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Centre for Policy on Ageing | |
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What is Comprehensive Geriatric Assessment (CGA)?
— An umbrella review | | Author(s) | S G Parker, P McCue, K Phelps |
| Journal title | Age and Ageing, vol 47, no 1, January 2018 |
| Publisher | Oxford University Press, January 2018 |
| Pages | pp 149-155 |
| Source | https://academic.oup.com/ageing |
| Keywords | Geriatric hospitals ; Acute illness ; In-patients ; Evaluation ; Standards of provision. |
| Annotation | Comprehensive Geriatric Assessment (CGA) is now the accepted gold standard for caring for frail older people in hospital. However there is uncertainty about identifying and targeting suitable recipients and which patients benefit the most. The objectives of this study were to describe the key elements, principal measures of outcome and the characteristics of the main beneficiaries of in-patient CGA. The study used the Joanna Briggs Institute umbrella review method, and a literature search was carried out across a range of databases. 1,010 titles were screened and 419 abstracts were evaluated for eligibility. 143 full articles were then screened for relevance and of these, 24 were included in a final quality and relevance check. 13 studies, reported in 15 papers, were selected for review. The most widely used definition of CGA was: `a multidimensional, multidisciplinary process which identifies medical, social and functional needs, and the development of an integrated/co-ordinated care plan to meet those needs'. Key clinical outcomes included mortality, activities of daily living and dependency. The main beneficiaries were people aged 55 years or more in receipt of acute care. Frailty in CGA recipients and patient related outcomes were not usually reported. Finally the authors confirmed a widely used definition of CGA. Key outcomes were death, disability and institutionalisation. The main beneficiaries in hospital were older people with acute illness. The presence of frailty has not been widely examined as a determinant of CGA outcome. (JL). |
| Accession Number | CPA-180119235 A |
| Classmark | LDA: CHA: LF7: 4C: 583 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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