scholarly journals Efficiency and applicability of comprehensive geriatric assessment in the Emergency Department: a systematic review

2011 ◽  
Vol 23 (4) ◽  
pp. 244-254 ◽  
Author(s):  
Christophe E. Graf ◽  
Dina Zekry ◽  
Sandra Giannelli ◽  
Jean-Pierre Michel ◽  
Thierry Chevalley
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment

Patients in need of comprehensive geriatric assessment: The utility of the InterRAI emergency department screener

2021 ◽  
Vol 54 ◽  
pp. 100943
Author(s):  
Elfa Gretarsdottir ◽  
Anna Björg Jonsdottir ◽  
Ingibjörg Sigurthorsdottir ◽  
Ester Eir Gudmundsdottir ◽  
Ingibjörg Hjaltadottir ◽  
...  
Keyword(s):  
Emergency Department ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment

Economic evaluations of comprehensive geriatric assessment in surgical patients: a systematic review

2017 ◽  
Vol 218 ◽  
pp. 9-17 ◽  
Author(s):  
Gilgamesh Eamer ◽  
Bianka Saravana-Bawan ◽  
Brenden van der Westhuizen ◽  
Thane Chambers ◽  
Arto Ohinmaa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Surgical Patients ◽  
Economic Evaluations

scholarly journals Comprehensive Geriatric Assessment in the Emergency Department for Identifying Elderly Individuals at Risk of Hip Fracture

2021 ◽  
Author(s):  
Pei-Ying Lin ◽  
Hsien-Hao Huang ◽  
David Hung-Tsang Yen
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Hip Fracture ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Handgrip Strength ◽  
Elderly Individuals ◽  
Female Sex ◽  
Asian Patients ◽  
Increased Risk

Abstract Background Hip fracture (HF) is a major challenge for healthcare systems in terms of increased costs and lengths of stay, and it has been estimated that by 2050, half of the projected 6.26 million global HFs will occur in Asia. Owing to the high morbidity and mortality associated with HF in elderly individuals, it is crucial to recognize at-risk elderly patients in the ED so that special precautions and preventive measures can be taken. While comprehensive geriatric assessment (CGA) has been shown to improve outcomes and prevent secondary fractures in elderly individuals with HF in outpatient settings, there is a lack of data to support the use of CGA in the emergency department (ED) to identify elderly Asian patients who are at risk of HF. Aim To identify the characteristics of elderly Asian patients in the ED who have an increased risk of HF via CGA. Methods A case-control study was conducted in the ED at Taipei Veterans General Hospital, a medical center located in Taipei, Taiwan, from October 2018 to December 2019. Patients ≥75 years old with and without HF were compared using data obtained from CGAs conducted by trained nurses. Results A total of 85 HF patients (cases) and 680 non-HF patients were enrolled, among whom 85 non-HF control individuals (controls) were selected by simple random sampling. HF occurred more frequently in women and in patients with depressive symptoms. An association between decreased handgrip strength and HF risk, especially in men, was also identified (P < 0.001). The variables independently associated with the presence of HF in the multivariate analysis were female sex (odds ratio (OR) = 2.937; 95% CI = 1.519-5.677) and decreased handgrip strength (OR = 3.739; 95% CI = 1.641-8.519). Conclusions By performing CGAs in the ED, we found that female sex and decreased handgrip strength were associated with HF risk. Therefore, we propose that targeted assessment of handgrip strength in female patients aged ≥75 years in the ED may identify those at greatest risk of HF, resulting in improved emergency care for geriatric patients.

scholarly journals Comprehensive geriatric assessment in perioperative care: a protocol for a systematic review and qualitative synthesis

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e049875
Author(s):  
Rachael Lucia Miller ◽  
Jonathan David Barnes ◽  
Ronelle Mouton ◽  
Philip Braude ◽  
Robert Hinchliffe
Keyword(s):  
Systematic Review ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Care Facility ◽  
Cochrane Library ◽  
Qualitative Synthesis ◽  
Ethical Approval ◽  
Registration Number ◽  
Randomised Controlled

IntroductionComprehensive geriatric assessment (CGA) is an intervention that has been deployed in the perioperative setting with the aim to improve outcomes for older patients admitted to hospital. Older patients undergoing surgery are more likely to have postoperative complications, a longer hospital stay and be discharged to a care facility. Despite the increasing application of this intervention within surgical services, the evidence for CGA remains limited in this group. The aim of this systematic review is to describe CGA as in intervention applied to surgical populations in randomised controlled trials (RCTs) as well as the outcomes assessed.Methods and analysisA systematic search of RCTs of CGA in surgery will be run in Embase, Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature) and Cochrane library. Further articles will be identified from reference lists in relevant studies found in the search. A narrative synthesis will be undertaken outlining specialties included, detailed descriptions of the intervention and outcomes.Ethics and disseminationNo ethical approval is required. The results of this review will be published and used as the basis of work to optimise this intervention for future trials in surgical populations.PROSPERO registration numberThis review is registered with PROSPERO CRD42020221797.

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