What question did this study set out to answer?

To evaluate the clinical impact of a comprehensive geriatric assessment program initiated before hospital discharge and continued in the patient's home.

January 8, 1996Archives of Internal Medicine

Postdischarge Geriatric Assessment of Hospitalized Frail Elderly Patients

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Authors

ASAlbert L. SiuJames J. Peters VA Medical Center

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Implication

Randomized trial reveals no reduction in readmissions or functional decline from transitional geriatric assessment in frail older adults, indicating limited efficacy of brief postdischarge models.

Key Points

To evaluate the clinical impact of a comprehensive geriatric assessment program initiated before hospital discharge and continued in the patient's home.
Randomized controlled trial of 354 hospitalized patients aged >65 years with unstable medical conditions, recent functional decline, or reversible geriatric problems.
Participants were randomly assigned to a transitional geriatric assessment intervention or standard control care.
Outcomes including survival, readmissions, nursing home placement, medication use, and multidimensional health status were evaluated at 30 and 60 days postdischarge.
No significant differences occurred between the intervention and control groups regarding survival, hospital readmission, or nursing home placement at 60 days.
Baseline-adjusted analyses revealed no significant differences between groups across measures of physical functioning, social functioning, role limitations, pain, mental health, energy/fatigue, or overall well-being.

Cite This Study

Albert L. Siu (1996) studied this question.

synapsesocial.com/papers/6a716c6ef44fa9f079df3899 https://doi.org/10.1001/archinte.1996.00440010094012

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Implication

Randomized trial reveals no reduction in readmissions or functional decline from transitional geriatric assessment in frail older adults, indicating limited efficacy of brief postdischarge models.

Postdischarge Geriatric Assessment of Hospitalized Frail Elderly Patients

Discussion

Member takes

Implication

Key Points

Cite This Study

Postdischarge Geriatric Assessment of Hospitalized Frail Elderly Patients

Discussion

Member takes

Implication

Key Points

Cite This Study

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