Comprehensive Geriatric Assessment for Frail Older People in Swedish Acute Care Settings (CGA-Swed): A Randomised Controlled Study.

activities of daily living comprehensive geriatric assessment frail older people geriatric hospital care

Journal

Geriatrics (Basel, Switzerland)
ISSN: 2308-3417
Titre abrégé: Geriatrics (Basel)
Pays: Switzerland
ID NLM: 101704019

Informations de publication

Date de publication:
24 Jan 2020
Historique:
received: 11 12 2019
revised: 21 01 2020
accepted: 22 01 2020
entrez: 30 1 2020
pubmed: 30 1 2020
medline: 30 1 2020
Statut: epublish

Résumé

The aim of the study is to evaluate the effects of the Comprehensive Geriatric Assessment (CGA) for frail older people in Swedish acute hospital settings - the CGA-Swed study. In this study protocol, we present the study design, the intervention and the outcome measures as well as the baseline characteristics of the study participants. The study is a randomised controlled trial with an intervention group receiving the CGA and a control group receiving medical assessment without the CGA. Follow-ups were conducted after 1, 6 and 12 months, with dependence in activities of daily living (ADL) as the primary outcome measure. The study group consisted of frail older people (75 years and older) in need of acute medical hospital care. The study design, randomisation and process evaluation carried out were intended to ensure the quality of the study. Baseline data show that the randomisation was successful and that the sample included frail older people with high dependence in ADL and with a high comorbidity. The CGA contributed to early recognition of frail older people's needs and ensured a care plan and follow-up. This study is expected to show positive effects on frail older people's dependence in ADL, life satisfaction and satisfaction with health and social care.

Identifiants

pubmed: 31991598
pii: geriatrics5010005
doi: 10.3390/geriatrics5010005
pmc: PMC7151180
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Forskningsrådet om Hälsa, Arbetsliv och Välfärd
ID : 2015-00043
Organisme : the Swedish state under the agreement between the Swedish government and the county councils, the ALF-agreement
ID : 530971/-673831/-716571
Organisme : and Region Västra Götaland, Department of Research and Development
ID : 565511/-63881/-736281
Organisme : The King Gustav and Queen Victoria Freemasons Foundation
ID : no grant number given

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Katarina Wilhelmson (K)

Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden.
Region Västra Götaland, Sahlgrenska University Hospital, Department of Acute Medicine and Geriatrics 413 45 Gothenburg, Sweden.
Centre for Aging and Health-AgeCap, University of Gothenburg, 405 30 Gothenburg, Sweden.

Isabelle Andersson Hammar (IA)

Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden.
Centre for Aging and Health-AgeCap, University of Gothenburg, 405 30 Gothenburg, Sweden.

Anna Ehrenberg (A)

School of Education, Health and Social Studies, Dalarna University, 791 31 Falun, Sweden.

Johan Niklasson (J)

Department of Community Medicine and Rehabilitation Geriatric Medicine, Sunderby Research Unit, Umeå University, 901 87 Umeå, Sweden.

Jeanette Eckerblad (J)

Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 171 77 Solna, Sweden.

Niklas Ekerstad (N)

Region Department of Medical and Health Sciences, Division of Health Care Analysis, Linköping University, 581 83 Linköping, Sweden.
Department of Research and Development, NU Hospital Group, 461 73 Trollhättan, Sweden.

Theresa Westgård (T)

Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden.
Centre for Aging and Health-AgeCap, University of Gothenburg, 405 30 Gothenburg, Sweden.

Eva Holmgren (E)

Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden.
Centre for Aging and Health-AgeCap, University of Gothenburg, 405 30 Gothenburg, Sweden.

N David Åberg (ND)

Region Västra Götaland, Sahlgrenska University Hospital, Department of Acute Medicine and Geriatrics 413 45 Gothenburg, Sweden.
Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden.

Synneve Dahlin Ivanoff (SD)

Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden.
Centre for Aging and Health-AgeCap, University of Gothenburg, 405 30 Gothenburg, Sweden.

Classifications MeSH