Hospital Comprehensive Geriatric Assessment

The study looked at patients over the age of 65 who had either unstable medical problems, recent functional limitations, or potentially reversible geriatric clinical problems. Three hundred and fifty four such patients were randomly assigned to either the intervention group or a control group. Information on survival, readmission, nursing home placement, medication use, and health status was collected at 30 and 60 days after hospital discharge.

Though many models have been advanced and tested for implementing comprehensive geriatric assessment over the years in inpatient hospital settings, other hospital units, ambulatory offices and clinics, the home, and in combinations of these settings, using a variety of target patient populations, structure and personnel involved in the process, duration and intensity of assessments, and the degree of clinical control by the team conducting the assessments, the efficacy of comprehensive geriatric assessments has been debatable according to the authors of the study. They also found that the different forms of comprehensive g

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out limitations of the study if it is applied to the elderly population in general. It poses the question that maybe the eligibility requirements were too strict in this case. Attrition from the study was also fairly high and thus reduced even further the actual population studied. In the experimental group of 178 patients, home visits were not completed on five patients because they had been readmitted to hospital with 72 hours of the beginning of the study. Three patients from the group moved to outside the catchment area before they could be visited, and 21 patients refused home visits or could not be visited within 72 hours after discharge. In the control group, four patients were visited at home by the nurse practitioner either inadvertently or because of clinical and/or medical concerns. By 60 days after randomization, seven patients in the treatment group and six in the control group were placed in nursing homes. There were 43 hospitalizations in the treatment group and 37 in the control group by 60 days. Seven patients in the experimental group and eight in the control group had died by 600 days. Forty three patients were unavailable for follow-up (22 in the experimental group and 21 in the control group). There
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Approximate Word count = 1614
Approximate Pages = 6 (250 words per page)

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