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Age and Ageing 2001; 30: 415-418
© 2001, British Geriatrics Society

Systematic review

The impact of geriatric post-discharge services on mental state

Martin G. Cole

Department of Psychiatry, St Mary's Hospital Center and McGill University, 3830 Avenue Lacombe, Montreal, Quebec H3T 1M5, Canada

Abstract

Objective: to determine the impact of geriatric post-discharge services on mental state.

Methods: three computer databases, MEDLINE, HealthSTAR and the Cochrane Database of Systematic Reviews were searched for relevant articles; the bibliographies of retrieved articles were searched for additional references.

Results: 11 trials were located that met the four inclusion criteria: (i) original study; (ii) published in English or French; (iii) controlled trial (randomized or non-randomized) of a geriatric post-discharge service; and (iv) including at least one measure of mental state. All trials met most of the validity criteria for intervention studies of the Evidence-Based Medicine Working Group. Three trials reported a small effect on emotional state or self-perceived health and eight trials reported no effect.

Conclusion: there is little evidence that geriatric post-discharge services have an impact on the mental state of aged subjects. Future services and studies should be designed to address the issue of mental state outcomes in this population.

Keywords: geriatric services, mental disorder, review


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Home page
 Evid. Based Ment. HealthHome page
I. E Ortiz
Review: geriatric health services after discharge do not improve mental state in elderly people
Evid. Based Ment. Health, May 1, 2002; 5(2): 45 - 45.
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