Cochrane · systematic review · CD013880
Models for delivery and co‐ordination of primary or secondary health care (or both) to older adults living in aged care facilities
Putrik, P, Grobler, L, Lalor, A, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 42.9%Low 3 · 42.9%Moderate 1 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings: Any alternative model of care versus usual care
Population: residents of aged care facilities
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Emergency department (ED) visits: proportion of residents with at least one ED visit at longest Summary of findings: Any alternative model of care vs usual care | RR 1.01 [0.84, 1.2] | 7 studies · 1276 participants | Low Downgraded: risk of bias, imprecision |
Unplanned hospital admissions: proportion of residents with at least one unplanned hospital admission at longest Summary of findings: Any alternative model of care vs usual care | RR 0.74 [0.56, 0.99] | 8 studies · 1263 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Adverse events/falls: proportion of residents with a fall at longest Summary of findings: Any alternative model of care vs usual care | RR 1.15 [0.83, 1.6] | 3 studies · 1061 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Adherence to clinical guideline‐recommended care: proportion of residents with adequate antidepressant therapy at longest Summary of findings: Any alternative model of care vs usual care | RR 5.29 [1.08, 26] | 1 study · 65 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Health‐related quality of life (mean difference) at longest Summary of findings: Any alternative model of care vs usual care | MD 0.016 | 12 studies · 4016 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Mortality: proportion of residents who died at longest Summary of findings: Any alternative model of care vs usual care | RR 1.03 [0.92, 1.16] | 24 studies · 3881 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Resource use: cost‐effectiveness evaluations (6 to 21 months) Summary of findings: Any alternative model of care vs usual care | no estimate extracted | 5 studies · 2341 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |