The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis
Open accessAbstract
OBJECTIVE: To assess the effectiveness of acute geriatric units compared with conventional care units in adults aged 65 or more admitted to hospital for acute medical disorders. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Medline, Embase, and the Cochrane Library up to 31 August 2008, and references from published literature. Review methods Randomised trials, non-randomised trials, and case-control studies were included. Exclusions were studies based on administrative databases, those that assessed care for a single disorder, those that evaluated acute and subacute care units, and those in which patients were admitted to the acute geriatric unit after three or more days of being admitted to hospital. Two investigators independently selected the studies and extracted the data. RESULTS: 11 studies were included of which five were randomised trials, four non-randomised trials, and two case-control studies. The randomised trials showed that compared with older people admitted to conventional care units those admitted to acute geriatric units had a lower risk of functional decline at discharge (combined odds ratio 0.82, 95% confidence interval 0.68 to 0.99) and were more likely to live at home after discharge (1.30, 1.11 to 1.52), with no differences in case fatality (0.83, 0.60 to 1.14). The global analysis of all studies, including non-randomised trials, showed similar results. CONCLUSIONS: Care of people aged 65 or more with acute medical disorders in acute geriatric units produces a functional benefit compared with conventional hospital care, and increases the likelihood of living at home after discharge.
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Assessing the quality of reports of randomized clinical trials: Is blinding necessary?
Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J. M., Gavaghan, D. J., & McQuay, H. J. (1996) · Controlled Clinical Trials · doi:10.1016/0197-2456(95)00134-4 · Cited by 17,582
Comprehensive geriatric assessment: a meta-analysis of controlled trials
Stuck, A. E., Siu, A. L., Wieland, G. D., Rubenstein, L. Z., & Adams, J. (1993) · The Lancet · doi:10.1016/0140-6736(93)92884-v · Cited by 1,974
Cited by
Ellis, G., Whitehead, M. A., Robinson, D., O'Neill, D., & Langhorne, P. (2011) · BMJ · doi:10.1136/bmj.d6553 · Cited by 1,068
Hospitalization-Associated Disability: “She Was Probably Able to Ambulate, but I’m Not Sure”
Covinsky, K. E., Pierluissi, E., & Johnston, C. B. (2011) · JAMA · doi:10.1001/jama.2011.1556 · Cited by 934
Martínez-Velilla, N., Casas-Herrero, A., Zambom-Ferraresi, F., Sáez de Asteasu, M. L., Lucia, A., Galbete, A., García-Baztán, A., Alonso-Renedo, J., González-Glaría, B., Gonzalo-Lázaro, M., et al. (2019) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2018.4869 · Cited by 481
Self-citationSo, C., & Pierluissi, E. (2012) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2012.03900.x · Cited by 112
Geyskens, L., Jeuris, A., Deschodt, M., Van Grootven, B., Gielen, E., & Flamaing, J. (2022) · Age and Ageing · doi:10.1093/ageing/afac007 · Cited by 70
Changing hospital care for older adults: the case for geriatric hospitals in the United States
Flaherty, J. H., Rodin, M. B., & Morley, J. E. (2022) · Gerontology and Geriatric Medicine · doi:10.1177/23337214221109005 · Cited by 13
Metadata
- Authors
- Baztan, J. J., Suarez-Garcia, F. M., Lopez-Arrieta, J., Rodriguez-Manas, L., & Rodriguez-Artalejo, F.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2009-01-22
- Volume
- 338
- Issue
- jan22 2
- Pages
- b50-b50
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2114811143
- Cited by
- 393
- References
- 2
- FWCI
- 51.32
- Type
- journal article
- Language
- en
- Open access
- hybrid
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