Publication details

Title
Comprehensive geriatric assessment for older hospital patients.
Authors
Ellis G, Langhorne P
Publication Year
2004
Abstract
In-patient comprehensive geriatric assessment (CGA) may reduce short-term mortality, increase the chances of living at home at 1 year and improve physical and cognitive function. We systematically reviewed the literature and found 20 randomized controlled trials (10 427 participants) of in-patient CGA for a mixed elderly population. This includes seven more recent randomized controlled trials that update a previous review. Newer data confirm the benefit of in-patient CGA, increasing the chance of patients living at home in the long term. Overall, for every 100 patients undergoing CGA, three more will be alive and in their own homes compared with usual care [95% confidence interval (CI) 1-6]. Most of the benefit was seen for ward-based management units (four patients per 100 treated, 95% CI 1-7) with little contribution from team-based care (no patients per 100, 95% CI -4 to +5). However, CGA does not reduce long-term mortality. This evidence should inform future service developments
Journals
Br Med Bull.
Volume
71
Issue
Startpage
45-
Endpage
59
Booktitle
Editors
City
Publisher
Issnisbn
Reflist
40
Doi
doi:
Pmid
Keywords
Activities of Daily Living;Aged;Comprehensive Health Care;Delivery of Health Care;Geriatric Assessment;Hospital Mortality;Hospitalization;Humans;methods;mortality;Prognosis;Randomized Controlled Trials;
New search