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Related Experiment Videos

Comprehensive geriatric assessment: toward understanding its efficacy.

L Z Rubenstein1, A L Siu, D Wieland

  • 1Multicampus Division of Geriatric Medicine and Gerontology, UCLA School of Medicine.

Aging (Milan, Italy)
|January 1, 1989
PubMed
Summary

Comprehensive geriatric assessment (CGA) significantly reduces mortality in frail elderly individuals. Meta-analysis shows a 32% reduction in mortality for all CGA programs, highlighting its effectiveness in geriatric care.

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Area of Science:

  • Gerontology
  • Geriatric Medicine
  • Public Health

Background:

  • Comprehensive geriatric assessment (CGA) is a multidimensional diagnostic process for frail elderly people.
  • It aids in planning medical, psychosocial, and rehabilitative care.
  • Geriatric assessment programs (GAPs) vary in organization, complicating efficacy conclusions.

Purpose of the Study:

  • To review the history and organization of geriatric assessment programs (GAPs).
  • To evaluate the effectiveness of CGA programs worldwide.
  • To analyze the impact of GAPs on mortality using meta-analysis.

Main Methods:

  • Review of published effectiveness studies on comprehensive geriatric assessment.
  • Meta-analysis of controlled trials to assess the effect of GAPs on mortality.

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  • Statistical analysis of six-month mortality data.

    • Main Results:

    • Meta-analysis revealed a statistically significant 36% reduction in mortality for inpatient CGA programs (OR = 0.64).
    • Overall, CGA programs demonstrated a 32% reduction in mortality (OR = 0.68).
    • Variability in findings may be attributed to sample size limitations.

    Conclusions:

    • Comprehensive geriatric assessment programs are effective in reducing mortality among the frail elderly.
    • Further meta-analyses can clarify impacts on other outcomes like healthcare utilization and functional status.
    • Identifying optimal program characteristics is crucial for maximizing benefits.