TY - JOUR
T1 - The effectiveness of a comprehensive geriatric assessment intervention program for frailty in community-dwelling older people
T2 - a randomized, controlled trial
AU - Li, Chia Ming
AU - Chen, Chin Ying
AU - Li, Chun Yi
AU - Wang, Wei Dean
AU - Wu, Shwu Chong
N1 - Funding Information:
This study was supported by a grant from the National Science Council, Taiwan , NSC 95-2420-H-002-015-KF . The funding sources had no role in the design, analysis and interpretation of data, conduct or reporting of the study. The authors would like to thank Dr. Bee-Horng Lue for her opinions on the study design and process. Dr. Chiung-jung Wen also performed CGAs. Finally, the authors would like to thank the participating nurses and research assistants for their dedicated work during the project.
PY - 2010/2
Y1 - 2010/2
N2 - 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.
AB - 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.
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U2 - 10.1016/S0167-4943(10)70011-X
DO - 10.1016/S0167-4943(10)70011-X
M3 - Article
C2 - 20171455
AN - SCOPUS:77952474933
VL - 50
SP - S39-S42
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
SN - 0167-4943
ER -