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Geriatric CO-mAnagement for Cardiology patients in the Hospital (G-COACH): study protocol of a prospective

Mieke Deschodt1,2, Bastiaan Van Grootven3,4, Anthony Jeuris4

  • 1Gerontology and Geriatrics, Department of Chronic Diseases, Metabolism and Ageing, KU Leuven-University of Leuven, Leuven, Belgium.

BMJ Open
|October 23, 2018
PubMed

Insights

Geriatric co-management may improve outcomes for older cardiology patients. This study will assess its effectiveness in preventing functional decline and reducing complications compared to usual care.

Area of Science:

  • Geriatric Medicine
  • Cardiology
  • Health Services Research

Background:

  • Older cardiology patients often have geriatric syndromes not addressed by current guidelines.
  • Geriatric co-management shows promise but lacks specific evidence in cardiology.
  • This study addresses the need for evidence on geriatric co-management in cardiac care.

Purpose of the Study:

  • To determine if geriatric co-management is superior to usual care for older cardiology patients.
  • To evaluate its impact on functional decline, complications, mortality, readmissions, length of stay, and quality of life.
  • To identify factors influencing the success of geriatric co-management in this population.

Main Methods:

  • Prospective quasi-experimental before-and-after study in two cardiology units.
  • Inclusion of patients aged ≥75 years admitted for acute heart disease or TAVI.
  • Implementation of a comprehensive geriatric assessment to stratify patients and guide interventions.

Main Results:

  • Data collection from two cohorts (n=227 each) comparing usual care with geriatric co-management.
  • Intervention group receives tailored geriatric care based on risk stratification.
  • Analysis will focus on functional status, complications, mortality, readmission, LOS, and QoL.

Conclusions:

  • Geriatric co-management could offer significant benefits for frail older adults with heart conditions.
  • Findings will inform clinical practice and guideline development for geriatric cardiology.
  • Successful implementation strategies will be identified for broader application.
Abstract

Keywords:
activities of daily livingco-managementfrail elderlygeriatric assessmentgeriatric medicineheart failure

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