Comprehensive geriatric assessment for older adults admitted to ...

Analysis 4.1. Comparison 4 CGA versus usual care (outpatient follow up), Outcome 1 Living at home (up to
6 months).
Review: Comprehensive geriatric assessment for older adults admitted to hospital
Comparison: 4 CGA versus usual care (outpatient follow up)
Outcome: 1 Living at home (up to 6 months)
Study or subgroup Control Treatment Odds Ratio Weight Odds Ratio
1 Outpatient follow up
n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI
Collard 1985 163/218 319/477 15.3 % 1.47 [ 1.02, 2.10 ]
Counsell 2000 536/767 531/764 48.6 % 1.02 [ 0.82, 1.27 ]
Fretwell 1990 104/221 92/215 15.0 % 1.19 [ 0.81, 1.73 ]
Naughton 1994 39/51 44/60 2.9 % 1.18 [ 0.50, 2.80 ]
Rubenstein 1984 46/63 32/60 2.7 % 2.37 [ 1.12, 5.03 ]
Subtotal (95% CI) 1320 1576 84.5 % 1.18 [ 1.00, 1.38 ]
Total events: 888 (Control), 1018 (Treatment)
Heterogeneity: Chi 2 = 6.46, df = 4 (P = 0.17); I 2 =38%
Test for overall effect: Z = 2.01 (P = 0.044)
2 No outpatient follow up
Applegate 1990 62/78 47/77 2.9 % 2.47 [ 1.21, 5.06 ]
Saltvedt 2002 101/127 79/127 4.9 % 2.36 [ 1.35, 4.14 ]
White 1994 14/20 7/20 0.6 % 4.33 [ 1.15, 16.32 ]
Winograd 1993 68/99 74/98 7.1 % 0.71 [ 0.38, 1.33 ]
Subtotal (95% CI) 324 322 15.5 % 1.71 [ 1.22, 2.41 ]
Total events: 245 (Control), 207 (Treatment)
Heterogeneity: Chi 2 = 11.71, df = 3 (P = 0.01); I 2 =74%
Test for overall effect: Z = 3.11 (P = 0.0019)
Total (95% CI) 1644 1898 100.0 % 1.26 [ 1.09, 1.46 ]
Total events: 1133 (Control), 1225 (Treatment)
Heterogeneity: Chi 2 = 21.93, df = 8 (P = 0.01); I 2 =64%
Test for overall effect: Z = 3.16 (P = 0.0016)
Test for subgroup differences: Chi 2 = 3.83, df = 1 (P = 0.05), I 2 =74%
0.2 0.5 1 2 5
Favours control Favours experimental
Comprehensive geriatric assessment for older adults admitted to hospital (Review)
Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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