N/A
N=155
Comprehensive Geriatric Assessment for Frail Older People
Dependency
Bottom Line
View on ClinicalTrials.gov: NCT02773914 ↗Enrolled (actual)
155
Serious AEs
0.0%
Results posted
Nov 2024
Primary outcome: Primary: Dependence in Activities of Daily Living — 78; 77 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Comprehensive Geriatric Assessment (Other)
- Age
- Older Adult · 75+ yrs
- Sex
- All
- Sponsor
- Göteborg University
- Primary completion
- Jan 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Dependence in Activities of Daily Living |
78; 77 | — |
| SECONDARY Self-rated Health |
— | — |
| SECONDARY Satisfaction With Quality of Care |
— | — |
| SECONDARY Life Satisfaction |
— | — |
Summary
The study "Comprehensive Geriatric Assessment for frail older people in Swedish acute care settings - a randomized controlled study" comprised two study arms: one intervention and one control group. The aim of the study was to evaluate the effects of the Comprehensive Geriatric Assessment (CGA) for frail older people in Swedish acute hospital settings - the CGA-Swed study. The intervention group received the CGA and a control group received 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, randomization and process evaluation carried out were intended to ensure the quality of the study. Baseline data showed that the randomisation was successful and that the sample included frail older people with high dependence in ADL, and with a high comorbidity. Thus, the CGA contributed to early recognition of frail older people's needs and ensured a care plan and follow-up. When investigating the long-term effects on frail older people's ADL 12 months after receiving the CGA, results showed that twelve participants in the intervention group (15.4%), and four participants in the control group (5.2%) had improved in their ADL 1 year after discharge. Qualitative interviews with CGA-participants also showed that the participants felt respected as a person when receiving care on a CGA acute geriatric ward.
Eligibility Criteria
Inclusion Criteria
- All patients 75 years and older seeking acute hospital care at the hospital emergency department will be screened for frailty.
Exclusion Criteria
- Those with symptoms of predefined diagnoses such as stroke, acute myocardial infarction and hip fractures, admitted through "fast tracks" directly to a designated ward without passing the emergency department.
Data sourced from ClinicalTrials.gov (NCT02773914). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.