References of "Gosset, Christiane"
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See detailThe effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis.
Van Craen, Katleen; Braes, Tom; Wellens, Nathalie et al

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 ▲]

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See detailOntslagmanagement in psychiatrische ziekenhuizen: tussentijds rapport april 2010
Goossens, E.; César, Angèle ULg; Collard, Joëlle ULg et al

Report (2010)

Detailed reference viewed: 134 (11 ULg)
See detailDe integratie van zorgkundigen in de thuisverpleging
Moons, P.; Gosset, Christiane ULg; Beckers, Jacqueline ULg et al

Report (2009)

Detailed reference viewed: 33 (2 ULg)
See detailOnline assessment of the quality of care in elderly (Belgium)
Tancredi, A; Renard, Florence ULg; Degey, S et al

Conference (2009)

Detailed reference viewed: 14 (0 ULg)
See detailSteps Prior to the RAI Instrument Implementation in Belgium
Degey, S; Tancredi, A; Renard, F et al

Conference (2009)

Detailed reference viewed: 8 (0 ULg)
See detailInstrument BelRAI : Introduction générale et démonstration online
Tancredi, A; Degey, S; Gosset, Christiane ULg

Conference (2009)

Detailed reference viewed: 5 (0 ULg)
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See detailBelRAI III : Onderzoek actie opdracht voorbereiding van de implementatie van de RAI methode in België
Declercq, A; Gosset, Christiane ULg; De Almeida Mella, J et al

Report (2009)

Detailed reference viewed: 13 (1 ULg)
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See detailBelRAI : recherche-action ayant pour mission préparation de l'implémentation de la démarche RAI en Belgique
Declercq, A; Gosset, Christiane ULg; de Almeida Mello, J et al

Report (2009)

Detailed reference viewed: 15 (5 ULg)
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See detailActieproject BelRAI II : Haalbaarheid van de RAI-methode in België
Declercq, A; Gosset, Christiane ULg; Paepen, B et al

Report (2008)

Detailed reference viewed: 15 (2 ULg)
See detailLa démarche RAI et le domicile
Gosset, Christiane ULg

Conference (2008)

Detailed reference viewed: 6 (0 ULg)