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

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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 …

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Footnotes

  • Sources of funding: Swiss National Science Foundation; Swiss Federal Office for Education and Research; Swiss Foundation for Health Promotion.

  • For correspondence: Dr A E Stuck, Spital Bern Ziegler, Bern, Switzerland. andreas.stuck{at}spitalbern.ch

  • A modified version of this abstract appears in ACP Journal Club.

  • * Information provided by author.