A Negative Trial of Inpatient Geriatric Consultation

Winograd, Carol Hutner; Gerety, Meghan B.; Lai, Nancy A.

doi:10.1001/archinte.1993.00410170101010

Cited by 78 publications

(24 citation statements)

References 27 publications

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“…Fourteen articles were selected based on 12 individual studies [19-32]. The results of the study by Shyu et al .…”

Section: Resultsmentioning

confidence: 99%

“…The total quality scores of the included studies ranged from 19 'moderate' to 25 'excellent' [19-32]. In the majority of the studies, a randomized controlled design was used [21,23-32].…”

Section: Resultsmentioning

confidence: 99%

“…The total quality scores of the included studies ranged from 19 'moderate' to 25 'excellent' [19-32]. In the majority of the studies, a randomized controlled design was used [21,23-32]. A prospective calculation of the study size was done in only five studies [19,23,26,28,29,31].…”

Section: Resultsmentioning

confidence: 99%

“…All studies conducted before 1995 were done in the United States [20-22,24-27,30,32] or Canada [20-22], whereas more recent studies were done in Europe [19,23,31] or Taiwan [28,29]. Five studies were done in patients who were frail or with specific geriatric problems [21-23,26,32], whereas three studies were conducted in patients with a recent hip fracture [19,28,29,31]. Four studies had no other inclusion criteria except a minimum age for inclusion [20,24,25,27,30].…”

Section: Resultsmentioning

confidence: 99%

“…The analysis on the effects on functional status was based on 11 trials or 4,435 participants [19-24,26-32] (Table 3). A significant benefit in functional status for intervention patients was found in only two trials.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Impact of geriatric consultation teams on clinical outcome in acute hospitals: a systematic review and meta-analysis

Deschodt

Flamaing

Haentjens

et al. 2013

BMC Med

161

116

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BackgroundComprehensive geriatric assessment for older patients admitted to dedicated wards has proven to be beneficial, but the impact of comprehensive geriatric assessment delivered by mobile inpatient geriatric consultation teams remains unclear. This review and meta-analysis aims to determine the impact of inpatient geriatric consultation teams on clinical outcomes of interest in older adults.MethodsAn electronic search of Medline, CINAHL, EMBASE, Web of Science and Invert for English, French and Dutch articles was performed from inception to June 2012. Three independent reviewers selected prospective cohort studies assessing functional status, readmission rate, mortality or length of stay in adults aged 60 years or older. Twelve studies evaluating 4,546 participants in six countries were identified. Methodological quality of the included studies was assessed with the Methodological Index for Non-Randomized Studies.ResultsThe individual studies show that an inpatient geriatric consultation team intervention has favorable effects on functional status, readmission and mortality rate. None of the studies found an effect on the length of the hospital stay. The meta-analysis found a beneficial effect of the intervention with regard to mortality rate at 6 months (relative risk 0.66; 95% confidence interval 0.52 to 0.85) and 8 months (relative risk 0.51; confidence interval 0.31 to 0.85) after hospital discharge.ConclusionsInpatient geriatric consultation team interventions have a significant impact on mortality rate at 6 and 8 months postdischarge, but have no significant impact on functional status, readmission or length of stay. The reason for the lack of effect on these latter outcomes may be due to insufficient statistical power or the insensitivity of the measuring method for, for example, functional status. The questions of to whom IGCT intervention should be targeted and what can be achieved remain unanswered and require further research.Trial registration: CRD42011001420 (http://www.crd.york.ac.uk/PROSPERO)

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“…Fourteen articles were selected based on 12 individual studies [19-32]. The results of the study by Shyu et al .…”

Section: Resultsmentioning

confidence: 99%

“…The total quality scores of the included studies ranged from 19 'moderate' to 25 'excellent' [19-32]. In the majority of the studies, a randomized controlled design was used [21,23-32].…”

Section: Resultsmentioning

confidence: 99%