BelRAI VI : Recherche-action sur l'usage transmural des instruments d'évaluation BelRAI

Report (2011)

Children of teenage mothers : delayed psychomotor and language development

Conference (2011, September)

Le "jeu du foulard" et autres jeux d'asphyxie : données épidémiologiques et cliniques

in Revue Médicale de Liège (2011), 66(9), 485-490

First-generation versus third generation comprehensive geriatric assessment instruments in the acute hospital setting: a comparison of the Minimum Geriatric Screening Tools (MGST) and the interRAI Acute Care (interRAIAC)

in Journal of Nutrition, Health & Aging (The) (2011), 15(8), 638-644

BelRAI VI : Executive summary

Report (2011)

BelRAI IV : Actie-onderzoek ter voorbereiding van de implementatie van de RAI-methode in België

Report (2010)

Services de soins et services à domicile en Belgique - Inventaire des activités de soin et d'aide chez les infirmières et aides-soignantes

in Revue d'Epidémiologie et de Santé Publique = Epidemiology and Public Health (2010), S58

BelRAI 2010. Tussentijds rapport

Report (2010)

The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis.

in Journal of the American Geriatrics Society (2010), 58(1), 83-92

OBJECTIVES: To examine how geriatric evaluation and management units (GEMUs) are organized and to examine the effectiveness of admission on a GEMU. DESIGN: Systematic review and meta-analysis based on ... [more ▼]

OBJECTIVES: To examine how geriatric evaluation and management units (GEMUs) are organized and to examine the effectiveness of admission on a GEMU. DESIGN: Systematic review and meta-analysis based on literature search of multiple databases and the references lists of all identified articles and by contacting authors. SETTING: GEMUs. PARTICIPANTS: Elderly people admitted to a GEMU. MEASUREMENTS: Quality of the studies was assessed on 10 criteria. The outcome parameters were mortality, institutionalization, functional decline, readmission, and length of stay at different follow-up points. A random-effects meta-analysis was performed using Hedges' gu and variance of relative risk (RR). RESULTS: GEMUs are organized in a heterogeneous way and the included studies gave no thorough description of comprehensive geriatric assessment (CGA). Involvement of a multidisciplinary team was a key element in all GEMUs. The individual trials showed that admission to a GEMU has one or more favorable effects on the outcomes of interest, with two significant effects in the meta-analysis: less functional decline at discharge from the GEMU (RR=0.87, 95% confidence interval (CI)=0.77-0.99; P=.04) and a lower rate of institutionalization 1 year after discharge (RR=0.78, CI=0.66-0.92; P=.003). For the other outcomes in the meta-analysis, a GEMU did not induce significantly different outcomes than usual care. CONCLUSION: This meta-analysis shows a significant effect in favor of the GEMU group on functional decline at discharge and on institutionalization after 1 year. There is heterogeneity between the studies, poor quality of some randomized controlled trials, and shortage of information about CGA. Multidisciplinary CGA offered in a GEMU may add value to the care for frail older persons admitted to the hospital, but the limitations confirm the need for well-designed studies using explicit CGA and more-structured and -coherent assessment instruments such as the Minimum Data Set Resident Assessment Instrument. [less ▲]

Etude scientifique sur la poursuite de l’optimalisation de l’utilisation d’interRAI Acute Care dans le services de gériatrie

Report (2010)