Comparaison des soins à domicile ou en structure d’accueil et des soins en établissement de long séjour pour les personnes âgées dépendantes
Appendices
Appendix 1. Search Strategies
Medline (OVID)
Ovid MEDLINE(R) In‐Process & Other Non‐Indexed Citations and Ovid MEDLINE(R) 1946 to 10 November 2015
| No. | Search terms |
| 1 | Aged/ or "aged, 80 and over"/ or Frail elderly/ |
| 2 | elderly.ti,ab. |
| 3 | (community adj4 (elder? or geriatric? or old* adult? or senior?)).ab. |
| 4 | geriatric patient?.ti,ab. |
| 5 | (older adult? or older person? or older people or older patient?).ti,ab. |
| 6 | Geriatrics/ or *Geriatric Dentistry/ or *Geriatric Nursing/ or Geriatric Psychiatry/ |
| 7 | Geriatric Assessment/ |
| 8 | "Health Services for the Aged"/ |
| 9 | ((geriatric? or elder? or senior?) adj2 (care or health service? or healthcare)).ti,ab. |
| 10 | or/1‐9 |
| 11 | long‐term care/ |
| 12 | long‐term care.ti,ab. |
| 13 | (long stay adj2 (care or healthcare or service? or treatment? or patient? or resident?)).ti,ab. |
| 14 | (function* adj2 (dependen* or independen* or limit* or decline* or status or impair*)).ti,ab. |
| 15 | (candidate? adj3 (institution* or deinstitution* or home or place*)).ti,ab. |
| 16 | or/11‐15 |
| 17 | home care services, hospital‐based/ |
| 18 | ((home or domicil*) adj3 (care or healthcare or nurs* or rehabilit* or service or services or treatment? or therapy or therapies or therapist? or visiting or visit?)).ti,ab. |
| 19 | (residential adj3 (care or healthcare or facilit*)).ti,ab. |
| 20 | Day care/ |
| 21 | (day hospital? or ((adult? or elder* or geriatric?) adj2 (day care or daycare))).ti,ab. |
| 22 | residential facilities/ |
| 23 | assisted living facilities/ |
| 24 | group homes/ |
| 25 | (group? adj (home? or living)).ti,ab. |
| 26 | halfway houses/ |
| 27 | halfway hous*.ti,ab. |
| 28 | homes for the aged/ |
| 29 | exp nursing homes/ |
| 30 | home care services/ |
| 31 | home nursing/ |
| 32 | respite care/ |
| 33 | respite care.ti,ab. |
| 34 | home health nursing/ |
| 35 | or/17‐34 |
| 36 | 10 and 16 and 35 |
| 37 | randomized controlled trial.pt. |
| 38 | controlled clinical trial.pt. |
| 39 | multicenter study.pt. |
| 40 | pragmatic clinical trial.pt. |
| 41 | (randomis* or randomiz* or randomly).ti,ab. |
| 42 | groups.ab. |
| 43 | (trial or multicenter or multi center or multicentre or multi centre).ti. |
| 44 | (intervention? or effect? or impact? or controlled or control group? or (before adj5 after) or (pre adj5 post) or ((pretest or pre test) and (posttest or post test)) or quasiexperiment* or quasi experiment* or pseudo experiment* or pseudoexperiment* or evaluat* or time series or time point? or repeated measur*).ti,ab. |
| 45 | non‐randomized controlled trials as topic/ |
| 46 | interrupted time series analysis/ |
| 47 | controlled before‐after studies/ |
| 48 | or/37‐47 |
| 49 | exp animals/ |
| 50 | humans/ |
| 51 | 49 not (49 and 50) |
| 52 | review.pt. |
| 53 | meta analysis.pt. |
| 54 | news.pt. |
| 55 | comment.pt. |
| 56 | editorial.pt. |
| 57 | cochrane database of systematic reviews.jn. |
| 58 | comment on.cm. |
| 59 | (systematic review or literature review).ti. |
| 60 | or/51‐59 |
| 61 | 48 not 60 |
| 62 | 36 and 61 |
Embase (OVID)
Embase 1974 to 10 November 2015
| No. | Search terms |
| 1 | aged/ not (*adolescent/ or *adult/ or child/ or embryo/ or fetus/ or *middle aged/ or newborn/) |
| 2 | *aged/ or frail elderly/ |
| 3 | elderly.ti,ab. |
| 4 | (older adult? or older patient? or older people or older person?).ti,ab. |
| 5 | geriatric patient?.ti,ab. |
| 6 | *geriatric patient/ |
| 7 | (community adj4 (elder? or geriatric? or old* adult? or senior?)).ab. |
| 8 | ((geriatric? or elder? or senior?) adj2 (care or health service? or healthcare)).ti,ab. |
| 9 | *elderly care/ |
| 10 | exp *geriatrics/ |
| 11 | exp *geriatric nursing/ |
| 12 | *geriatric care/ |
| 13 | *geriatric rehabilitation/ |
| 14 | *geriatric assessment/ |
| 15 | or/1‐14 |
| 16 | *long term care/ |
| 17 | long‐term care.ti,ab. |
| 18 | (long stay adj2 (care or healthcare or service? or treatment? or patient? or resident?)).ti,ab. |
| 19 | (function* adj2 (dependen* or independen* or limit* or decline* or status or impair*)).ti,ab. |
| 20 | (candidate? adj3 (institution* or deinstitution* or home or place*)).ti,ab. |
| 21 | or/16‐20 |
| 22 | ((home or domicil*) adj3 (care or healthcare or nurs* or rehabilit* or service or services or treatment? or therapy or therapies or therapist? or visiting or visit?)).ti,ab. |
| 23 | (residential adj3 (care or healthcare or facilit*)).ti,ab. |
| 24 | (day hospital? or ((adult? or elder* or geriatric?) adj2 (day care or daycare))).ti,ab. |
| 25 | (group? adj (home? or living)).ti,ab. |
| 26 | halfway hous*.ti,ab. |
| 27 | respite care.ti,ab. |
| 28 | *respite care/ |
| 29 | *home rehabilitation/ |
| 30 | *home care/ |
| 31 | *day hospital/ |
| 32 | *nursing home/ |
| 33 | *residential home/ |
| 34 | *assisted living facility/ |
| 35 | *halfway house/ |
| 36 | *home for the aged/ |
| 37 | *institutional care/ |
| 38 | or/22‐37 |
| 39 | 15 and 21 and 38 |
| 40 | randomized controlled trial/ |
| 41 | controlled clinical trial/ |
| 42 | quasi experimental study/ |
| 43 | pretest posttest control group design/ |
| 44 | time series analysis/ |
| 45 | experimental design/ |
| 46 | multicenter study/ |
| 47 | (randomis* or randomiz* or randomly).ti,ab. |
| 48 | groups.ab. |
| 49 | (trial or multicentre or multicenter or multi centre or multi center).ti. |
| 50 | (intervention? or effect? or impact? or controlled or control group? or (before adj5 after) or (pre adj5 post) or ((pretest or pre test) and (posttest or post test)) or quasiexperiment* or quasi experiment* or pseudo experiment* or pseudoexperiment* or evaluat* or time series or time point? or repeated measur*).ti,ab. |
| 51 | or/40‐50 |
| 52 | (systematic review or literature review).ti. |
| 53 | "cochrane database of systematic reviews".jn. |
| 54 | exp animals/ or exp invertebrate/ or animal experiment/ or animal model/ or animal tissue/ or animal cell/ or nonhuman/ |
| 55 | human/ or normal human/ or human cell/ |
| 56 | 54 not (54 and 55) |
| 57 | 52 or 53 or 56 |
| 58 | 51 not 57 |
| 59 | 39 and 58 |
The Cochrane Library
| No. | Search terms |
| #1 | [mh Aged] |
| #2 | [mh "aged, 80 and over"] |
| #3 | [mh "Frail elderly"] |
| #4 | [mh Geriatrics] |
| #5 | [mh "*Geriatric Dentistry"] |
| #6 | [mh "*Geriatric Nursing"] |
| #7 | [mh "Geriatric Psychiatry"] |
| #8 | [mh "Geriatric Assessment"] |
| #9 | [mh "Health Services for the Aged"] |
| #10 | elderly:ti,ab |
| #11 | (community near/4 (elder? or geriatric? or old* adult? or senior?)):ab |
| #12 | geriatric patient?:ti,ab |
| #13 | (older adult? or older person? or older people or older patient?):ti,ab |
| #14 | ((geriatric? or elder? or senior?) near/2 (care or health service? or healthcare)):ti,ab |
| #15 | {or #1‐#14} |
| #16 | [mh "long‐term care"] |
| #17 | long‐term care:ti,ab |
| #18 | (long stay near/2 (care or healthcare or service? or treatment? or patient? or resident?)):ti,ab |
| #19 | (function* near/2 (dependen* or independen* or limit* or decline* or status or impair*)):ti,ab |
| #20 | (candidate? near/3 (institution* or deinstitution* or home or place*)):ti,ab |
| #21 | {or #16‐#20} |
| #22 | [mh "home care services, hospital‐based"] |
| #23 | [mh "day care"] |
| #24 | [mh "residential facilities"] |
| #25 | [mh "assisted living facilities"] |
| #26 | [mh "group homes"] |
| #27 | [mh "halfway houses"] |
| #28 | [mh "homes for the aged"] |
| #29 | [mh "nursing homes"] |
| #30 | [mh "home care services"] |
| #31 | [mh "home nursing"] |
| #32 | [mh "respite care"] |
| #33 | [mh "home health nursing"] |
| #34 | ((home or domicil*) near/3 (care or healthcare or nurs* or rehabilit* or service or services or treatment? or therapy or therapies or therapist? or visiting or visit?)):ti,ab |
| #35 | (residential near/3 (care or healthcare or facilit*)):ti,ab |
| #36 | (day hospital? or ((adult? or elder* or geriatric?) near/2 (day care or daycare))):ti,ab |
| #37 | (group? next (home? or living)):ti,ab |
| #38 | halfway hous*:ti,ab |
| #39 | respite care:ti,ab |
| #40 | {or #22‐#39} |
| #41 | #15 and #21 and #40 |
Cinahl (EBSCO)
| No. | Search terms |
| S1 | MH aged OR MH ( "aged 80 and over" ) OR MH frail elderly |
| S2 | TI elderly OR AB elderly |
| S3 | AB community N4 (elder? or geriatric? or old* adult? or senior?) |
| S4 | TI geriatric patient? OR AB geriatric patient? |
| S5 | TI ( older adult? or older person? or older people or older patient? ) OR AB ( older adult? or older person? or older people or older patient? ) |
| S6 | MH geriatrics OR MH Dental care for aged OR MH Gerontologic Nursing OR MH Geriatric psychiatry |
| S7 | MH geriatric assessment |
| S8 | MH "Health Services for the Aged" |
| S9 | TI ((geriatric? or elder? or senior?) N2 (care or health service? or healthcare)) OR AB ((geriatric? or elder? or senior?) N2 (care or health service? or healthcare)) |
| S10 | S1 OR S2 OR S3 OR S4 OR S5 OR S6 OR S7 OR S8 OR S9 |
| S11 | (MH "Long Term Care") |
| S12 | TI long‐term care or AB long‐term care |
| S13 | TI (long‐stay N2 (care or healthcare or service? or treatment? or patient? or resident?)) OR AB (long‐stay N2 (care or healthcare or service? or treatment? or patient? or resident?)) |
| S14 | TI (function* N2 (dependen* or independen* or limit* or decline* or status or impair*)) or AB (function* N2 (dependen* or independen* or limit* or decline* or status or impair*)) |
| S15 | TI (candidate? N3 (institution* or deinstitution* or home or place*)) OR AB (candidate? N3 (institution* or deinstitution* or home or place*)) |
| S16 | S11 OR S12 OR S13 OR S14 OR S15 |
| S17 | TI ((home or domicil*) N3 (care or healthcare or nurs* or rehabilit* or service or services or treatment? or therapy or therapies or therapist? or visiting or visit?)) OR AB ((home or domicil*) N3 (care or healthcare or nurs* or rehabilit* or service or services or treatment? or therapy or therapies or therapist? or visiting or visit?)) |
| S18 | TI (residential N3 (care or healthcare or facilit*)) OR AB (residential N3 (care or healthcare or facilit*)) |
| S19 | TI (day hospital? or ((adult? or elder* or geriatric?) N2 (day care or daycare))) OR AB (day hospital? or ((adult? or elder* or geriatric?) N2 (day care or daycare))) |
| S20 | TI (group? N (home? or living)) OR AB (group? N (home? or living)) |
| S21 | TI halfway hous* OR AB halfway hous* |
| S22 | TI respite care OR AB respite care |
| S23 | MH Housing for the Elderly |
| S24 | MH Home Nursing |
| S25 | (MH "Home Rehabilitation") OR (MH "Homemaker Services") OR (MH "Home Health Care") |
| S26 | MH Day care |
| S27 | (MH "Nursing Home Patients") |
| S28 | MH "Residential Facilities+" |
| S29 | MH "Residential Care+" |
| S30 | MH "Assisted Living" |
| S31 | (MH "Halfway Houses") |
| S32 | (MH "Nursing Homes+") |
| S33 | MH "Home Nursing, Professional" |
| S34 | MH "Home Nursing" |
| S35 | S17 OR S18 OR S19 OR S20 OR S21 OR S22 OR S23 OR S24 OR S25 OR S26 OR S27 OR S28 OR S29 OR S30 OR S31 OR S32 OR S33 OR S34 |
| S36 | S10 AND S16 AND S35 |
| S37 | PT randomized controlled trial |
| S38 | PT clinical trial |
| S39 | PT research |
| S40 | (MH "Randomized Controlled Trials") |
| S41 | (MH "Clinical Trials") |
| S42 | (MH "Intervention Trials") |
| S43 | (MH "Nonrandomized Trials") |
| S44 | (MH "Experimental Studies") |
| S45 | (MH "Pretest‐Posttest Design+") |
| S46 | (MH "Quasi‐Experimental Studies+") |
| S47 | (MH "Multicenter Studies") |
| S48 | MH "Health Services Research" |
| S49 | TI ( randomis* or randomiz* or randomly) OR AB ( randomis* or randomiz* or randomly) |
| S50 | TI (trial or effect* or impact* or intervention* or before N5 after or pre N5 post or ((pretest or "pre test") and (posttest or "post test")) or quasiexperiment* or quasi W0 experiment* or pseudo experiment* or pseudoexperiment* or evaluat* or "time series" or time W0 point* or repeated W0 measur*) OR AB (trial or effect* or impact* or intervention* or before N5 after or pre N5 post or ((pretest or "pre test") and (posttest or "post test")) or quasiexperiment* or quasi W0 experiment* or pseudo experiment* or pseudoexperiment* or evaluat* or "time series" or time W0 point* or repeated W0 measur*) |
| S51 | S37 OR S38 OR S39 OR S40 OR S41 OR S42 OR S43 OR S44 OR S45 OR S46 OR S47 OR S48 OR S49 OR S50 |
| S52 | S36 AND S51 |
| S53 | S52 Limiters ‐ Exclude MEDLINE records |
ClinicalTrials.gov
elderly AND "long term care"
WHO International Clinical Trials Registry Platform (ICTRP)
elderly AND "long term care"
Web searches
| Website name/organisation | URL | Date | Notes |
| Grey Lit (New York Academy of Medicine) | 11 November 2015 | elderly AND "long term care" | |
| Open Grey | 11 November 2015 | elderly AND "long term care" |
Study flow diagram.
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Comparison 1 At‐home versus institutional long‐term care, Outcome 1 Mortality.
Comparison 1 At‐home versus institutional long‐term care, Outcome 2 Number of patients with a hospital admission.
| Home or foster home versus institutional long‐term care for functionally dependent older people | ||||
| Patient or population: older adults with functional dependence Settings: long‐term care Intervention: long‐term home care Comparison: long‐term institutional care | ||||
| Outcomes | Relative effect | No of participants | Certainty of evidence | Comments |
| Mortality (6 months) | It is uncertain whether long‐term home care compared to nursing home care decreases mortality risk Estimates ranged from a relative increase in risk of mortality of RR 2.89 (95% CI 1.57 to 5.32) to a relative reduction in risk of RR 0.38 (95% CI 0.17 to 0.61). | 314* | ⊕⊝⊝⊝ | Data were not pooled due to the high degree of statistical heterogeneity for this outcome (I2 = 94%) |
| Physical function (3‐6 months) | It is uncertain whether long‐term home care compared to nursing home care improves physical function Estimates ranged from and improvement in activities of daily living of MD −0.25 points (95% CI −0.44 to −0.06) to MD −1.90 (95% CI −2.18 to −1.62) | 1295* | ⊕⊝⊝⊝ | 3 studies reporting data used the Katz Index of ADLs or a variation of this measure 2 studies did not provide usable post or change‐score data. 1 study reported no between‐group difference in change in ADLs. 2 studies reported improvements in ADLs for participants receiving home LTC compared to nursing home LTC |
| Quality of life (3‐6 months) | It is uncertain whether long‐term home care compared to nursing home care improves happiness (RR 1.97, 95% CI 1.27 to 3.04) or general satisfaction | 114 | ⊕⊝⊝⊝ | Both studies used proxy items for this outcome. While both variables were assessed using continuous measures, authors further dichotomised the outcome for reporting, precluding meta‐analysis. |
| Hospital admissions | It is uncertain whether long‐term home care compared to nursing home care decreases hospital admissions Estimates ranged from a relative increase in risk of a hospitalisation of RR 2.75 (95% CI 2.59 to 2.92) to a relative reduction in risk of RR 0.82 (95% CI 0.72 to 0.93). | 14,853 (3 studies) | ⊕⊝⊝⊝ | This outcome described the number of participants having at least one hospital admission. Data were not pooled due to the high degree of statistical heterogeneity for this outcome (I2 = 99%) |
| Number of adverse health outcomes | The extent to which long‐term home care was associated to more or fewer adverse health outcomes than nursing home care was not reported. | ‐‐‐ | ‐‐‐ | ‐‐‐ |
| ADL: activities of daily living; CI: confidence interval; LTC: long‐term care; RR: risk ratio. | ||||
| GRADE Working Group grades of evidence | ||||
| aDowngraded due to study design. * For Chuang 2005, only participants receiving institutional or home/community‐based care were included; participants receiving family care were not included. | ||||
| Study | Service Location (home / community) | Type of services | Dose (how many services and their frequency of provision) | Provider |
| Home | Help with laundry, shopping, cleaning, and personal care. Excluded meals on wheels or transport services | ≥ 4 home visits per month | Not reported | |
| Home | Medical care and ancillary services in participant's own home. A potential caregiver (friend, relative, or hired caretaker) must be living in the patient's home and able to assume responsibility for care. | Not reported | Home care team (physician, nurse, dietician, social worker) | |
| Home | Darlington Care Project: case management service, which could include any number of medical services based on client needs (speech therapy, stoma care, catheter care, change of dressing). Personal care (bathing, dressing, toileting, feeding, hand/nail care), physical care, (assist with walking, lifting/transferring). Social and recreational activities and therapeutic exercises | Not reported | Case manager likely a nurse? Other HCPs as needed | |
| Home | Not reported | Not reported | Not reported | |
| Home or community | Not reported | Not reported | Not reported | |
| Home or community | Not reported | Not reported | Not reported | |
| Home or community | Nursing Home Without Walls (NHWW) provides an array of services including case management, skilled nursing, personal care, adult day health, home delivered meals, nutritional counselling, transportation, respite, emergency alarms, moving assistance, rehabilitation, home maintenance, environmental modifications, homemakers | Not reported | Nurse | |
| Community | Counselling, transportation, meals, recreational activities, information/referral, and monitoring services. Based on a patient assessment, the programme could provide medication monitoring, and/or arrange for various types of therapies | Not reported | Social worker/nurse |
| Study | Service Location | Type of services | Provider |
| Room in a foster home | Caregivers provided the patient with meals, laundry, assistance with personal and instrumental ADLS, 24‐hour supervision and nursing tasks as needed (e.g. monitoring medication, injections and behavioural modification) | Caregivers were trained by the Johns Hopkins Hospital | |
| Foster home care | Caregivers provided personal care services, 24‐hour supervision, and meal, laundry and household services | Caregivers were a part of a certification and monitoring programme | |
| Foster care home | Community Care Program: families provide 24‐hour supervision, room and board, homemaker services, personal care including assistance with ADLs, medication, range of motion and other exercises, and in some cases, tube feeding, dressing changes, insulin injections, catheter irrigations, transportation to medical and social outings | Families are trained and supervised by social worker/nurse teams to adopt and care for 1‐2 patients |
| Study | Time‐point | Type of long‐term care | Sample size | Results | Relative effect RR (95% CI) | |
| Home care | Nursing home | |||||
| 6 months | Blended | 352 | 8% (18/221) | 16% (21/131) | 0.51 (0.28 to 0.92) | |
| 6 months | Home care | 214 | 34% (31/101) | 11% (12/113) | 2.89 (1.57 to 5.32) | |
| 6 months | Home care | 474 poststroke | 6% (24/408) | 18% (12/66) | 0.38 (0.17 to 0.61) | |
| 12 months | Home care | 214 | 40% (40/101) | 31% (35/113) | 1.28 (0.89 to 1.84) | |
| 12 months | Foster care | 112 | 29% (17/59) | 32% (17/53) | 0.90 (0.51 to 1.57) | |
| CI: confidence interval; RR: risk ratio. | ||||||
| RR: risk ratio. | ||||||
| Study | Time point | Sample size | Measure | D/Ca | Results | Relative effectb (95% CI) | |
| Home care | Nursing home | ||||||
| Home care | |||||||
| 3 months | 195 | ADLd (change) | — | — | — | — | |
| 3 months | 98 | ADLe | C | Post: 13.02 | Post: 13.16 | — | |
| 3 months | 98 | ADL (mobility)e | C | −1.02 | −1.05 | — | |
| 6 months | 210 | ADLe | — | — | — | — | |
| 9 months | 98 | ADL performance assessment | ? | — | — | −0.25 (−0.44 to −0.06) | |
| Unclear | 694 | ADLg | C | 3.0 (1.2) | 3.9 (0.4) | −0.9 (−1.02 to −0.78) | |
| Unclear | 694 | ADLh | C | 1.4 (1.7) | 3.4 (1.9) | −1.90 (−2.18 to −1.62) | |
| Foster care | |||||||
| 12 months | 53 | ADLd (improved/maintained) | D | 79% (22/28) | 60% (15/25) | 0.19 (−0.07 to 0.43) | |
| 12 months | 53 | ADLg (improved/maintained) | D | 75% (21/28) | 68% (17/25) | 0.07 (−0.17 to 0.31) | |
| 9 months | 62 | ADL performance assessment | — | — | — | — | |
| Unclear | — | — | — | — | — | — | |
| Blended | |||||||
| 6 months | 352 | ADLe (pre‐post) | C | Pre: 12.87 Post: 12.16 | Pre: 14.43 Post: 13.78 | — | |
| 6 months | 352 | ADLe (change) | 0.71 | 0.65 | — | ||
| ADL: activities of daily living; CI: confidence interval; RR: risk ratio. | |||||||
| aD: dichotomous outcome; C: continuous outcome. | |||||||
| Study | Time point | Type of long‐term care | Sample Size | Measure | D/Ca | Results | Relative effectb (95% CI) | Favours | |
| Home care | Nursing home | ||||||||
| Home care | |||||||||
| 3 months | Community care | 132 | Reported level of happinessc | D | 67% (59/88) | 34% (15/44) | 1.97 (1.27 to 3.04) | Home care | |
| 6 months | Community care | 214 | General satisfactiond (change) | C | 0.79 | 0.08 | — | Home care | |
| 6 months | Community care | 214 | Well‐being – moraled (change) | C | 0.79 | 0.21 | — | Home care | |
| 6 months | Community care | 214 | Well‐being – depressiond (change) | C | 0.33 | −1.05 | — | Home care | |
| Foster care | |||||||||
| 12 months | Foster care | 53 | Life satisfaction (improved/maintained) | D | 46% (13/28) | 72% (18/25) | RR: 0.64 (0.40 to 1.03) | Nursing | |
| 12 months | Foster care | 53 | Perceived health (improved/maintained) | D | 68% (19/28) | 84% (21/25) | RR: 0.81 (0.59 to 1.10) | Nursing | |
| 12 months | Foster care | 53 | Mental status (improved/maintained) | D | 64% (18/28) | 60% (15/25) | RR: 1.07 (0.70 to 1.64) | ||
| CI: confidence interval; RR: risk ratio. | |||||||||
| aD: dichotomous outcome; C: continuous outcome. | |||||||||
| Study | Time‐point | Type of long‐term care | Sample Size | Measure | Results | Relative effect: RR (95% CI) | Favours | |
| Home care | Nursing home | |||||||
| Observational (data set) | Home care | 11,803 | Hospital admissiona | 55% (3880/7029) | 20% (958/4774) | 2.75 (2.59 to 2.92) | Nursing home? | |
| Observational (dataset) | Home care | 11,803 | Emergency room visitsb | 70.1% (4992/70290 | 34.8% (1662/4774) | — | Nursing home? | |
| Observational (dataset) | Home/community care | 2338 | Preventable hospitalisationc | 11.4% (133/1169) | 9.7% (113/1169) | — | Nursing home? | |
| Observational (dataset) | Home/community care | 2338 | Any hospitalisationd | 35.8% (419/1169) | 25.4% (297/1169) | 1.41 (1.25, 1.60) | Nursing home? | |
| unclear | Home care | 694 | Hospital staysf | 53.6% (228/425) | 65.4% (176/269) | 0.82 (0.72, 0.93) | Home care? | |
| CI: confidence interval; RR: risk ratio. | ||||||||
| aNumber admitted to hospital at least once. | ||||||||
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Mortality Show forest plot | 2 | Risk Ratio (M‐H, Fixed, 95% CI) | Totals not selected | |
| 2 Number of patients with a hospital admission Show forest plot | 3 | Risk Ratio (M‐H, Fixed, 95% CI) | Totals not selected | |
