, Leonard C Gray, Caroline Brand, Olivia Wright, Nancy A Pachana, Gerard J Byrne, Mark D Chatfield, Richard Jones, John Morris, Catherine Travers and 4 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

14 authors.

Melinda G Martin-KhanCentre for Health Services Research, The University of Queensland, Building 33, Princess Alexandra Hospital, 34 Cornwall St, Brisbane, QLD, 4102, Australia.
Leonard C GrayCentre for Health Services Research, The University of Queensland, Building 33, Princess Alexandra Hospital, 34 Cornwall St, Brisbane, QLD, 4102, Australia. len.gray@uq.edu.au.
Caroline BrandDepartment of Clinical Epidemiology, Biostatistics and Health Services Research, Melbourne Health, The University of Melbourne and The Royal Melbourne Hospital, Melbourne, VIC, Australia.
Olivia WrightNutrition and Dietetics, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia.
Nancy A PachanaSchool of Psychology, The University of Queensland, Brisbane, QLD, Australia.
Gerard J ByrneMayne Academy of Psychiatry, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Mark D ChatfieldCentre for Health Services Research, The University of Queensland, Building 33, Princess Alexandra Hospital, 34 Cornwall St, Brisbane, QLD, 4102, Australia.
Richard JonesThe Warren Alpert Medical School, Brown University, Boston, MA, USA.
John MorrisInstitute of Ageing Research, Boston, MA, USA.
Catherine TraversSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.
Joanne TropeaDepartment of Medicine, University of Melbourne, Parkville, VIC, Australia.
Beibei XiongCentre for Health Services Research, The University of Queensland, Building 33, Princess Alexandra Hospital, 34 Cornwall St, Brisbane, QLD, 4102, Australia.
Research Collaborative for Quality Care: Acute Care Panel
Research Collaborative for Quality Care: Dementia Care Panel

Funding

National Health and Medical Research Council (NHMRC) Project grants scheme 569682
6 · The paper itself

Abstract

backgroundA range of strategies are available that can improve the outcomes of older persons particularly in relation to basic activities of daily living during and after an acute care (AC) episode. This paper outlines the original development of outcome-oriented quality indicators (QIs) in relation to common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards.

methodsDesign QIs were developed using evidence from literature, expert opinion, field study data and a formal voting process. A systematic literature review of literature identified existing QIs (there were no outcome QIs) and evidence of interventions that improve older persons' outcomes in AC. Preliminary indicators were developed by two expert panels following consideration of the evidence. After analysis of the data from field testing (indicator prevalence, variability across sites), panel meetings refined the QIs prior to a formal voting process.

settingData was collected in nine Australian general medical wards.

participantsPatients aged 70 years and over, consented within 24 h of admission to the AC ward. MEASUREMENTS: The interRAI Acute Care - Comprehensive Geriatric Assessment (interRAI AC-CGA) was administered at admission and discharge; a daily risk assessment in hospital; 28-day phone follow-up and chart audit.

resultsTen outcome QIs were established which focused on common geriatric syndromes and function for the care of the frail aged hospitalized in acute general medical wards.

conclusionTen outcome QIs were developed. These QIs can be used to identify areas where specific action will lead to improvements in the quality of care delivered to older persons in hospital.

Indexed as

Geriatric AssessmentQuality Indicators, Health CareActivities of Daily LivingAgedAged, 80 and overFemaleFrail ElderlyHospitalizationHumansMalePatient Outcome AssessmentAcute careGeriatricsQuality indicatorsQuality of care

Identifiers

PMID38886640
PMCPMC11184687

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.