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Comprehensive geriatric assessment of frail older people in Swedish acute care - a randomised controlled trial

The aim with this study is to evaluate if comprehensive geriatric assessment of frail older people in Swedish acute care could lead to maintained independence in everyday activities, functional level, health related quality of life and life satisfaction, as well as to improved satisfaction with care and reduced health care consumption. The study is a randomised controlled trial (RCT) targeting people 75 years of age and older who seek acute care.

Comprehensive geriatric assessment of frail older people involves care at a geriatric ward, conducted by a multidisciplinary team consisting of geriatrician, registered nurse, physiotherapist, occupational therapist, nurse and social worker. The team has received education on person-centred care and are responsible for assessment, care and treatment during the hospital stay, and for the planning of discharge.

Inclusion of participants started March 1, 2016. The pilot study finished in December 2016 (1). A PhD student is working within the project to evaluate the intervention and to analyse comprehensive geriatric assessment from a historical perspective using a sociodemographic approach.

Benefits: Comprehensive geriatric assessment can lead to care adapted to the needs of frail older people, which in turn leads to better functioning and increased possibilities of living in ordinary housing. In the long run, it is probable that comprehensive geriatric assessment leads to decreased costs for care, both in acute care and in the community. The benefits of comprehensive geriatric assessments are thus on both individual and society level.
 

Articles

(1) Westgård T, Ottenvall Hammar I, Holmgren E, Ehrenberg E, Wisten A, Ekdah Al, Dahlin-Ivanoff S, Wilhelmson K. (2018) Comprehensive geriatric assessment pilot of a randomized control study in a Swedish acute hospital: a feasibility study. Pilot and Feasibility Studies 4:41 https://doi.org/10.1186/s40814-018-0228-1

Researches

Synneve Dahlin-Ivanoff, Docent Katarina Wilhelmson, Isabelle Ottenvall-Hammar, Kajsa Eklund, Eva Holmgren, Sten Landahl, Ulrika Lagerlöf Nilsson

PhD student

Theresa Westgård

 

Page Manager: Josefin Bergenholtz|Last update: 2/11/2019
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