Inpatient rehabilitation specifically designed for geriatric patients: Systematic review and meta-analysis of randomised controlled trials

BMJ (Online)

Volumn 340, Issue 7758, 2010, Pages 1230-

  Bachmann, Stefan ^a,b   Finger, Christoph ^a   Huss, Anke ^c,d   Egger, Matthias ^c,e   Stuck, Andreas E ^a   Clough Gorr, Kerri M ^a,c,f  

^a UNIVERSITY OF BERN   (Switzerland)

^b Rehabilitation Centre Klinik Valens   (Switzerland)

^c UNIVERSITY OF BERN   (Switzerland)

^d UTRECHT UNIVERSITY   (Netherlands)

^e UNIVERSITY OF BRISTOL   (United Kingdom)

^f BOSTON UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL RESEARCH; CLINICAL TRIAL; FOLLOW UP; FUNCTIONAL STATUS; GERIATRIC PATIENT; GERIATRIC REHABILITATION; HEALTH CARE COST; HEALTH PROGRAM; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; META ANALYSIS; METHODOLOGY; MORTALITY; NURSING HOME; ORTHOPEDICS; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RANDOMIZATION; SYSTEMATIC REVIEW;

ACUTE DISEASE; AGED; HIP FRACTURES; HOMES FOR THE AGED; HOSPITALIZATION; HUMANS; NURSING HOMES; PROGNOSIS; QUALITY OF HEALTH CARE; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 77953718429     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.c1718     Document Type: Article

References (54)

1. WHO Expert Committee on Disability Prevention and Rehabilitation. Disability prevention and rehabilitation. World Health Organ Tech Rep Ser 1981;668:1-39.
2. Gaugler JE, Duval S, Anderson KA, Kane RL. Predicting nursing home admission in theUS: ameta-analysis. BMC Geriatr 2007;7:13. (Pubitemid 47058002)
3. Ottenbacher KJ, Smith PM, Illig SB, Linn RT, Ostir GV, Granger CV. Trends in length of stay, living setting, functional outcome, and mortality following medical rehabilitation. JAMA 2004;292:1687-95.
4. Huss A, Stuck AE, Rubenstein LZ, Egger M, Clough-Gorr KM. Multidimensional preventive home visit programs for community-dwelling older adults: a systematic review and meta-analysis of randomized controlled trials. J Gerontol A Biol SciMed Sci 2008;63:298-307.
5. Rubenstein LZ, Josephson KR, Harker JO, Miller DK, Wieland D. The Sepulveda GEU Study revisited: long-term outcomes, use of services, and costs. Aging (Milano) 1995;7:212-7.
6. Baztan JJ, Suarez-Garcia FM, Lopez-Arrieta J, Rodriguez-Manas L, Rodriguez-Artalejo F. 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. BMJ 2009;338:b50.
7. Stucki G, Ewert T, Cieza A. Value and application of the ICF in rehabilitation medicine. Disabil Rehabil 2003;25:628-34. (Pubitemid 36806197)
8. Stucki G, Cieza A, Melvin J. The international classification of functioning, disability and health (ICF): a unifying model for the conceptual description of the rehabilitation strategy. J Rehabil Med 2007;39:279-85.
9. Stucki G, Melvin J. The international classification of functioning, disability and health: a unifyingmodel for the conceptual description of physical and rehabilitation medicine. J Rehabil Med 2007;39:286-92.
10. Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J 1965;14:61-5.
11. Cameron ID, Lyle DM, Quine S. Accelerated rehabilitation after proximal femoral fracture: a randomized controlled trial. Disabil Rehabil 1993;15:29-34. (Pubitemid 23082961)
12. Green J, Young J, Forster A, Mallinder K, Bogle S, Lowson K, et al. Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial. BMJ 2005;331:317-22.
13. Naglie G, Tansey C, Kirkland JL, Ogilvie-Harris DJ, Detsky AS, Etchells E, et al. Interdisciplinary inpatient care for elderly people with hip fracture: a randomized controlled trial. CMAJ 2002;167:25-32. (Pubitemid 34734929)
14. Saltvedt I,MoES, FayersP, KaasaS, SletvoldO. Reducedmortality in treating acutely sick, frail older patients in a geriatric evaluation and management unit. A prospective randomized trial. J AmGeriatr Soc 2002;50:792-8.
15. Saltvedt I, Saltnes T, Mo ES, Fayers P, Kaasa S, Sletvold O. Acute geriatric intervention increases the number of patients able to live at home. A prospective randomized study. Aging Clin Exp Res 2004;16:300-6.
16. Saltvedt I, Jordhoy M, Opdahl Mo ES, Fayers P, Kaasa S, Sletvold O. Randomised trial of in-hospital geriatric intervention: impact on function and morale. Gerontology 2006;52:223-30. (Pubitemid 44114441)
17. Shyu YI, Liang J,Wu CC, Su JY, ChengHS, Chou SW, et al. A pilot investigation of the short-term effects of an interdisciplinary intervention program on elderly patients with hip fracture in Taiwan. J Am Geriatr Soc 2005;53:811-8.
18. Swanson CE, Day GA, Yelland CE, Broome JR, Massey L, Richardson HR, et al. The management of elderly patients with femoral fractures. A randomised controlled trial of early intervention versus standard care. Med J Aust 1998;169:515-8. (Pubitemid 28519987)
19. Young J, Green J, Forster A, Small N, Lowson K, Bogle S, et al. Postacute care for older people in community hospitals: a multicenter randomized, controlled trial. J AmGeriatr Soc 2007;55:1995-2002.
20. Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. Gerontologist 1970;10:20-30.
21. Cohen HJ, Feussner JR, Weinberger M, CarnesM, Hamdy RC,Hsieh F, et al. A controlled trial of inpatient and outpatient geriatric evaluation and management. N Engl JMed 2002;346:905-12.
22. Karppi P. Effects of a geriatric inpatient unit on elderly home care patients: a controlled trial. Aging (Milano) 1995;7:207-11.
23. Kennie DC, Reid J, Richardson IR, Kiamari AA, Kelt C. Effectiveness of geriatric rehabilitative care after fractures of the proximal femur in elderly women: a randomised clinical trial. BMJ 1988;297:1083-6.
24. Reid J, Kennie DC. Geriatric rehabilitative care after fractures of the proximal femur: one year follow up of a randomised clinical trial.BMJ 1989;299:25-6.
25. Stenvall M, Olofsson B, Nyberg L, Lundstrom M, Gustafson Y. Improved performance in activities of daily living andmobility after a multidisciplinary postoperative rehabilitation in older people with femoral neck fracture: a randomized controlled trial with 1-year follow-up. J RehabilMed 2007;39:232-8.
26. VidanM, Serra JA, Moreno C, Riquelme G,Ortiz J. Efficacy of a comprehensive geriatric intervention in older patients hospitalized for hip fracture: a randomized, controlled trial. J AmGeriatr Soc 2005;53:1476-82. (Pubitemid 41602435)
27. White SJ, Powers JS, Knight JR, Harrell D, Varnell L, Vaughn C, et al. Effectiveness of an inpatient geriatric service in a university hospital. J Tenn Med Assoc 1994;87:425-8.
28. Applegate WB, Miller ST, Graney MJ, Elam JT, Burns R, Akins DE. A randomized, controlled trial of a geriatric assessment unit in a community rehabilitation hospital. N Engl J Med 1990;322:1572-8. (Pubitemid 20176698)
29. Rubenstein LZ, Josephson KR, Wieland GD, English PA, Sayre JA, Kane RL. Effectiveness of a geriatric evaluation unit. A randomized clinical trial.N Engl J Med 1984;311:1664-70.
30. Rubenstein LZ, Wieland GD, Josephson KR, Rosbrook B, Sayre J, Kane RL. Improved survival for frail elderly inpatients on a geriatric evaluation unit (GEU): who benefits? J Clin Epidemiol 1988;41:441-9.
31. Juni P, Altman DG, Egger M. Systematic reviews in health care: Assessing the quality of controlled clinical trials. BMJ 2001;323:42-6. (Pubitemid 32682008)
32. Chinn S. A simple method for converting an odds ratio to effect size for use in meta-analysis. Stat Med 2000;19:3127-31.
33. Hasselblad V, Hedges LV.Meta-analysis of screening and diagnostic tests. Psychol Bull 1995;117:167-78.
34. Stuck AE, Egger M, Hammer A, Minder CE, Beck JC. Home visits to prevent nursing home admission and functional decline in elderly people: systematic review and meta-regression analysis. JAMA 2002;287:1022-8. (Pubitemid 34252061)
35. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials 1986;7:177-88.
36. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med 2002;21:1539-58.
37. Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics 1994;50:1088-101.
38. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test.BMJ 1997;315:629-34.
39. Harbord RM, Egger M, Sterne JA. A modified test for small-study effects in meta-analyses of controlled trials with binary endpoints. Stat Med 2006;25:3443-57. (Pubitemid 44575162)
40. Juni P, Holenstein F, Sterne J, Bartlett C, Egger M. Direction and impact of language bias in meta-analyses of controlled trials: empirical study. Int J Epidemiol 2002;31:115-23. (Pubitemid 34284912)
41. Sterne JA, Egger M. Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis. J Clin Epidemiol 2001;54:1046-55. (Pubitemid 32888370)
42. Stettler C, Allemann S, Juni P, Cull CA, Holman RR, Egger M, et al. Glycemic control and macrovascular disease in types 1 and 2 diabetes mellitus: meta-analysis of randomized trials. Am Heart J 2006;152:27-38.
43. Applegate WB, Graney MJ, Miller ST, Elam JT. Impact of a geriatric assessment unit on subsequent health care charges. Am J Public Health 1991;81:1302-6.
44. Fleming SA, Blake H, Gladman JR, Hart E, Lymbery M, Dewey ME, et al. A randomised controlled trial of a care home rehabilitation service to reduce long-term institutionalisation for elderly people. Age Ageing 2004;33:384-90.
45. Gilchrist WJ, Newman RJ, Hamblen DL, Williams BO. Prospective randomised study of an orthopaedic geriatric inpatient service. BMJ 1988;297:1116-8.
46. Huusko TM, Karppi P, Avikainen V, Kautiainen H, Sulkava R. Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia. BMJ 2000;321:1107-11.
47. Huusko TM, Karppi P, Avikainen V, Kautiainen H, Sulkava R. Intensive geriatric rehabilitation of hip fracture patients: a randomized, controlled trial. Acta Orthop Scand 2002;73:425-31.
48. O'Reilly J, Lowson K, Green J, Young JB, Forster A. Post-acute care for older people in community hospitals - a cost-effectiveness analysis within a multi-centre randomised controlled trial. Age Ageing 2008;37:513-20.
49. Phibbs CS, Holty JE, Goldstein MK, Garber AM, Wang Y, Feussner JR, et al. The effect of geriatrics evaluation and management on nursing home use and health care costs: results from a randomized trial. Med Care 2006;44:91-5. (Pubitemid 43755485)
50. Ellis G, Langhorne P. Comprehensive geriatric assessment for older hospital patients. Br Med Bull 2004;71:45-59. (Pubitemid 40478221)
51. Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993;342:1032-6. (Pubitemid 23314809)
52. Gill TM,BakerDI, GottschalkM, Peduzzi PN, Allore H, Byers A. A program to prevent functional decline in physically frail, elderly persons who live at home. N Engl J Med 2002;347:1068-74.
53. Wells JL, Seabrook JA, Stolee P, Borrie MJ, Knoefel F. State of the art in geriatric rehabilitation. Part I: review of frailty and comprehensive geriatric assessment. Arch Phys Med Rehabil 2003;84:890-7.
54. Beswick AD, Rees K, Dieppe P, Ayis S, Gooberman-Hill R, Horwood J, et al. Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. Lancet 2008;371:725-35. (Pubitemid 351288873)