Evidence map›Paper›PMID 37596877›Full record

ArticleJournal of the American Geriatrics Society2023

Nursing Home PRevention of Injury in DEmentia (NH PRIDE): A pilot study of a remote injury prevention service for NH residents.

Sarah D Berry, Emily J Hecker, Eleanor S McConnell, Tingzhong-Michelle Xue, Timothy Tsai, Andrew R Zullo, Cathleen Colón-Emeric

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Sarah D BerryHinda and Arthur Marcus Institute for Aging Research and Department of Medicine, Hebrew SeniorLife, Boston, Massachusetts, USA.
Emily J HeckerDepartment of Medicine, Division of Geriatric Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Eleanor S McConnellDurham VA Geriatric Research Education and Clinical Center, Durham, North Carolina, USA.
Tingzhong-Michelle XueDurham VA Geriatric Research Education and Clinical Center, Durham, North Carolina, USA.
Timothy TsaiHinda and Arthur Marcus Institute for Aging Research and Department of Medicine, Hebrew SeniorLife, Boston, Massachusetts, USA.ORCID 0000-0002-0274-8042
Andrew R ZulloBrown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0003-1673-4570
Cathleen Colón-EmericDepartment of Medicine, Division of Geriatric Medicine, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0001-7681-8624
Duke University · USBeth Israel Deaconess Medical Center · USBrown University · USHebrew SeniorLife · US

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI · 2007 to 2026
$38.9M
Nursing Home Prevention of Injury in Dementia (NH PRIDE)R01AG062492 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI BERRY, SARAH DYER, COLON-EMERIC, CATHLEEN S · 2019 to 2021
$1.5M
NIA NIH HHS P01 AG027296NIA NIH HHS R01 AG062492
6 · The paper itself

Abstract

backgroundMedication optimization, including prescription of osteoporosis medications and deprescribing medications associated with falls, may reduce injurious falls. Our objective was to describe a remote, injury prevention service (NH PRIDE) designed to optimize medication use in nursing homes (NHs), and to describe its implementation outcomes in a pilot study.

methodsThis was a non-randomized trial (pilot study) including NH staff and residents from five facilities. Long-stay residents at high-risk for injurious falls were identified using a validated risk calculator and staff referral. A remote team reviewed the electronic health record (EHR) and provided recommendations as Injury Prevention Plans (IPP). A research nurse served as a care coordinator focused on resident engagement and shared decision-making. Outcomes included implementation measures, as identified in the EHR, and surveys and interviews with staff.

resultsAcross five facilities, 274 residents were screened for eligibility, and 46 residents (16.8%) were enrolled. Most residents were female (73.9%) and had dementia (63.0%). An IPP was completed for 45 residents (97.8%). The nurse made a total of 93 deprescribing recommendations in 36 residents (80% of residents had one or more deprescribing recommendation; mean 2.2 recommendations/resident). Twenty of 45 residents (44.4%) had a recommendation for osteoporosis treatment. Among residents with recommendations, 21/36 (58.3%) had one or more deprescribing orders written and 6/20 (30.0%) had an osteoporosis medication prescribed. At 4 months, most medication changes persisted. Adverse side effects were rare. Staff members identified several areas for program refinement, including aligning recommendations with provider workflow and engaging consultant psychiatrists.

conclusionsA remote injury prevention service is safe and feasible to enhance deprescribing and osteoporosis treatment in long-stay NH residents at risk for injury. Additional investigation is needed to determine if this model could reduce injurious falls when deployed across NH chains.

Indexed as

Accidental FallsDementiaNursing HomesAgedAged, 80 and overDeprescriptionsElectronic Health RecordsFemaleHumansMalePilot ProjectsWounds and Injuriesdeprescribinginjurious fallsnursing homeosteoporosis treatment

Identifiers

PMID37596877
PMCPMC10592133
OpenAlexW4385997369

What Socratic holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.