Trial reportAge and ageing2025
The impact of a multi-component hospital avoidance programme in residential aged care homes: a stepped-wedge cluster randomised trial.
Trial report in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Implementing an intervention to facilitate early detection of deterioration in aged care residents: process evaluation of the EDDIE + trial.Implementation science : IS · 2026Trial
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate if a multi-component hospital avoidance intervention would reduce hospital bed days in residential aged care (RAC) homes.
designProspective stepped-wedge cluster randomised trial with usual care and intervention phases.
settingEleven RAC homes in Queensland, Australia.
participantsThe intervention targeted all nursing staff and personal care workers within the participating RAC homes. Outcome data were collected for all residents living in the participating RAC homes at any time throughout the trial period.
interventionThe intervention comprised four core components: face-to-face training sessions with all nursing staff and personal care workers; provision of diagnostic medical equipment; decision support tools and embedded implementation facilitation and support.
main outcome measuresThe primary outcome was the number of hospital bed days per 100 resident days in RAC homes. Secondary outcomes assessed emergency department (ED) transfers, subsequent admissions to hospital and hospital length of stay.
resultsNo statistically significant intervention effects were observed across the reported outcomes. Exposure to the early detection of deterioration in elderly residents intervention was associated with a 27% relative increase in the primary outcome of hospital bed days (Estimate, 95% CI: 1.13, 0.93-1.74, P-value = 0.137). There was an 8% reduction in ED transfers (Estimate, 0.92: 0.74-1.14, P-value = 0.462) and a 10% increase in hospital admissions (Estimate, 1.10, 95% CI: 0.84-1.44, P-value = 0.486). For residents admitted to the hospital, the expected length of stay increased from 4.2 to 4.4 days (Estimate: 1.04; 95% CI: 1.00-1.07; P-value = 0.055).
conclusionsWhilst not statistically significant, findings indicate that the intervention was associated with fewer ED transfers, but increased hospital admissions and overall hospital bed days. Programme implementation was impacted by major contextual barriers, notably the COVID-19 pandemic, which contributed to pressures on staffing and workload.
trial registrationAustralia New Zealand Clinical Trial Registry, ACTRN12620000507987 (registered 23rd April 2020).
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