The effectiveness of a comprehensive geriatric assessment intervention program for frailty in community - dwelling older people : a randomized , controlled trial

  • Li C
  • Chen C
  • Li C
 et al. 
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Abstract

See, stats, and : https : / / www . researchgate . net / publication / 41508238 The assessment community-dwelling . . . Article DOI : 10 . 1016 / S0167 - 4943 (10) 70011 - X : PubMed CITATIONS 38 READS 89 5 , including : Chin - Ying National 10 SEE All - Ying . The . All - text and , letting . a b s t r a c t This randomized , controlled trial assessed the effectiveness of comprehensive geriatric assessment (CGA) and subsequent intervention in pre - frail and frail community - dwelling elderly based on the Fried Frailty Criteria (FFC) and the Barthel Index (BI) A total of 310 pre - frail or frail elderly from a single community were identified using the FFC . Of these , 152 were randomly assigned to the intervention group for CGA and appropriate intervention by medication adjustment , exercise instruction , nutrition support , physical rehabilitation , social worker consultation , and specialty referral . Clinical outcome was re - evaluated by the FFC and BI 6 months later . Compared to the control group , the intervention group tended to have a better outcome , with an odds ratio (OR) = 1 . 19 , 95% confidence interval (95% CI) = 0 . 48 – 3 . 04 , p = 0 . 71) and 3 . 29 (95% CI = 0 . 65 – 16 . 64 , p = 0 . 15) , respectively , and were less likely to deteriorate , with an OR = 0 . 78 (95% CI = 0 . 34 – 1 . 79 , p = 0 . 57) and 0 . 94 (95% CI = 0 . 42 – 2 . 12 , p = 0 . 88) , respectively . Although no significant differences were observed , the CGA and subsequent intervention showed a favorable outcome in frail and pre - frail elderly based on the frailty status and BI . Inability to complete the CGA and poor compliance with the intervention program appear to be the main reasons for unfavorable outcomes .

Author-supplied keywords

  • Barthel Index
  • Comprehensive geriatric assessment
  • Frailty of elderly
  • Randomized controlled trial

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Authors

  • Chia-Ming Li

  • Chin-Ying Chen

  • Chun-Yi Li

  • Wei-Dean Wang

  • Shwu-Chong Wu

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