Review: home visiting with multidimensional assessment and multiple visits reduces nursing home admissions in low risk elderly people
QUESTION: In elderly people, what are the effects of preventive home visits on nursing home admission, functional status, and mortality?
Studies reported in English, French, German, Italian, and Spanish were identified by searching Medline, EMBASE/Excerpta Medica, PsycINFO (1985 to November 2001), the Cochrane Controlled Trials Register, conference proceedings, and specialty journals; reviewing bibliographies of earlier reviews and book chapters; and contacting experts.
Studies were selected if they were randomised trials of the effects of preventive home visits in elderly people (mean age >70 y) living in the community.
Data were extracted on the study population, characteristics of the intervention (multidimensional geriatric assessment, average number of home visits, and duration of intervention), and end points. Quality of individual trials was assessed (method of randomisation, blinding, and proportion …