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Centre for Policy on Ageing | |
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| A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients | | Author(s) | Thorsten Nikolaus, Norbert Specht-Leible, Matthias Bach |
| Journal title | Age and Ageing, vol 28, no 6, October 1999 |
| Pages | pp 543-550 |
| Keywords | Discharged patients ; Aftercare ; Health [elderly] ; Cognitive processes ; Mobility ; Self care capacity ; Evaluation ; Germany. |
| Annotation | There is still doubt as to the effectiveness of comprehensive geriatric assessment in improving outcomes for frail, older people. In this German study, 545 patients with acute illnesses admitted from home to geriatric hospital were assigned to receive either comprehensive geriatric assessment and post-discharge home intervention (intervention group), comprehensive geriatric assessment alone (assessment) or usual care (control). The intervention group showed a significant reduction in length of hospital stay (33.49 days vs 40.7 days for assessment, and 42.7 days for control) and rate of immediate nursing home placement (4.4% vs 7.3% and 8.1%). There was no difference in survival, acute care hospital readmissions or new admissions to nursing homes, but the intervention group had significantly shorter hospital readmissions (22.2 days vs 34.2 days and 35.7 days) and nursing home placements (114.7 days vs 161.6 days and 170 days). Direct costs were lower for the intervention group. Functional capacities were significantly better in the intervention group. (RH). |
| Accession Number | CPA-991201231 A |
| Classmark | LFD: LN: CC: DA: C4: CA: 4C: 767 |
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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