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BMC Geriatrics
Published in: BMC Geriatrics 1/2012

Open Access 01-12-2012 | Research article

A systematic mapping review of Randomized Controlled Trials (RCTs) in care homes

Authors: Adam L Gordon, Phillipa A Logan, Rob G Jones, Calum Forrester-Paton, Jonathan P Mamo, John RF Gladman, Medical Crises in Older People Study Group

Published in: BMC Geriatrics | Issue 1/2012

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Abstract

Background

A thorough understanding of the literature generated from research in care homes is required to support evidence-based commissioning and delivery of healthcare. So far this research has not been compiled or described. We set out to describe the extent of the evidence base derived from randomized controlled trials conducted in care homes.

Methods

A systematic mapping review was conducted of the randomized controlled trials (RCTs) conducted in care homes. Medline was searched for “Nursing Home”, “Residential Facilities” and “Homes for the Aged”; CINAHL for “nursing homes”, “residential facilities” and “skilled nursing facilities”; AMED for “Nursing homes”, “Long term care”, “Residential facilities” and “Randomized controlled trial”; and BNI for “Nursing Homes”, “Residential Care” and “Long-term care”. Articles were classified against a keywording strategy describing: year and country of publication; randomization, stratification and blinding methodology; target of intervention; intervention and control treatments; number of subjects and/or clusters; outcome measures; and results.

Results

3226 abstracts were identified and 291 articles reviewed in full. Most were recent (median age 6 years) and from the United States. A wide range of targets and interventions were identified. Studies were mostly functional (44 behaviour, 20 prescribing and 20 malnutrition studies) rather than disease-based. Over a quarter focussed on mental health.

Conclusions

This study is the first to collate data from all RCTs conducted in care homes and represents an important resource for those providing and commissioning healthcare for this sector. The evidence-base is rapidly developing. Several areas - influenza, falls, mobility, fractures, osteoporosis – are appropriate for systematic review. For other topics, researchers need to focus on outcome measures that can be compared and collated.
Appendix
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Metadata
Title
A systematic mapping review of Randomized Controlled Trials (RCTs) in care homes
Authors
Adam L Gordon
Phillipa A Logan
Rob G Jones
Calum Forrester-Paton
Jonathan P Mamo
John RF Gladman
Medical Crises in Older People Study Group
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2012
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/1471-2318-12-31

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