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What is Comprehensive Geriatric Assessment (CGA)? An umbrella review.
S G Parker1, P McCue1, K Phelps2
1Newcastle University, Institute for Health and Society, Newcastle upon Tyne, Tyne and Wear, UK.
Age and Ageing
|December 6, 2017
Summary
Comprehensive Geriatric Assessment (CGA) is a key approach for older hospital patients. This review clarifies its definition, outcomes like mortality and disability, and identifies older adults with acute illness as primary beneficiaries.
Area of Science:
- Gerontology
- Geriatric Medicine
- Health Services Research
Background:
- Comprehensive Geriatric Assessment (CGA) is the standard for frail older inpatients.
- Uncertainty exists regarding optimal patient selection and benefit realization from CGA.
Purpose of the Study:
- To define key elements of inpatient CGA.
- To identify principal outcome measures.
- To characterize the main beneficiaries of inpatient CGA.
Main Methods:
- Umbrella review using Joanna Briggs Institute methodology.
- Searched multiple databases for systematic reviews and meta-analyses on inpatient CGA.
- Included 13 reviews after rigorous screening and quality assessment.
Main Results:
- CGA is defined as a multidimensional, multidisciplinary process for identifying and addressing patient needs.
- Key outcomes include mortality, activities of daily living, and dependency.
- Main beneficiaries are individuals aged 55+ receiving acute care; frailty's role was often unreported.
Conclusions:
- Confirmed a standard definition for CGA.
- Primary outcomes are death, disability, and institutionalization.
- Older adults with acute conditions are the main hospital beneficiaries; frailty's impact on outcomes requires further examination.
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