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Centre for Policy on Ageing | |
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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 | | Author(s) | Juan J Baztán, Francisco M Suárez-García, Jesús López-Arrieta |
| Journal title | British Medical Journal, vol 338, no 7690, 7 February 2009 |
| Pages | pp 334-336 |
| Source | www.bmj.com |
| Keywords | Acute illness ; Geriatric units ; Admission ; Living in the community ; Evaluation ; Literature reviews. |
| Annotation | Care of people aged 65+ 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. This was the main finding of a systematic review and meta-analysis based on references from searches of Medline, Embase and the Cochrane Library up to 31 August 2008. Randomised trials, non-randomised trials and case control studies were included. Excluded were studies based o administrative databases, those that assessed care of a single disorder, those that evaluated acute and sub-acute care units, and those in which patients were admitted to the acute geriatric unit after three of more days of being admitted to hospital. two investigators independently selected the studies and extracted the data. 11 studies were included, of which 5 were randomised trials, and 2 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 and were more likely to live at home after discharge, with no differences in case fatality. The global analysis of all studies, including non-randomised trials, showed similar results. (RH). |
| Accession Number | CPA-090406207 A |
| Classmark | CHA: LDB: QKH: K4: 4C: 64A * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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