Evidence map›Paper›PMID 39068175›Full record

ArticleScientific reports2024

E-Health-based, trans-sectoral, geriatric health service - Geriatric Network (GerNe).

Michael Mohr, Matthias Büttner, Oliver Deuster, Jochen Heckmann, Frank Huwer, Irene Krämer, Cornelia Lippold, Bettina Siegrist, Susanne Singer, Marina Veith and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 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

12 authors.

Michael MohrGeriatric Department, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. michael.mohr@unimedizin-mainz.de.
Matthias BüttnerInstitute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Oliver DeusterInterdisciplinary Center for Clinical Trials (IZKS), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Jochen HeckmannGeriatric Clinic Rheinhessen-Nahe, Bad Kreuznach, Germany.
Frank HuwerBARMER Rheinland-Pfalz/Saarland, Mainz, Germany.
Irene KrämerPharmacy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Cornelia LippoldSt. Vincenz Hospital Diez, Diez, Germany.
Bettina SiegristPharmacy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Susanne SingerInstitute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Marina VeithGeriatric Department, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Ariane ZinkeSt. Marien- und St. Annastifts Hospital Ludwigshafen, Ludwigshafen, Germany.
Roland HardtGeriatric Department, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Funding

German Innovation Fund 01NVF17030
6 · The paper itself

Abstract

Currently, exchange of information between the geriatric clinic and the attending general practitioner (GP) occurs primarily through the doctor's letter after discharging from the clinic. The aim of our study was to reduce readmissions of multimorbid, geriatric patients to the clinic by establishing a new form of care via an electronic case file (ECF) and a consultation service (CS). The discharging geriatric clinic filled out an online ECF. The patient's GP should document quarterly follow-ups in the ECF. The case file was monitored by the discharging clinic due to a consultation service. The primary efficacy endpoint was the rehospitalization rate within one year. The hospitalization rate for patients managed in the project was 83.1/100 person years (PY), while the control group from insurance data had a rate of 69.0/100 PY. The primary endpoint did not show a statistically significant difference (p = 0.15). A total of 195 contacts were documented via CS for 171 participants, mostly initiated by the clinics. The clinical queries primarily concerned drug therapy. The Covid pandemic had an overall impact on hospitalizations. There are many approaches to reducing hospital readmissions after discharge of older patients. Supporting the transition from inpatient to outpatient care by different professional groups or care systems has been shown to have a positive effect. Furthermore, the utilisation of an ECF can also be beneficial in this regard.

Indexed as

COVID-19TelemedicineAgedAged, 80 and overElectronic Health RecordsFemaleGeriatricsHealth Services for the AgedHospitalizationHumansMalePatient DischargePatient ReadmissionSARS-CoV-2Case fileConsilElderlyGeriatric careRehospitalization

Identifiers

PMID39068175
PMCPMC11283534

What OpenQuestion holds

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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.