Evidence map›Paper›PMID 39583819›Full record

ReviewHeliyon2024

Multidisciplinary home-based interventions in adverse events and quality of life among frail older people: A systematic review and meta-analysis.

Marta Carolina Ruiz-Grao, Celia Álvarez-Bueno, Miriam Garrido-Miguel, Carlos Berlanga-Macias, Marta Gonzalez-Molinero, Beatriz Rodríguez-Martín

Abstract readReview
In one paragraph

Review in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

6 authors.

Marta Carolina Ruiz-GraoNursing Faculty, University of Castilla-La Mancha, Albacete, Spain.
Celia Álvarez-BuenoHealth and Social Research Center, University of Castilla-La Mancha, Cuenca, Spain.
Miriam Garrido-MiguelNursing Faculty, University of Castilla-La Mancha, Albacete, Spain.
Carlos Berlanga-MaciasNursing Faculty, University of Castilla-La Mancha, Albacete, Spain.
Marta Gonzalez-MolineroHealth and Social Research Center, University of Castilla-La Mancha, Cuenca, Spain.
Beatriz Rodríguez-MartínHealth and Social Research Center, University of Castilla-La Mancha, Cuenca, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the effects of multidisciplinary home-based interventions delivered by multidisciplinary teams to prevent adverse events (mortality, emergency visits, and hospital readmissions) and improve quality of life (QoL) among frail older adults. Methods: A systematic search of PubMed/MEDLINE, Scopus, the Cochrane Central Register of Controlled Trials, Web of Science, and the Cumulative Index to Nursing and Allied Health Literature was conducted until November 2023. The Risk of bias of the randomized controlled trials was assessed via the Cochrane risk of bias tool (RoB 2.0), and the synthesis and quality of evidence for each outcome were assessed via the Grading of Recommendation, Assessment, Development and Evaluation (GRADE). The effect size (ES), pooled OR (p-OR), and 95 % confidence intervals (95 % CIs) were calculated for QoL and adverse events. Subgroup analyses and meta-regressions were conducted. Results: Twenty-seven studies were included in the systematic review. The p-OR for the effect of home-based interventions on mortality was 0.88 (95 % CI: 0.75 to 1.02; I2 = 27.6 %), that for visits to the emergency department was 0.88 (95 % CI: 0.78 to 1.00; I2 = 56.4 %), that for hospital admissions in days was 0.85 (95 % CI: 0.52 to 1.37; I2 = 85.2 %), and that for hospital admissions was 0.90 (95 % CI: 0.79 to 1.01; I2 = 52.0 %). In addition, the pooled ES for the effect of home-based interventions on QoL was 0.08 (95 % CI: 0.02 to 0.17; I2 = 60.7 %). The type of intervention, type of control, evaluation of the risk of bias, duration of the intervention, mean age of the intervention group, and percentage of women in the intervention group did not modify the effect of MHBIs to prevent adverse events or to improve quality of life (QoL) among frail older adults. Conclusions: Multidisciplinary home-based interventions do not appear to reduce adverse events (mortality, visits to the emergency department, or hospital admissions/readmissions) in older people defined and/or considered frail. In addition, these interventions do not improve QoL in older people, or the evidence is unclear.

Indexed as

Adverse eventsFrailHome-based interventionsOlder peopleQuality of life

Identifiers

PMID39583819
PMCPMC11582431

What OpenQuestion holds

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LicenceCC BY
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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.