Evidence map›Paper›PMID 40319285›Full record

SynthesisBMC public health2025

Risk factors for infection in older adults with home care: a mixed methods systematic review with meta-analysis.

Ann Liljas, Madelene Barboza, Carmela Basanisi, Gabrielle Muzzi, Abaynesh Haftu Nigussie, Janne Agerholm, Bo Burström, Ester Gubi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. 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
  2. Article
  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

8 authors.

Ann LiljasDepartment of Global Public Health, Karolinska Institutet , 171 77, Stockholm, Sweden. ann.liljas@ki.se.
Madelene BarbozaDepartment of Global Public Health, Karolinska Institutet , 171 77, Stockholm, Sweden.
Carmela BasanisiDepartment of Global Public Health, Karolinska Institutet , 171 77, Stockholm, Sweden.
Gabrielle MuzziDepartment of Health Sciences, Western University, London, ON, N6 A 3 K7, Canada.
Abaynesh Haftu NigussieDepartment of Global Public Health, Karolinska Institutet , 171 77, Stockholm, Sweden.
Janne AgerholmDepartment of Global Public Health, Karolinska Institutet , 171 77, Stockholm, Sweden.
Bo BurströmDepartment of Global Public Health, Karolinska Institutet , 171 77, Stockholm, Sweden.
Ester GubiDepartment of Global Public Health, Karolinska Institutet , 171 77, Stockholm, Sweden.

Funding

The Swedish Research Council for Health, Working Life and Welfare 2021-01784
6 · The paper itself

Abstract

Worldwide, home care in the form of home healthcare and home help, has become increasingly more available. This systematic review aims to provide a deeper understanding of factors that are of particular importance for infection control in the home care setting for older adults. Five databases were searched (MEDLINE, Embase, ProQuest, Web of Science, CINAHL) for eligible studies using any research design reporting on individual, medical, behavioral and environmental factors. Retrieved studies were screened and assessed for quality. The Joanna Briggs Institute manual guided the research process and the work of generating a synthesis. Qualitative findings were compiled using meta-aggregation. For quantitative evidence, meta-analyses were conducted when possible. Of 19,484 unique records, 27 studies (7 cohort studies, 9 cross-sectional and 11 qualitative) were included in the review. Risk factors for infection reported in the quantitative studies referred to individual, medical, social, behavioral, environmental, and organisational aspects. Meta-analyses showed associations between urinary catheter use (OR 3.97, 95%CI 2.56-6.15) and limited mobility (OR 1.49, 95%CI 1.31-1.68), respectively, and risk of infection. Pooled ORs of urinary incontinence and risk of infection were not statistically significant. Findings from the qualitative studies covered perceived and observed risk factors to infection control and prevention. The evidence resulted in five synthesised findings covering attitudes, behaviors, home environment, personal interactions, lack of equipment, unsafe disposal of material, pets, unsafe practices and procedures, and lack of training. The combined quantitative and qualitative evidence sheds light on separate yet interconnected elements of risks for infection that may reinforce each other, potentially exposing vulnerable older adults to amplified risks.

Indexed as

Home Care ServicesAgedHumansRisk FactorsHome careOlder adultsRisk factors

Identifiers

PMID40319285
PMCPMC12048934

What OpenQuestion holds

Textmetadata
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.