مراقبت پزشکی روزانه در بیمارستان برای افراد مسن در مقابل اشکال جایگزین مراقبت
Appendices
Appendix 1. Cochrane Central search strategy
2012 to Aug 2013
Last Saved: 13/08/2013 14:32:36.502
Description: DA 11.10.12
ID Search
#1 MeSH descriptor: [Day Care] this term only
#2 (daycare or day care) .ti,ab.
#3 (child* daycare or child* day care) .ti,ab.
#4 #2 not #3
#5 (day N2 (hospital* or clinic* or unit* or service*)) tw.
#6 (day healthcare or day health care) .tw.
#7 #1 or #4 or #5 or #6
#8 MeSH descriptor: [Outpatient Clinics, Hospital] this term only
#9 MeSH descriptor: [Outpatients] this term only
#10 (outpatient* or out‐patient*) .tw.
#11 MeSH descriptor: [Ambulatory Care Facilities] this term only
#12 MeSH descriptor: [Ambulatory Care] this term only
#13 #8 or #9 or #10 or #11 or #12
#14 MeSH descriptor: [Rehabilitation Centers] this term only
#15 #13 or #14
#16 MeSH descriptor: [Aged] explode all trees
#17 MeSH descriptor: [Geriatrics] this term only
#18 MeSH descriptor: [Geriatric Nursing] this term only
#19 MeSH descriptor: [Geriatric Assessment] this term only
#20 MeSH descriptor: [Medicare] explode all trees
#21 MeSH descriptor: [Health Services for the Aged] this term only
#22 (geriatr* or elder* or gerontol* or seniors or senior citizen* or older adult* or older person* or older people) .ti,ab.
#23 (over N2 ("60" or "61" or "62" or "63" or "64" or "65" or "66" or "67" or "68" or "69" or "70" or "71" or "72" or "73" or "74" or "75" or "76" or "77" or "78" or "79" or "80" or "81" or "82" or "83" or "84" or "85" or "86" or "87" or "88" or "89" or "90" or "91" or "92" or "93" or "94" or "95" or "96" or "97" or "98" or "99" or "100") N years) .ti,ab.
#24 #16 or #17 or #18 or #19 or #20 or #21 or #22 or #23
#25 #15 and #24 from 2012 to 2013, in Trials
Appendix 2. Medline search strategy
Database: Ovid MEDLINE(R) <1946 to September Week 4 2012>
Search Strategy:
1 Day Care/ (4533)
2 (daycare or day care).ti,ab. not (child* daycare or child* day care).ti,hw. (4034)
3 (day adj2 (hospital* or clinic* or unit* or service*)).tw. (10712)
4 (day healthcare or day health care).tw. (103)
5 or/1‐4 [day care] (16542)
6 Outpatient Clinics, Hospital/ (13890)
7 Outpatients/ (7739)
8 (outpatient* or out‐patient*).tw. (105361)
9 ambulatory care facilities/ (11057)
10 ambulatory care/ (34113)
11 or/6‐10 [outpatients or ambulatory care] (143564)
12 Rehabilitation Centers/ (6387)
13 5 or 11 or 12 [day care or outpatients or ambulatory care or rehabilitation centers] (163835)
14 exp Aged/ (2156773)
15 Geriatrics/ (25947)
16 Geriatric Nursing/ (11831)
17 Geriatric Assessment/ (16544)
18 exp medicare/ (33506)
19 Health Services for the Aged/ (14224)
20 (geriatr* or elder* or gerontol* or seniors or senior citizen* or older adult* or older person* or older people).ti,ab. (212717)
21 (over adj2 ("60" or "61" or "62" or "63" or "64" or "65" or "66" or "67" or "68" or "69" or "70" or "71" or "72" or "73" or "74" or "75" or "76" or "77" or "78" or "79" or "80" or "81" or "82" or "83" or "84" or "85" or "86" or "87" or "88" or "89" or "90" or "91" or "92" or "93" or "94" or "95" or "96" or "97" or "98" or "99" or "100") adj years).ti,ab. (11511)
22 or/14‐21 [aged] (2235474)
23 13 and 22 [day care or outpatients or rehabilitation centers and aged terms] (50773)
24 randomized controlled trial.pt. (338627)
25 controlled clinical trial.pt. (85346)
26 randomized.ab. (241408)
27 clinical trials as topic.sh. (162900)
28 randomly.ab. (173245)
29 trial.ab. (250145)
30 or/24‐29 (831491)
31 exp animals/ not humans.sh. (3791651)
32 30 not 31 [RCT Filter] (762874)
33 23 and 32 [Search strategy and RCT filter] (8372)
34 limit 33 to yr="1996‐ 2012" (6212)
Appendix 3. Medline in Process search strategy
Search Strategy:
1 (daycare or day care).ti,ab. not (child* daycare or child* day care).ti,hw. (185)
2 (day adj2 (hospital* or clinic* or unit* or service*)).tw. (429)
3 (day healthcare or day health care).tw. (4)
4 or/1‐3 [day care] (603)
5 (outpatient* or out‐patient*).tw. (4842)
6 ambulatory care.tw. (143)
7 or/5‐6 [outpatients or ambulatory care] (4961)
8 Rehabilitation Centers.tw. (39)
9 3 or 7 or 8 [day care or outpatients or ambulatory care or rehabilitation centers] (4993)
10 (geriatr* or elder* or gerontol* or seniors or senior citizen* or older adult* or older person* or older people).ti,ab. (10162)
11 (over adj2 ("60" or "61" or "62" or "63" or "64" or "65" or "66" or "67" or "68" or "69" or "70" or "71" or "72" or "73" or "74" or "75" or "76" or "77" or "78" or "79" or "80" or "81" or "82" or "83" or "84" or "85" or "86" or "87" or "88" or "89" or "90" or "91" or "92" or "93" or "94" or "95" or "96" or "97" or "98" or "99" or "100") adj years).ti,ab. (548)
12 or/10‐11 [aged] (10502)
13 9 and 12 [day care or outpatients or rehabilitation centers and aged terms] (201)
14 limit 13 to yr="1996 ‐Current" (191)
Appendix 4. Embase search strategy
1 *day care/ (4925)
2 (daycare or day care).ti,ab. not (child* daycare or child* day care).ti,hw. (8090)
3 (day adj2 (hospital* or clinic* or unit* or service*)).tw. (18818)
4 (day healthcare or day health care).tw. (133)
5 or/1‐4 [day care] (28159)
6 *outpatient department/ (14428)
7 *outpatient/ (7212)
8 (outpatient* or out‐patient*).tw. (172022)
9 *ambulatory care/ (12390)
10 or/6‐9 [outpatients or ambulatory care] (191843)
11 *rehabilitation center/ (3505)
12 5 or 10 or 11 [day care or outpatients or ambulatory care or rehabilitation centers] (220802)
13 *aged/ (45020)
14 *geriatrics/ (29516)
15 *geriatric nursing/ (8307)
16 *geriatric assessment/ (3843)
17 *medicare/ (20657)
18 *elderly care/ (17857)
19 (geriatr* or elder* or gerontol* or seniors or senior citizen* or older adult* or older person* or older people).ti,ab. (329006)
20 (over adj2 ("60" or "61" or "62" or "63" or "64" or "65" or "66" or "67" or "68" or "69" or "70" or "71" or "72" or "73" or "74" or "75" or "76" or "77" or "78" or "79" or "80" or "81" or "82" or "83" or "84" or "85" or "86" or "87" or "88" or "89" or "90" or "91" or "92" or "93" or "94" or "95" or "96" or "97" or "98" or "99" or "100") adj years).ti,ab. (18155)
21 or/13‐20 [aged] (400729)
22 12 and 21 [day care or outpatients or rehab centers and aged terms] (11545)
23 Clinical trial/ (896532)
24 Randomized controlled trial/ (356334)
25 Randomization/ (63384)
26 Single blind procedure/ (18110)
27 Double blind procedure/ (121701)
28 Crossover procedure/ (38424)
29 Randomi?ed controlled trial$.tw. (92881)
30 Rct.tw. (12449)
31 Random allocation.tw. (1368)
32 Randomly allocated.tw. (19792)
33 Allocated randomly.tw. (1952)
34 (allocated adj2 random).tw. (887)
35 Single blind$.tw. (14138)
36 Double blind$.tw. (149363)
37 ((treble or triple) adj blind$).tw. (368)
38 Prospective study/ (247788)
39 or/23‐38 (1293655)
40 Case study/ (29938)
41 Case report.tw. (276189)
42 Abstract report/ or letter/ (900527)
43 or/40‐42 (1201339)
44 39 not 43 [RCT Filter] (1261174)
45 22 and 44 [day care or outpatients or rehab centers and aged terms with RCT filter] (1434)
Appendix 5. Cinahl search strategy
# Query Limiters/Expanders Last Run Via Results Action
S34 (S23 and S33) Limiters ‐ Published Date: 20121001‐20130831
Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 103
S33 (S24 or S25 or S26 or S27 or S28 or S29 or S30 or S31 or S32) Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 159,352
S32 allocat* random* Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 3,266
S31 MH quantitative studies Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 8,934
S30 random* allocat* Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 3,266
S29 MH random assignment Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 29,624
S28 randomi?ed control* trial* Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 41,208
S27 singl* n1 blind* or doubl* blind* or trebl* n1 blind* or tripl* n1 blind* or singl* n1 mask* or doubl* n1 mask* or trebl* n1 mask* or tripl* n1 mask* Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 28,645
S26 clinic* n1 trial* Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 96,650
S25 PT clinical trial Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 50,625
S24 MH clinical trials+ Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 116,409
S23 S13 and S22 Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 17,212
S22 S14 or S15 or S16 or S17 or S18 or S19 or S21 Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 336,036
S21 TI ( over N2 "60 years" or over N2 "61 years" or over N2 "62 years" or "over N2 63 years" or "over N2 64 years" or over N2 “65 years" or "over N2 "66 years" or over N2 "67 years" or over N2 "68 years" or over N2 "69 years" or over N2 "70 years" or over N2 "71 years" or over N2 "72 years" or over N2 "73 years" or "over N2 "74 years" or over N2 "75 years" or over N2 "76 years" or over N2 "77 years" or over N2 "78 years" or over N2 "79 years" or over N2 "80 years" or over N2 "81 years" or over N2 "82 years" or over N2 "83 years" or over N2 "84 years" or over N2 "85 years" or over N2 "86 years" or over N2 "87 years" or over N2 "88 years" or over N2 "89 years" or over N2 "90 years" or over N2 "91 years" or over N2 "92 years" or over N2 "93 years" or over N2 "94 years" or over N2 "95 years" or over N2 "96 years" or over N2 "97 years" or over N2 "98 years" or over N2 "99 years" or over N2 "100 years" ) OR AB ( over N2 "60 years" or over N2 "61 years" or over N2 "62 years" or "over N2 63 years" or "over N2 64 years" or over N2 “65 years" or "over N2 "66 years" or over N2 "67 years" or over N2 "68 years" or over N2 "69 years" or over N2 "70 years" or over N2 "71 years" or over N2 "72 years" or over N2 "73 years" or "over N2 "74 years" or over N2 "75 years" or over N2 "76 years" or over N2 "77 years" or over N2 "78 years" or over N2 "79 years" or over N2 "80 years" or over N2 "81 years" or over N2 "82 years" or over N2 "83 years" or over N2 "84 years" or over N2 "85 years" or over N2 "86 years" or over N2 "87 years" or over N2 "88 years" or over N2 "89 years" or over N2 "90 years" or over N2 "91 years" or over N2 "92 years" or over N2 "93 years" or over N2 "94 years" or over N2 "95 years" or over N2 "96 years" or over N2 "97 years" or over N2 "98 years" or over N2 "99 years" or over N2 "100 years" ) Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 1,959
S20 TI ( geriatr* or elder* or gerontol* or seniors or "senior citizen*" or "older adult*" or "older person*" or "older people" ) OR AB ( geriatr* or elder* or gerontol* or seniors or "senior citizen*" or "older adult*" or "older person*" or "older people" ) Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 79,409
S19 MH health services for the aged Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 4,142
S18 MH medicare+ Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 20,935
S17 MH geriatric assessment Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 5,669
S16 MH Gerontologic Nursing Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 9,478
S15 MH geriatrics Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 2,281
S14 MH aged+ Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 313,321
S13 S5 or S11 or S12 Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 62,380
S12 MH rehabilitation centers Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 5,020
S11 S6 or S7 or S8 or S9 or S10 Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 52,172
S10 MH ambulatory care Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 5,740
S9 MH ambulatory care facilities Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 3,064
S8 outpatient* or "out patient*" Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 46,426
S7 MH outpatients Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 29,211
S6 MH outpatient service Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 3,231
S5 S1 or S2 or S3 or S4 Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 6,565
S4 day healthcare or day health care Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 378
S3 day N2 hospital* or day N2 clinic* or day N2 unit* or day N2 service* Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 3,023
S2 TI ( daycare or day care ) OR AB ( daycare or day care ) NOT TI ( child* daycare or child* day care ) NOT MW ( child* daycare or child* day care ) Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 3,013
S1 MH day care Search modes ‐ Boolean/Phrase Interface ‐ EBSCOhost Research Databases
Search Screen ‐ Advanced Search
Database ‐ CINAHL 1,722
Appendix 6. AMED search strategy
Database: AMED (Allied and Complementary Medicine) <1985 to August 2013>
Search Strategy:
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
1 Day care/ (255)
2 (daycare or day care).ti,ab. not (child* daycare or child* day care).ti,hw. (206)
3 (day adj2 (hospital* or clinic* or unit* or service*)).tw. (358)
4 (day healthcare or day health care).tw. (6)
5 or/1‐4 [day care] (641)
6 outpatient clinics hospital/ (75)
7 Outpatients/ (243)
8 (outpatient* or out‐patient*).tw. (59166)
9 ambulatory care facilities/ (36)
10 Ambulatory care/ (359)
11 or/6‐10 [outpatients or ambulatory care] (59262)
12 Rehabilitation centers/ (295)
13 5 or 11 or 12 [day care or outpatients or ambulatory care or rehabilitation centers] (59841)
14 exp Aged/ (10822)
15 Geriatrics/ (325)
16 Geriatric Nursing/ (92)
17 Geriatric Assessment/ (219)
18 exp medicare/ (212)
19 Health Services for the Aged/ (758)
20 (geriatr* or elder* or gerontol* or seniors or senior citizen* or older adult* or older person* or older people).ti,ab. (9559)
21 (over adj2 ("60" or "61" or "62" or "63" or "64" or "65" or "66" or "67" or "68" or "69" or "70" or "71" or "72" or "73" or "74" or "75" or "76" or "77" or "78" or "79" or "80" or "81" or "82" or "83" or "84" or "85" or "86" or "87" or "88" or "89" or "90" or "91" or "92" or "93" or "94" or "95" or "96" or "97" or "98" or "99" or "100") adj years).ti,ab. (251)
22 or/14‐21 [aged] (14194)
23 13 and 22 [day care or outpatients or rehabilitation centers and aged terms] (4477)
24 limit 23 to yr="2012 ‐Current" (210)
25 remove duplicates from 24 (210)
Appendix 7. PeDRO search strategy
Database: PeDRO, Platform: Centre for Evidence‐Based Physiotherapy, Dates searched: Oct 2012 to 14 Aug 2013
Searched in Title 1. Day hospital 2. Day care 3. Daycare as using broader terms brought back irrelevant results.
No results found
Appendix 8. ASSIA search strategy
ASSIA Day care search update Oct 2012 to Aug 2013 DA
all((daycare OR "day care") OR (outpatient* OR out patient* OR "ambulatory care*" OR "rehab* center*" OR "rehab* centre*") AND (geriatric* OR elder* OR gerontol* OR seniors OR "senior citizen*" OR "older adult*" OR "older person*" OR "older people") AND (RCT OR Random*) NOT (child* OR young* OR boy* OR girl*))
Limited to 11th Oct 2012 to 14th August 2013
Appendix 9. IBSS search strategy
Day Hospitals Search Strategy 2012 to 2013 IBSS
all(daycare OR "day care") OR all((outpatient* OR out patient* OR "ambulatory care*" OR "rehab* center*" OR "rehab* centre*")) AND all(geriatric* OR elder* OR gerontol* OR seniors OR "senior citizen*" OR "older adult*" OR "older person*" OR "older people") NOT all(child* OR young*)
Limited to 11th Oct 2012 to 14th Aug 2013
Appendix 10. PsycINFO search strategy
Database: PsycINFO <1806 to August Week 1 2013>
Search Strategy:
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
1 Adult Day Care/ (264)
2 day care centers/ not (child* daycare or child* day care).ti,hw. (667)
3 (daycare or day care).ti,ab. not (child* daycare or child* day care).ti,hw. (3001)
4 (day adj2 (hospital* or clinic* or unit* or service*)).tw. (3327)
5 (day healthcare or day health care).tw. (41)
6 or/1‐5 [day care] (6249)
7 outpatients/ (5177)
8 (outpatient* or out‐patient*).tw. (41880)
9 Outpatient Treatment/ (5069)
10 or/6‐9 [outpatients or ambulatory care] (48380)
11 Rehabilitation Centers/ (511)
12 6 or 10 or 11 [day care or outpatients or ambulatory care or rehabilitation centers] (48858)
13 exp Aging/ (35456)
14 Geriatrics/ (6518)
15 Geriatric Assessment/ (723)
16 exp Medicare/ (1239)
17 (geriatr* or elder* or gerontol* or seniors or senior citizen* or older adult* or older person* or older people).ti,ab. (88922)
18 (over adj2 ("60" or "61" or "62" or "63" or "64" or "65" or "66" or "67" or "68" or "69" or "70" or "71" or "72" or "73" or "74" or "75" or "76" or "77" or "78" or "79" or "80" or "81" or "82" or "83" or "84" or "85" or "86" or "87" or "88" or "89" or "90" or "91" or "92" or "93" or "94" or "95" or "96" or "97" or "98" or "99" or "100") adj years).ti,ab. (1178)
19 or/13‐18 [aged] (106221)
20 12 and 19 [day care or outpatients or rehabilitation centers and aged terms] (2853)
21 limit 20 to yr="2012‐Current" (218)
22 remove duplicates from 21 (218)
Appendix 11. HMIC search strategy
Database: HMIC Health Management Information Consortium <1983 ‐ present>
Search Strategy:
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
1 Day care/ (766)
2 (daycare or day care).ti,ab. not (child* daycare or child* day care).ti,hw. (1083)
3 (day adj2 (hospital* or clinic* or unit* or service*)).tw. (1265)
4 (day healthcare or day health care).tw. (12)
5 or/1‐4 [day care] (2317)
6 Out patient departments/ (488)
7 Out patients/ (700)
8 (outpatient* or out‐patient*).tw. (3986)
9 ambulatory care/ (205)
10 Ambulatory care services/ (39)
11 out patient care/ (181)
12 or/6‐11 [outpatients or ambulatory care] (4400)
13 Rehabilitation centres/ (60)
14 5 or 12 or 13 [day care or outpatients or ambulatory care or rehabilitation centers] (6658)
15 exp older people/ (15816)
16 Geriatrics/ (114)
17 Geriatric Nursing/ (140)
18 exp medicare/ (280)
19 (geriatr* or elder* or gerontol* or seniors or senior citizen* or older adult* or older person* or older people).ti,ab. (15287)
20 (over adj2 ("60" or "61" or "62" or "63" or "64" or "65" or "66" or "67" or "68" or "69" or "70" or "71" or "72" or "73" or "74" or "75" or "76" or "77" or "78" or "79" or "80" or "81" or "82" or "83" or "84" or "85" or "86" or "87" or "88" or "89" or "90" or "91" or "92" or "93" or "94" or "95" or "96" or "97" or "98" or "99" or "100") adj years).ti,ab. (364)
21 or/15‐20 [aged] (20814)
22 14 and 21 [day care or outpatients or rehabilitation centers and aged terms] (774)
23 limit 22 to yr="2012 ‐Current" (21)
24 remove duplicates from 23 (21)
Appendix 12. NHS EED and HTA search strategy
1996 to 2013 HTA NHSEED DA 7.10.13
Last Saved: 08/10/2013 09:07:26.578
Description: DA 11.10.12
ID Search
#1 MeSH descriptor: [Day Care] this term only
#2 (daycare or day care) .ti,ab.
#3 (child* daycare or child* day care) .ti,ab.
#4 #2 not #3
#5 (day N2 (hospital* or clinic* or unit* or service*)) tw.
#6 (day healthcare or day health care) .tw.
#7 #1 or #4 or #5 or #6
#8 MeSH descriptor: [Outpatient Clinics, Hospital] this term only
#9 MeSH descriptor: [Outpatients] this term only
#10 (outpatient* or out‐patient*) .tw.
#11 MeSH descriptor: [Ambulatory Care Facilities] this term only
#12 MeSH descriptor: [Ambulatory Care] this term only
#13 #8 or #9 or #10 or #11 or #12
#14 MeSH descriptor: [Rehabilitation Centers] this term only
#15 #13 or #14
#16 MeSH descriptor: [Aged] explode all trees
#17 MeSH descriptor: [Geriatrics] this term only
#18 MeSH descriptor: [Geriatric Nursing] this term only
#19 MeSH descriptor: [Geriatric Assessment] this term only
#20 MeSH descriptor: [Medicare] explode all trees
#21 MeSH descriptor: [Health Services for the Aged] this term only
#22 (geriatr* or elder* or gerontol* or seniors or senior citizen* or older adult* or older person* or older people) .ti,ab.
#23 (over N2 ("60" or "61" or "62" or "63" or "64" or "65" or "66" or "67" or "68" or "69" or "70" or "71" or "72" or "73" or "74" or "75" or "76" or "77" or "78" or "79" or "80" or "81" or "82" or "83" or "84" or "85" or "86" or "87" or "88" or "89" or "90" or "91" or "92" or "93" or "94" or "95" or "96" or "97" or "98" or "99" or "100") N years) .ti,ab.
#24 #16 or #17 or #18 or #19 or #20 or #21 or #22 or #23
#25 #15 and #24 from 1996 to 2013, in Technology Assessments and Economic Evaluations
Appendix 13. Web of Knowledge search strategy
ISI Web of Knowledge Search Strategy
Set
Results
# 13 1,109
#12 AND #11
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 12 850,044
Topic=(rct* or random*)
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 11 5,788
#10 AND #9
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 10 217,332
Topic=(geriatr* or elder* or gerontol* or seniors or "senior citizen*" or "older adult*" or "older person*" or "older people")
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 9 86,609
#8 OR #7 OR #4
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 8 2,361
Topic=("rehab* center*" or "rehab* centre*")
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 7 78,177
#6 OR #5
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 6 3,768
Topic=("ambulatory care")
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 5 75,216
Topic=(outpatient* or "out patient* ")
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 4 6,970
#3 OR #2 OR #1
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 3 48
Topic=("day healthcare" OR "day health care")
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 2 2,412
Topic=("day unit*" or "day hospital*" or "day clinic*" or "day centre*" or "day center*")
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
# 1 4,608
Topic=((daycare or "day care")) NOT Topic=(("child* daycare" or "child* day care"))
Databases=SCI‐EXPANDED, SSCI, A&HCI, CPCI‐S, CPCI‐SSH Timespan=1996‐01‐01 ‐ 2012‐10‐11
Lemmatization=On
Appendix 14. Web of Science search strategy
Still to add
Appendix 15. Google search strategy
Not possible to search for full range of terms due to limited search capabilities of Scholar so search limited to
"day hospitals" OR "day hospital") AND (geriatric* OR "older adult*" OR "older person*" OR "older people" OR elderly ) AND (random* OR rct*)
2012 to 2013 (all languages)
Appendix 16. Index to Theses search strategy
Index to Theses Day Hospital Update Oct 2012 to Aug 2012 DA
Search Strategy
Note: limited search to day hospital or day hospital in title as a broader search brought back irrelevant results
Your query was:
(ti contains day hospital) OR (ti contains day hospitals ) AND (yr contains 2012 or 2013)
Search Results
0 document(s) retrieved
Appendix 17. Proquest Dissertations and Theses search strategy
Day Hospitals Update Oct 2012 to Aug 2013 DA
Search Strategy Proquest Dis and Abs
all((daycare OR "day care") OR (outpatient* OR out patient* OR "ambulatory care*" OR "rehab* center*" OR "rehab* centre*") AND (geriatric* OR elder* OR gerontol* OR seniors OR "senior citizen*" OR "older adult*" OR "older person*" OR "older people") AND (RCT OR Random*) NOT (child* OR young* OR boy* OR girl*))
Limited to 10th Oct 2012 to 14th Aug 2013
Appendix 18. Current Controlled trials search strategy
Searched Current Controlled Trials ISRCTN (trials registered with a unique identifier) Search 1: “Day Hospital” or “day hospitals”
Appendix 19. HSRProj search strategy
HSR Proj Day Hospital Search Strategy and results 1996 to 2012 Searched 15/10/12
Found 1 Projects with search of: ("day hospital" OR "day hospitals" or "adult day care")
Advanced Search on : Project status = All : Initial Year Range =2012 ‐ 2012 : Final Year Range =2012 ‐ 2022
Appendix 20. Assessing the relative importance of outcomes and deciding which ones to include in the 'Summary of findings' table
Review: Medical day hospital care for the elderly versus alternative forms of care
Assessed by: LB, AB, TC
Date:
Rate the relative importance for each outcome on a 9 point scale ranging from 1 (not important) to 9 (critical).
1‐3: Not important and not included in the 'Summary of findings' (SoF) table
4‐6: Important but not critical for making a decision (inclusion in the SoF table may depend on how many other important outcomes there are)
7‐9: Critical for making a decision and should definitely be included in the SoF table
Include potential undesirable effects (harms) and resource use (costs), as well as desirable effects (benefits)
| Outcome | Initials of people assessing the relative importance of the outcomes | Consensus | |||
| LB | AB | TC | All (finals score) | ||
| Relative importance (1‐9) | |||||
| a) Death by the end of follow up | 9 | 7 | 7 | 7 | Include following discussion |
| b) Death or institutional care by the end of follow up | 9 | 8 | 6 | 5 | Include following discussion |
| c) Death or deterioration in activities of daily living (ADL) | 9 | 7 | 5 | 6 | Include following discussion |
| d) Death or poor outcome (institutional care, disability or deterioration) | 9 | 7 | 5 | 6 | Include following discussion |
| e) Deterioration in activities of daily living (ADL) in survivors | 9 | 8 | 4 | 8 | Include following discussion |
| f) Activities of daily living (ADL) scores | 7 | 8 | 4 | 5 | |
| g) Subjective health status | 7 | 5 | 5 | 5 | |
| h) Patient satisfaction | 5 | 4 | 4 | 4 | |
| i) Carer distress | 4 | 5 | 5 | 5 | |
| j) Requiring institutional care at the end of follow up | 7 | 7 | 5 | 5 | |
| k) Hospital bed use during follow up | 6 | 6 | 4 | 5 | |
| l) Cost‐benefit analysis (added by TC) | 9 | No available data | |||
Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 1 Death by the end of follow up.
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 2 Death or institutional care by the end of follow up.
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 3 Death or deterioration in activities of daily living (ADL).
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 4 Death or poor outcome (institutional care, disability or deterioration).
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 5 Deterioration in activities of daily living (ADL) in survivors.
| Study | |
| Day hospital vs Comprehensive elderly care | |
| Cummings 1985 | No significant difference in the Kenny ADL score ‐ |
| Eagle 1991 | No significant difference in the Geriatric Quality of Life Questionnaire ADL score ‐ |
| Hedrick 1993 | No significant in the physical dimension of the Sickness Impact Profile (NB high score indicates increased disability) ‐ |
| Pitkala 1991 | No data in this form |
| Tucker 1984 | No significant difference in the mean change in Northwick Park ADL score from baseline (NB high score indicates increased disability) |
| Day hospital vs Domiciliary care | |
| Burch 1999 | No significant difference in Barthel index ‐ |
| Gladman 1993 | No significant difference in median Barthel index ‐ |
| Parker 2009 | No significant difference in mean (SD) Nottingham Extended Activities of Daily Living Scale Day hospital: 31.6 (15.4) Control: 28.1 (17.5) |
| Roderick 2001 | Significant improvement in Barthel score in both groups. |
| Vetter 1989 | No significant difference in mean Barthel index ‐ |
| Young 1992 | Significantly (P=0.01) lower Barthel ADL score ‐ |
| Day hospital vs No comprehensive elderly care | |
| Hui 1995 | No significant difference in mean Barthel index ‐ |
| Masud 2006 | No significant difference in median (IQR) Barthel index scores No significant difference in median (IQR) Nottingham Extended Activities of Daily Living (NEADL) scores Day hospital: 53 (43‐62) |
| Weissert 1980 | No comparable data |
| Woodford 1962 | No comparable data |
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 6 Activities of daily living (ADL) scores.
| Study | |
| Day hospital vs Comprehensive elderly care | |
| Cummings 1985 | No significant difference in the modified Dupay assessment ‐ |
| Eagle 1991 | No significant difference in the General Health Questionnaire ‐ |
| Hedrick 1993 | No significant difference in the Sickness Impact Profile ‐ |
| Pitkala 1991 | No comparable data |
| Tucker 1984 | There was a statistically significant improvement in mood measured by the Zung index in the Day hospital group compared to the Comprehensive elderly care group at final follow up (P = 0.01) |
| Day hospital vs Domiciliary care | |
| Burch 1999 | No significant difference in the change in the Philidelphia Geriatric Morale scale during follow up ‐ |
| Gladman 1993 | No significant difference in the number of patients with distress (Nottingham Health Profile >30) ‐ |
| Parker 2009 | There was no significant difference in the EuroQol index (difference in means 0.147, P = 0.141) or the EuroQol VAS (difference in means 0. 6.315, P = 0.187) |
| Roderick 2001 | No between groups significant difference for SF‐36 physical or mental health scales. |
| Vetter 1989 | No significant difference in the Sickness Impact Profile |
| Young 1992 | No significant difference in the number of patients with distress (Nottingham Health Profile >30) ‐ |
| Day hospital vs No comprehensive elderly care | |
| Hui 1995 | No significant difference in the Geriatric Depression Scale |
| Weissert 1980 | No comparable data |
| Woodford 1962 | No comparable data |
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 7 Subjective health status.
| Study | |
| Day hospital vs Comprehensive elderly care | |
| Cummings 1985 | No available data |
| Eagle 1991 | No available data |
| Hedrick 1993 | No comparable data |
| Pitkala 1991 | No comparable data |
| Tucker 1984 | No available data |
| Day hospital vs Domiciliary care | |
| Burch 1999 | No available data |
| Gladman 1993 | No available data |
| Roderick 2001 | No available data |
| Vetter 1989 | No available data |
| Young 1992 | No available data |
| Day hospital vs No comprehensive elderly care | |
| Hui 1995 | No significant difference in the level of satisfaction |
| Weissert 1980 | No available data |
| Woodford 1962 | No available data |
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 8 Patient satisfaction.
| Study | |
| Day hospital vs Comprehensive elderly care | |
| Cummings 1985 | No comparable data |
| Eagle 1991 | No available data |
| Hedrick 1993 | No comparable data |
| Pitkala 1991 | No comparable data |
| Tucker 1984 | No data available |
| Day hospital vs Domiciliary care | |
| Burch 1999 | There was a significant difference in the mean change between baseline and 3 months in the Caregiver Strain Index in both groups There was no significant difference between between groups |
| Crotty 2008 | No significant difference at 3 months in the Carer Strain Index |
| Gladman 1993 | No significant difference at 6 months in the median Life Satisfaction Index ‐ |
| Roderick 2001 | No available data |
| Vetter 1989 | No data available |
| Young 1992 | Proportion of carers showing distress (General Health Questionnaire 28 score > 5) ‐ Differences were not significant |
| Day hospital vs No comprehensive elderly care | |
| Hui 1995 | No available data |
| Weissert 1980 | No available data |
| Woodford 1962 | No available data |
Comparison 1 Day Hospital vs Alternative Care ‐ patient outcomes, Outcome 9 Carer Distress.
Comparison 2 Day Hospital vs Alternative Care ‐ resource outcomes, Outcome 1 Requiring institutional care at the end of follow up.
| Study | |
| Day hospital vs Comprehensive elderly care | |
| Cummings 1985 | Day hospital: 206 bed days for 48 patients (4.3 days per patient) |
| Eagle 1991 | Day hospital: 1388 bed days for 55 patients (25.2 days per patient) |
| Hedrick 1993 | Day hospital: 8020 bed days for 411 patients (19.5 days per patient) |
| Pitkala 1991 | Day hospital: 3538 bed days for 88 patients (40.2 days per patient) |
| Tucker 1984 | Day hospital: 472 bed days for 62 patients (7.6 days per patient) |
| Day hospital vs Domiciliary care | |
| Burch 1999 | Day hospital: 923 bed days for 50 patients (18.5 per patient) |
| Gladman 1993 | Day hospital: 436 bed days for 76 patients (5.7 days per patient) |
| Roderick 2001 | Day hospital: 296 bed days for 74 patients ( 4 days per patient) |
| Vetter 1989 | No bed days used in either group |
| Young 1992 | Day hospital: 311 bed days for 61 patients (5.1 days per patient) |
| Day hospital vs No comprehensive elderly care | |
| Hui 1995 | Day hospital: 81 bed days for 59 patients (1.4 days per patient) |
| Masud 2006 | Day hospital: 552 bed days for 172 patients (3.2 days per patient) |
| Weissert 1980 | Day hospital: 3443 bed days for 313 patients (11.0 days per patient) |
| Woodford 1962 | Day hospital: 2534 bed days for 168 patients (15.1 days per patient) |
Comparison 2 Day Hospital vs Alternative Care ‐ resource outcomes, Outcome 2 Hospital bed use during follow up.
| Study | |
| Day hospital vs Comprehensive elderly care | |
| Cummings 1985 | Average treatment cost per patient to 3 months post discharge ‐ |
| Eagle 1991 | No cost data |
| Hedrick 1993 | Mean total costs over 12 months ‐ |
| Pitkala 1991 | No costing data |
| Tucker 1984 | Average cost for 5 months care ‐ |
| Day hospital vs Domiciliary care | |
| Burch 1999 | Total annual cost per attendance ‐ |
| Gladman 1993 | Mean total health service cost per patient ‐ |
| Parker 2009 | (entries) Mean total cost at 213 days: Day hospital (21) £10,102; Home based rehab (25) £14,330 (note SDs not reported) (entries) Mean total cost at 395 days: Day hospital (13) £23,812; Home based rehab (23) £26,105 (note SDs not reported) (entries) Median total cost at 213 days: Day hospital (21) £5958; Home based rehab (25) £7679 (note IQRs not reported) (entries) Median total cost at 395 days: Day hospital (13) £9842; Home based rehab (23) £18,432 (note IQRs not reported) |
| Roderick 2001 | Median costs per patient: Rehabilitation costs: Day hospital:£1090 (IQR 513‐1475), |
| Vetter 1989 | No cost data |
| Young 1992 | Mean total costs for 8 weeks treatment ‐ |
| Day hospital vs No comprehensive elderly care | |
| Hui 1995 | Mean cost of treatment to the health service over 6 months ‐ |
| Masud 2006 | The mean falls programme cost was £349 per person. With additional health‐care costs, this resulted in a mean incremental cost of £578 for the intervention Health service resource use and costs. Total cost per participant mean (SD): Day hospital £2,238 (4957) Control £1,659 (5100) |
| Weissert 1980 | Average cost for 1 year ‐ |
| Woodford 1962 | No formal costing |
Comparison 2 Day Hospital vs Alternative Care ‐ resource outcomes, Outcome 3 Resource use.
| Day hospitals compared to alternative or no care for rehabilitation | ||||||
| Patient or population: patients with rehabilitation needs | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect | No of Participants | Quality of the evidence | Comments | |
| Assumed risk | Corresponding risk | |||||
| Alternative or no care | Day hospitals | |||||
| Death by the end of follow up | Study population | OR 1.05 | 3533 | ⊕⊕⊝⊝ | ||
| 127 per 1000 | 132 per 1000 | |||||
| Moderate | ||||||
| 66 per 1000 | 69 per 1000 | |||||
| Death or institutional care by the end of follow up | Study population | OR 0.85 | 3030 | ⊕⊕⊝⊝ | ||
| 303 per 1000 | 270 per 1000 | |||||
| Moderate | ||||||
| 221 per 1000 | 194 per 1000 | |||||
| Death or deterioration in activities of daily living (ADL) | Study population | OR 1.07 | 1268 | ⊕⊕⊝⊝ | ||
| 407 per 1000 | 423 per 1000 | |||||
| Moderate | ||||||
| 430 per 1000 | 447 per 1000 | |||||
| Death or poor outcome (institutional care, disability or deterioration) | Study population | OR 0.92 | 2831 | ⊕⊕⊝⊝ | ||
| 365 per 1000 | 346 per 1000 | |||||
| Moderate | ||||||
| 241 per 1000 | 226 per 1000 | |||||
| Deterioration in ADL in survivors | Study population | OR 1.11 | 905 | ⊕⊕⊝⊝ | ||
| 251 per 1000 | 271 per 1000 | |||||
| Moderate | ||||||
| 233 per 1000 | 252 per 1000 | |||||
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). | ||||||
| GRADE Working Group grades of evidence | ||||||
| 1 Limitations for at least one risk of bias criterion, or some limitations for multiple criteria, sufficient to lower confidence in the estimate of effect | ||||||
| Day hospitals compared to no comprehensive care for rehabilitation needs | ||||||
| Patient or population: patients with rehabilitation needs | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect | No of Participants | Quality of the evidence | Comments | |
| Assumed risk | Corresponding risk | |||||
| No comprehensive care | Day hospitals | |||||
| Death by the end of follow up | Study population | OR 0.88 | 1345 | ⊕⊕⊝⊝ | ||
| 128 per 1000 | 114 per 1000 | |||||
| Moderate | ||||||
| 131 per 1000 | 117 per 1000 | |||||
| Death or institutional care by the end of follow up | Study population | OR 0.63 | 1177 | ⊕⊕⊝⊝ | ||
| 248 per 1000 | 172 per 1000 | |||||
| Moderate | ||||||
| 307 per 1000 | 218 per 1000 | |||||
| Death or deterioration in ADL | Study population | OR 0.76 | 651 | ⊕⊕⊝⊝ | ||
| 436 per 1000 | 370 per 1000 | |||||
| Moderate | ||||||
| 446 per 1000 | 380 per 1000 | |||||
| Death or poor outcome (institutional care, disability or deterioration) | Study population | OR 0.72 | 982 | ⊕⊕⊝⊝ | ||
| 347 per 1000 | 277 per 1000 | |||||
| Moderate | ||||||
| 400 per 1000 | 324 per 1000 | |||||
| Deterioration in ADL in survivors | Study population | OR 0.61 | 407 | ⊕⊕⊝⊝ | ||
| 277 per 1000 | 189 per 1000 | |||||
| Moderate | ||||||
| 227 per 1000 | 152 per 1000 | |||||
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). | ||||||
| GRADE Working Group grades of evidence | ||||||
| 1 Limitations for at least one risk of bias criterion or some limitations for multiple criteria, sufficient to lower confidence in the estimate of effect | ||||||
| Day hospitals compared to domiciliary care for rehabilitation | ||||||
| Patient or population: patients with rehabilitation needs | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect | No of Participants | Quality of the evidence | Comments | |
| Assumed risk | Corresponding risk | |||||
| Domiciliary care | Day hospitals | |||||
| Death by the end of follow up | Study population | OR 0.97 | 901 | ⊕⊕⊝⊝ | ||
| 101 per 1000 | 98 per 1000 | |||||
| Moderate | ||||||
| 64 per 1000 | 62 per 1000 | |||||
| Death or institutional care by the end of follow up | Study population | OR 1.05 | 672 | ⊕⊕⊝⊝ | ||
| 187 per 1000 | 194 per 1000 | |||||
| Moderate | ||||||
| 69 per 1000 | 72 per 1000 | |||||
| Death or deterioration in ADL | Study population | OR 1.41 | 443 | ⊕⊕⊝⊝ | ||
| 392 per 1000 | 476 per 1000 | |||||
| Moderate | ||||||
| 334 per 1000 | 414 per 1000 | |||||
| Death or poor outcome (institutional care, disability or deterioration) | Study population | OR 1.08 | 581 | ⊕⊕⊝⊝ | ||
| 297 per 1000 | 313 per 1000 | |||||
| Moderate | ||||||
| 364 per 1000 | 382 per 1000 | |||||
| Deterioration in ADL in survivors | Study population | OR 1.59 | 349 | ⊕⊕⊝⊝ | ||
| 225 per 1000 | 315 per 1000 | |||||
| Moderate | ||||||
| 188 per 1000 | 269 per 1000 | |||||
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). | ||||||
| GRADE Working Group grades of evidence | ||||||
| 1 Limitations for at least one risk of bias criterion or some limitations for multiple criteria, sufficient to lower confidence in the estimate of effect | ||||||
| Day hospitals compared to comprehensive care for older people requiring rehabilitation | ||||||
| Patient or population: older people requiring rehabilitation | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect | No of Participants | Quality of the evidence | Comments | |
| Assumed risk | Corresponding risk | |||||
| Comprehensive care | Day hospitals | |||||
| Death by the end of follow up | Study population | OR 1.26 | 1287 | ⊕⊕⊝⊝ | ||
| 144 per 1000 | 175 per 1000 | |||||
| Moderate | ||||||
| 69 per 1000 | 85 per 1000 | |||||
| Death or institutional care by the end of follow up | Study population | OR 1 | 1181 | ⊕⊕⊝⊝ | ||
| 426 per 1000 | 426 per 1000 | |||||
| Moderate | ||||||
| 231 per 1000 | 231 per 1000 | |||||
| Death or deterioration in ADL | Study population | OR 1.18 | 174 | ⊕⊕⊝⊝ | ||
| 349 per 1000 | 387 per 1000 | |||||
| Moderate | ||||||
| 349 per 1000 | 387 per 1000 | |||||
| Death or poor outcome (institutional care, disability or deterioration) | Study population | OR 1.05 | 1268 | ⊕⊕⊝⊝ | ||
| 410 per 1000 | 422 per 1000 | |||||
| Moderate | ||||||
| 221 per 1000 | 230 per 1000 | |||||
| Deterioration in ADL in survivors | Study population | OR 1.21 | 149 | ⊕⊕⊝⊝ | ||
| 243 per 1000 | 280 per 1000 | |||||
| Moderate | ||||||
| 243 per 1000 | 280 per 1000 | |||||
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). | ||||||
| GRADE Working Group grades of evidence | ||||||
| 1 Limitations for at least one risk of bias criterion or some limitations for multiple criteria, sufficient to lower confidence in the estimate of effect | ||||||
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Death by the end of follow up Show forest plot | 16 | 3533 | Odds Ratio (M‐H, Random, 95% CI) | 1.05 [0.85, 1.28] |
| 1.1 Day Hospital vs Comprehensive elderly care | 5 | 1287 | Odds Ratio (M‐H, Random, 95% CI) | 1.26 [0.87, 1.82] |
| 1.2 Day hospital vs Domiciliary care | 7 | 901 | Odds Ratio (M‐H, Random, 95% CI) | 0.97 [0.61, 1.55] |
| 1.3 Day hospital vs No comprehensive elderly care | 4 | 1345 | Odds Ratio (M‐H, Random, 95% CI) | 0.88 [0.63, 1.22] |
| 2 Death or institutional care by the end of follow up Show forest plot | 13 | 3030 | Odds Ratio (M‐H, Random, 95% CI) | 0.85 [0.63, 1.14] |
| 2.1 Day hospital vs Comprehensive elderly care | 4 | 1181 | Odds Ratio (M‐H, Random, 95% CI) | 1.00 [0.69, 1.44] |
| 2.2 Day hospital vs Domiciliary care | 5 | 672 | Odds Ratio (M‐H, Random, 95% CI) | 1.05 [0.57, 1.92] |
| 2.3 Day hospital vs No comprehensive elderly care | 4 | 1177 | Odds Ratio (M‐H, Random, 95% CI) | 0.63 [0.40, 1.00] |
| 3 Death or deterioration in activities of daily living (ADL) Show forest plot | 7 | 1268 | Odds Ratio (M‐H, Random, 95% CI) | 1.07 [0.76, 1.49] |
| 3.1 Day hospital vs Comprehensive elderly care | 1 | 174 | Odds Ratio (M‐H, Random, 95% CI) | 1.18 [0.63, 2.18] |
| 3.2 Day hospital vs Domiciliary care | 4 | 443 | Odds Ratio (M‐H, Random, 95% CI) | 1.41 [0.82, 2.42] |
| 3.3 Day hospital vs No comprehensive elderly care | 2 | 651 | Odds Ratio (M‐H, Random, 95% CI) | 0.76 [0.56, 1.05] |
| 4 Death or poor outcome (institutional care, disability or deterioration) Show forest plot | 13 | 2831 | Odds Ratio (M‐H, Random, 95% CI) | 0.92 [0.74, 1.15] |
| 4.1 Day hospital vs Comprehensive elderly care | 5 | 1268 | Odds Ratio (M‐H, Random, 95% CI) | 1.05 [0.79, 1.40] |
| 4.2 Day hospital vs Domiciliary care | 5 | 581 | Odds Ratio (M‐H, Random, 95% CI) | 1.08 [0.67, 1.74] |
| 4.3 Day hospital vs No comprehensive elderly care | 3 | 982 | Odds Ratio (M‐H, Random, 95% CI) | 0.72 [0.53, 0.99] |
| 5 Deterioration in activities of daily living (ADL) in survivors Show forest plot | 7 | 905 | Odds Ratio (M‐H, Random, 95% CI) | 1.11 [0.68, 1.80] |
| 5.1 Day hospital vs Comprehensive elderly care | 1 | 149 | Odds Ratio (M‐H, Random, 95% CI) | 1.21 [0.58, 2.52] |
| 5.2 Day hospital vs Domiciliary care | 4 | 349 | Odds Ratio (M‐H, Random, 95% CI) | 1.59 [0.87, 2.90] |
| 5.3 Day hospital vs No comprehensive elderly care | 2 | 407 | Odds Ratio (M‐H, Random, 95% CI) | 0.61 [0.38, 0.97] |
| 6 Activities of daily living (ADL) scores Show forest plot | Other data | No numeric data | ||
| 6.1 Day hospital vs Comprehensive elderly care | Other data | No numeric data | ||
| 6.2 Day hospital vs Domiciliary care | Other data | No numeric data | ||
| 6.3 Day hospital vs No comprehensive elderly care | Other data | No numeric data | ||
| 7 Subjective health status Show forest plot | Other data | No numeric data | ||
| 7.1 Day hospital vs Comprehensive elderly care | Other data | No numeric data | ||
| 7.2 Day hospital vs Domiciliary care | Other data | No numeric data | ||
| 7.3 Day hospital vs No comprehensive elderly care | Other data | No numeric data | ||
| 8 Patient satisfaction Show forest plot | Other data | No numeric data | ||
| 8.1 Day hospital vs Comprehensive elderly care | Other data | No numeric data | ||
| 8.2 Day hospital vs Domiciliary care | Other data | No numeric data | ||
| 8.3 Day hospital vs No comprehensive elderly care | Other data | No numeric data | ||
| 9 Carer Distress Show forest plot | Other data | No numeric data | ||
| 9.1 Day hospital vs Comprehensive elderly care | Other data | No numeric data | ||
| 9.2 Day hospital vs Domiciliary care | Other data | No numeric data | ||
| 9.3 Day hospital vs No comprehensive elderly care | Other data | No numeric data | ||
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Requiring institutional care at the end of follow up Show forest plot | 13 | 3003 | Odds Ratio (M‐H, Random, 95% CI) | 0.84 [0.58, 1.21] |
| 1.1 Day hospital vs Comprehensive elderly care | 4 | 1181 | Odds Ratio (M‐H, Random, 95% CI) | 0.91 [0.70, 1.19] |
| 1.2 Day hospital vs Domiciliary care | 5 | 672 | Odds Ratio (M‐H, Random, 95% CI) | 1.49 [0.53, 4.25] |
| 1.3 Day hospital vs No comprehensive elderly care | 4 | 1150 | Odds Ratio (M‐H, Random, 95% CI) | 0.58 [0.28, 1.20] |
| 2 Hospital bed use during follow up Show forest plot | Other data | No numeric data | ||
| 2.1 Day hospital vs Comprehensive elderly care | Other data | No numeric data | ||
| 2.2 Day hospital vs Domiciliary care | Other data | No numeric data | ||
| 2.3 Day hospital vs No comprehensive elderly care | Other data | No numeric data | ||
| 3 Resource use Show forest plot | Other data | No numeric data | ||
| 3.1 Day hospital vs Comprehensive elderly care | Other data | No numeric data | ||
| 3.2 Day hospital vs Domiciliary care | Other data | No numeric data | ||
| 3.3 Day hospital vs No comprehensive elderly care | Other data | No numeric data | ||
