The evidence for services to avoid or delay residential aged care admission: a systematic review

BMC Geriatrics
Julie A LukerSusan L Hillier

Abstract

Interventions that enable people to remain in their own home as they age are of interest to stakeholders, yet detailed information on effective interventions is scarce. Our objective was to systematically search and synthesise evidence for the effectiveness of community-based, aged care interventions in delaying or avoiding admission to residential aged care. Nine databases were searched from January 2000 to February 2018 for English publications. Reference lists of relevant publications were searched. The databases yielded 55,221 citations and 50 citations were gleaned from other sources. Where there was sufficient homogeneity of study design, population, intervention and measures, meta-analyses were performed. Studies were grouped by the type of intervention: complex multifactorial interventions, minimal/single focus interventions, restorative programs, or by the target population (e.g. participants with dementia). Data from 31 randomised controlled trials (32 articles) that met our inclusion criteria were extracted and analysed. Compared to controls, complex multifactorial interventions in community aged care significantly improved older adults' ability to remain living at home (risk difference - 0.02; 95% CI -0.03, - 0.00; ...Continue Reading

References

Jun 29, 2000·Archives of Internal Medicine·L S SommersJ Randolph
Sep 13, 2000·Journal of the American Geriatrics Society·K RockwoodR S Tonks
Mar 14, 2002·Journal of the American Geriatrics Society·U Eloniemi-SulkavaR Sulkava
Apr 16, 2002·American Journal of Physical Medicine & Rehabilitation·V PardessusP Dewailly
Oct 4, 2002·The New England Journal of Medicine·Thomas M GillAmy Byers
Sep 24, 2004·Health and Quality of Life Outcomes·Christian K AndersenPer Kragh-Sørensen
Dec 4, 2004·Aging Clinical and Experimental Research·Ayumi KonoLaurence Z Rubenstein
Jan 25, 2005·BMJ : British Medical Journal·Richard HollandChristopher Hand
Apr 9, 2005·Journal of the American Geriatrics Society·Mikkel VassCarsten Hendriksen
Apr 14, 2006·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·François BélandLuc Dallaire
Nov 23, 2006·Scandinavian Journal of Primary Health Care·Heikki LuukinenPentti Koistinen
Apr 1, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Anke HussKerri M Clough-Gorr
Aug 2, 2008·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Roger ThomasJohn Knight
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
May 12, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Hein P J van HoutGiel Nijpels
May 10, 2011·BMC Health Services Research·Lee-Fay LowHenry Brodaty
Aug 24, 2011·Journal of Aging Research·Charlotte LöfqvistSusanne Iwarsson
Oct 11, 2011·The Gerontologist·Janine L WilesRuth E S Allen
Oct 22, 2011·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Ayumi KonoLaurence Z Rubenstein
Nov 1, 2011·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Betty S BlackQuincy M Samus
Nov 24, 2011·Health & Social Care in the Community·Anna I I KingDiane Jörgensen
Apr 11, 2012·Journal of Gerontological Social Work·Chengqiu XieDavid Challis
Feb 8, 2014·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Quincy M SamusConstantine G Lyketsos
Sep 19, 2014·BMC Health Services Research·Pooria Sarrami-ForoushaniJeffrey Braithwaite
Sep 1, 2015·Qualitative Health Research·Emily Chuanmei YouColleen Doyle
Nov 4, 2015·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·André TourignyMélanie Martin
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Andy CochraneMichael Donnelly
Sep 1, 2017·International Journal of Geriatric Psychiatry·Miharu NakanishiAtsushi Nishida

❮ Previous
Next ❯

Citations

Sep 28, 2021·International Journal of Geriatric Psychiatry·Susanne RöhrSteffi G Riedel-Heller
Oct 7, 2021·Journal of Evaluation in Clinical Practice·Damien ContandriopoulosLaura Funk
Oct 29, 2021·Journal of the American Geriatrics Society·Katherine BloomfieldMartin J Connolly

❮ Previous
Next ❯

Software Mentioned

Endnote
Covidence
EMBRACE
Cochrane
QOL

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.