Postdischarge geriatric assessment of Hospitalized frail elderly patients.
The diffusion of comprehensive geriatric assessment services has been rather limited in North America partly because of reimbursement and organizational constraints.
To evaluate the impact of a comprehensive geriatric assessment intervention for frail older patients that is started before hospital discharge and is continued at home.
Patients older than 65 years were selected who had either unstable medical problems, recent functional limitations, or potentially reversible geriatric clinical problems.
Patients (n=354) were randomly assigned to either the intervention group or a control group.
Information on survival, readmissions, nursing home placement, medication use, and health status was collected at 30 and 60 days after hospital discharge.
No differences were observed between the two treatment groups in survival, hospital readmission, or nursing home placement by 60 days.
After adjustment for baseline characteristics, no significant differences were observed between the two groups on measures of physical functioning, social functioning, role limitations, health perceptions, pain, mental health, energy and/or fatigue, health change, or overall well-being.
Although efficacy has been demonstrated for some forms of comprehensive geriatric assessment, the types of services that are easier to establish (impatient consultation services and ambulatory assessment) have not been shown to improve outcomes...
Mots-clés Pascal : Vieillard, Hospitalisation, Gériatrie, Attitude, Homme
Mots-clés Pascal anglais : Elderly, Hospitalization, Geriatrics, Attitude, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0143078
Code Inist : 002B30A03B. Création : 199608.