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| Effect of a geriatric consultation service on management of patients in an acute care hospital |
| Hogan DB, Fox RA, Badley BWD, Mann OE |
| Canadian Medical Association Journal [Journal de l'Association Medicale Canadienne] 1987 Apr 1;136(7):713-717 |
| clinical trial |
| 5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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Elderly patients present particular management challenges. We conducted a randomized clinical trial of the effect of a geriatric consultation service on the management of elderly patients in an acute care hospital. A total of 113 patients aged 75 years or more who met certain criteria were assigned to either receive (57 patients) or not receive (56) care by the service. At the end of their hospital stay the patients were assessed with regard to predetermined outcomes. The patients were followed up for 1 year after discharge to determine death rates and direct health care expenditures. The intervention group showed significantly greater improvement in mental status (p < 0.01), were receiving fewer medications at discharge (p < 0.05) and had lower short-term death rates (p < 0.05) than the control group. A geriatric consultation service can improve the hospital-care and health of the elderly.
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