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Evid Based Nurs 5:118 doi:10.1136/ebn.5.4.118
  • Treatment

Review: home visiting with multidimensional assessment and multiple visits reduces nursing home admissions in low risk elderly people

(2002) JAMA 287, 1022; Stuck AE, Egger M, Hammer A, et al.. Home visits to prevent nursing home admission and functional decline in elderly people: systematic review and meta-regression analysis.. Feb 27;. :. –8.


 
 QUESTION: In elderly people, what are the effects of preventive home visits on nursing home admission, functional status, and mortality?

Data sources

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.

Study selection

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 extraction

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 …

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