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Centre for Policy on Ageing | |
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| A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community | | Author(s) | Andreas E Stuck, Harriet U Aronow, Andrea Steiner |
| Journal title | The New England Journal of Medicine, vol 333, no 18, 2 November 1995 |
| Pages | pp 1184-1189 |
| Keywords | Self care capacity ; Mobility ; Living in the community ; Screening ; Evaluation ; Longitudinal surveys ; United States of America. |
| Annotation | The prevention of disability in older people poses a challenge to health care and social services. In this three-year trial of over 75s in Santa Monica, California, the 215 people in the intervention group were seen at home by gerontological 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. At the end of the study, 20 in the intervention group (12% of 170 surviving participants) and 32 in the control group (22% of 147 surviving) required assistance in performing basic activities of daily living (ADLs) - not a great difference between the two groups. 9 of the intervention group and 20 controls were permanently admitted to nursing homes. Acute care hospital admissions and short-term nursing home admissions did not differ significantly between the groups. In the second and third years of the study, those in the intervention group made more visits to their doctor than did those in the control group. Results support the view that in-home geriatric assessments may help prevent disability, but these cannot be determined from the study's main measurements. (RH). |
| Accession Number | CPA-980108237 A |
| Classmark | CA: C4: K4: 3V: 4C: 3J: 7T * |
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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