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Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS)
Judi Edmans1, Simon Conroy, Rowan Harwood
1Division of Rehabilitation & Ageing, University of Nottingham, Medical School, Queen's Medical Centre, Nottingham NG72UH, UK. judi.edmans@nottingham.ac.uk
Trials
|August 26, 2011
Summary
Comprehensive Geriatric Assessment for older adults discharged from Acute Medical Units (AMU) may reduce hospital readmissions. This randomized controlled trial investigated its effectiveness in improving patient outcomes and reducing healthcare utilization.
Area of Science:
- Geriatric Medicine
- Internal Medicine
- Health Services Research
Background:
- Older adults discharged from Acute Medical Units (AMU) within 72 hours often experience hospital re-presentation or mortality within a year.
- A need exists for interventions to improve outcomes for this vulnerable population.
Purpose of the Study:
- To evaluate the effectiveness of Comprehensive Geriatric Assessment (CGA) in improving outcomes for older adults discharged from AMU.
- To assess the impact of CGA on hospital readmissions, mortality, institutionalization, and quality of life.
Main Methods:
- A multi-centre, randomized controlled trial involving 400 patients aged over 70, identified as at risk and discharged within 72 hours from AMU.
- Intervention group received CGA by a geriatric medicine specialist, with support to primary care.
- Control group received usual care. Outcomes were assessed at 90 days via postal questionnaire.
Main Results:
- Primary outcome: days spent at home or in the same care home.
- Secondary outcomes: mortality, institutionalization, health/social care use, quality of life, disability, mental well-being, and carer strain.
- Cost-effectiveness and cost-utility analyses were conducted.
Conclusions:
- Comprehensive Geriatric Assessment has the potential to improve outcomes for older adults following discharge from AMU.
- Further analysis is needed to confirm the long-term benefits and cost-effectiveness of this intervention.
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