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Therapeutics
Review: home visiting with multidimensional assessment and multiple visits is effective in low risk elderly people

https://doi.org/10.1136/ebm.7.5.148

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    (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.
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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 in-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 of …

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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 also appears in Evidence-Based Nursing

    • ↵* Information provided by author.