Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons?

2021 ◽  
Vol 174 (11) ◽  
pp. 1633
Author(s):  
David M. Levine ◽  
Michael Montalto ◽  
Bruce Leff
Keyword(s):  
Hospital Admission ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Persons ◽  
Hospital At Home ◽  
At Home

Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons?

2021 ◽  
Vol 174 (11) ◽  
pp. 1633-1634
Author(s):  
Sasha Shepperd ◽  
Graham Ellis ◽  
Rebekah Schiff ◽  
David J. Stott ◽  
John Young
Keyword(s):  
Hospital Admission ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Persons ◽  
Hospital At Home ◽  
At Home

Comprehensive geriatric assessment decreases prevalence of orthostatic hypotension in older persons

2013 ◽  
Vol 41 (4) ◽  
pp. 351-358 ◽  
Author(s):  
Pasi Lampela ◽  
Piia Lavikainen ◽  
Risto Huupponen ◽  
Esko Leskinen ◽  
Sirpa Hartikainen
Keyword(s):  
Orthostatic Hypotension ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Persons

scholarly journals 185 Revisiting Comprehensive Geriatric Assessment in the Emergency Department

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Lucinda Edge ◽  
Brian O'Rourke ◽  
Conal Cunningham ◽  
Frances Horgan
Keyword(s):  
Emergency Department ◽  
Hospital Admission ◽  
Grip Strength ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Interdisciplinary Team ◽  
Community Services ◽  
Functional Mobility ◽  
Calf Circumference ◽  
The Past

Abstract Background In a large teaching hospital, a specialist interdisciplinary team identify frailty and begin comprehensive geriatric assessment of older adults in the Emergency Department (ED). This study aimed to determine the clinical utility of a range of measures: grip strength, calf circumference, frailty and functional mobility to evaluate whether they help to estimate the care pathways for patients. Objectives included: (1) To ascertain the prevalence of frailty and (2) To profile this population’s demographics, falls history, calf circumference and grip strength. Methods This was a cross-sectional study. Inclusion criteria were persons ≥ 70 who presented to ED weekdays during research hours 9:00 – 16:00, with Manchester triage score ≥ 3. Information on gait aids, social supports and falls in the past 6 months was self-reported. Grip strength was assessed using hydraulic hand-held dynamometry. Sarcopenia was measured using calf circumference as a proxy. Frailty was determined using the Clinical Frailty Scale (CFS). Functional mobility was assessed by an interdisciplinary team member. Onward referrals and admission to hospital were recorded. Data was analysed using SPSS statistics software. Results One hundred and one participants were included, 39 male (38.6%) and 62 female (61.4%), mean age 79.3 years. Thirty-five percent (n=36) were considered Frail (a CFS score of ≥5), 35.6% (n=36) lived alone, 52.5% (n=53) used a gait aid. Outcomes included admission to hospital (27.7%, n=28) and discharge with onward referral (25.7%, n=26). The most common referral was community physiotherapy (11.9%, n=12). The population identified as frail were more likely to be female (p = 0.036), to use a gait aid (p = 0.001) and to have fallen within the past 6 months (p = 0.007). Conclusion The prevalence of frailty was determined in this population and was not significantly associated with hospital admission, grip strength or calf circumference. A focus on alternative pathways to hospital admission with appropriate access to community services is recommended for individuals with frailty.

scholarly journals Comprehensive geriatric assessment in integrated care for older people living at home: a systematic review

2018 ◽  
Vol 18 (s2) ◽  
pp. 277
Author(s):  
Annerieke Stoop ◽  
Manon Lette ◽  
Paul Van Gils ◽  
Giel Nijpels ◽  
Caroline Baan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Integrated Care ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Care For Older People ◽  
At Home

scholarly journals Abstract PS1-45: The Johns Hopkins Hospital at Home Care for Acutely Ill Older Persons: A Model for Managed Care

2008 ◽  
Vol 6 (3-4) ◽  
pp. 140-141
Author(s):  
B. Leff ◽  
L. Burton ◽  
S. Guido ◽  
S. Mader ◽  
B. Naughton ◽  
...  
Keyword(s):  
Managed Care ◽  
Home Care ◽  
Older Persons ◽  
Johns Hopkins Hospital ◽  
Hospital At Home ◽  
At Home
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