a systematic mapping review of randomized controlled trials (rcts) in care homes系统映射的随机对照试验(相关的)在照顾家庭.pdfVIP
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a systematic mapping review of randomized controlled trials (rcts) in care homes系统映射的随机对照试验(相关的)在照顾家庭
Gordon et al. BMC Geriatrics 2012, 12:31
/1471-2318/12/31
RESEARCH ARTICLE Open Access
A systematic mapping review of Randomized
Controlled Trials (RCTs) in care homes
1* 1 2 3 4
Adam L Gordon , Phillipa A Logan , Rob G Jones , Calum Forrester-Paton , Jonathan P Mamo ,
John RF Gladman 1 and Medical Crises in Older People Study Group
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 malnut
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