The prevention of disability in elderly people poses a challenge for health care and social services.
We conducted a three-year, randomized, controlled trial of the effect of annual in-home comprehensive geriatric assessments and follow-up for people living in the community who were 75 years of age or older.
The 215 people in the intervention group were seen at home by gerontologic nurse practitioners who, in collaboration with geriatricians, evaluated problems and risk factors for disability, gave specific recommendations, and provided health education.
The 199 people in the control group received their regular medical care.
The main outcome measures were the prevention of disability, defined as the need for assistance in performing the basic activities of daily living (bathing, dressing, feeding, grooming, transferring from bed to chair, and moving around inside the house) or the instrumental activities of daily living (e.g., cooking, handling finances and medication, housekeeping, and shopping), and the prevention of nursing home admissions.
At three years, 20 people in the intervention group (12 percent of 170 surviving participants) and 32 in the control group required assistance in performing the basic activities of daily living.
The number of persons who were dependent on assistance in performing the instrumental activities of daily living but not the basic activities did not differ significantly between the two groups.
Mots-clés Pascal : Ambulatoire, Autonomie, Déficit, Coût, Surveillance population, Etats Unis, Prévention, Dépistage, Vieillard, Essai thérapeutique contrôlé, Amérique du Nord, Amérique, Homme, Gériatrie
Mots-clés Pascal anglais : Ambulatory, Autonomy, Deficiency, Costs, Population survey, United States, Prevention, Medical screening, Elderly, Controlled therapeutic trial, North America, America, Human, Geriatrics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0003972
Code Inist : 002B30A03B. Création : 01/03/1996.