Evidence map›Paper›PMID 40312294›Full record

ArticleBMC geriatrics2025

Geriatric-led transitional care for older adults discharged from the emergency department: impact on hospital readmissions and disability. Protocol for the controlled prospective quasi-experimental study LASUITE.

Manuel Sanchez, Philippine Eloy, Virginie Godard, Marina Coutauchaud, Christine Lenouvel, Mathilde Charpigny, Pauline Manchon, Thi Hong Lien Han, Agathe Raynaud-Simon, Claire Patry

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05814328 (Geriatric Transitional Care for Older Patients Discharged From the Emergency Department), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05814328 narecruitingnot on this map

Geriatric Transitional Care for Older Patients Discharged From the Emergency Department: Impact on Early Readmissions

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2025 to 2027Enrolled1,322ConditionsHospital Readmissions of Elderly PatientsArmsTransitional Care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  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

10 authors.

Manuel SanchezDepartment of Geriatrics, AP-HP.Nord, Bichat-Beaujon-Bretonneau University Hospitals, Paris, Clichy, France. manuel.sanchez@aphp.fr.
Philippine EloyAP-HP.Nord, Clinical Investigation Center, Bichat University Hospital, Paris, France.
Virginie GodardAP-HP.Nord, Clinical Investigation Center, Bichat University Hospital, Paris, France.
Marina CoutauchaudPôle Gérontologie Clinique, Centre Hospitalier Universitaire de Bordeaux, Equipe Mobile de Gériatrie, Bordeaux, France.
Christine LenouvelCentre hospitalier de Saint-Brieuc, Equipe Mobile de Gériatrie, Saint-Brieuc, France.
Mathilde CharpignyDepartment of Geriatrics, AP-HP.Nord, Bichat-Beaujon-Bretonneau University Hospitals, Paris, Clichy, France.
Pauline ManchonAP-HP.Nord, Clinical Investigation Center, Bichat University Hospital, Paris, France.
Thi Hong Lien HanAP-HP.Nord, Clinical Investigation Center, Bichat University Hospital, Paris, France.
Agathe Raynaud-SimonDepartment of Geriatrics, AP-HP.Nord, Bichat-Beaujon-Bretonneau University Hospitals, Paris, Clichy, France.
Claire PatryDepartment of Geriatrics, AP-HP.Nord, Bichat-Beaujon-Bretonneau University Hospitals, Paris, Clichy, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEven when older people are discharged directly home after an emergency department (ED) visit, the risk of deterioration of health status and loss of independence persists. We hypothesize that among older adults discharged from the ED, hospital-community transition care provided by geriatric mobile teams (GMTs) may reduce the early readmission rate and level of disability. Such approaches have rarely been evaluated and cannot be generalized yet. Providing evidence of the positive impact of these strategies may influence public health policies.

methodsWe will conduct a national, multicentre, prospective, controlled, quasi-experimental study. All participating centres have an ED and a GMT, some of which provide transitional care. Participants recruited from hospitals where GMT provide transitional care form the "intervention group", whereas participants recruited from hospitals where GMT provide standard in-hospital management are the "control group". Inclusion criteria are age ≥ 75 years, returning to personal home after the ED visit (exclusion of nursing home residents) and having a significant risk for early readmission and/or loss of independence after discharge according to a Triage Risk Screening Tool score ≥ 2. The primary objective of this study is to compare hospital ED readmission rates within 30 days. Among secondary objectives, disability scores at 3 and 6 months will be compared between groups. We estimated that 1322 participants, i.e., 661 per group, is required for the main analysis. DISCUSSION: By conducting this study, we aim to provide more evidence of the effectiveness of transitional care on reducing ED readmissions for older adults, and particularly highlight determinants and effects of hospital-community GMT-led interventions. These strategies can be cost-effective while preserving independence and quality of life. We expect that the results will provide a basis to generalize effective strategies to address the challenges of demographic ageing for healthcare systems.

trial registrationThe study protocol was registered on ClinicalTrial.org (ID NCT05814328 Date 20230414).

Indexed as

Disability EvaluationEmergency Service, HospitalPatient DischargePatient ReadmissionPersons with DisabilitiesTransitional CareAgedAged, 80 and overFemaleHumansMaleProspective StudiesEmergency departmentGeriatric mobile teamTransitional care

Identifiers

PMID40312294
PMCPMC12044752

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Registered trials

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.