Evidence map›Paper›PMID 41987107›Full record

SynthesisBMC geriatrics2026

Effectiveness of inpatient geriatric rehabilitation in those with cognitive impairment: a secondary analysis of meta-analysis data.

Eric K C Wong, Peter M Hoang, Andrew Kouri, Sandeep Gill, Yu Qing Huang, Janice C Lee, Sophie M Weiss, Raymond Daniel, Jessie McGowan, Krystle Amog and 6 more

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Eric K C WongDivision of Geriatric Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Peter M HoangDivision of Geriatric Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Andrew KouriInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Sandeep GillInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Yu Qing HuangDivision of Geriatric Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Janice C LeeDivision of Geriatric Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Sophie M WeissTemerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Raymond DanielKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital (Unity Health Toronto), 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Jessie McGowanSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada.
Krystle AmogInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Joanna E M SaleInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Wanrudee IsaranuwatchaiInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
David M J NaimarkInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Andrea C TriccoInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Jennifer A WattDivision of Geriatric Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Sharon E StrausDivision of Geriatric Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada. Sharon.straus@utoronto.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeriatric rehabilitation reduces mortality and long-term care home (LTCH) admission. However, cognitive impairment is often perceived to be a barrier for successful rehabilitation. Our objective was to determine the impact of cognitive impairment on rehabilitation outcomes using a systematic review of inpatient geriatric rehabilitation.

methodsWe conducted a secondary analysis of a recent systematic review and meta-analysis of geriatric rehabilitation in the inpatient settings. We screened 29 randomized controlled trials (RCTs) included in the original systematic review for those that reported rehabilitation outcomes (e.g. mortality, LTCH admission) by cognitive status (high vs. low cognition as defined by score cutoff or dementia diagnosis). Results were analyzed by (i) a meta-analysis of outcomes in those with cognitive impairment and (ii) pooling the within study interaction by cognitive status.

resultsOf 29 RCTs, 8 RCTs (1134 patients) reported outcomes by cognitive status. For the subgroup of patients with cognitive impairment, the risk ratio (RR) of mortality at the longest follow up was 0.75 (95% confidence interval [CI] 0.39 to 1.45, I

conclusionsThere is no interaction between baseline cognitive status and the outcomes in this systematic review, suggesting that baseline cognitive impairment does not alter the mortality and institutionalization benefits of geriatric rehabilitation. REVIEW REGISTRATION: PROSPERO: CRD42022345078.

Indexed as

Cognitive DysfunctionHospitalizationInpatientsAgedHumansRandomized Controlled Trials as TopicSecondary Data AnalysisTreatment OutcomeCognitive impairmentDementiaFunctionGeriatric rehabilitationInpatientMeta-analysisSystematic review

Identifiers

PMID41987107
PMCPMC13200383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.