Postdischarge Geriatric Assessment of Hospitalized Frail Elderly Patients

Published In: Archives of Internal Medicine, v. 156, no. 1, Jan. 8, 1996, p. 76-81

Posted on RAND.org on January 01, 1996

by Albert L. Siu, Richard L. Kravitz, Emmett B. Keeler, Karen Hemmerling, Raynard Kington, James W. Davis, Anne Mitchell, Tanya Burton, Hal Morgenstern, Mark H. Beers, David Reuben

Read More

Access further information on this document at archinte.ama-assn.org

This article was published outside of RAND. The full text of the article can be found at the link above.

Reports on a randomized trial of comprehensive geriatric assessment intervention for frail older patients that is started before hospital discharge and is continued at home. No differences were observed between the two treatment groups in survival, hospital readmission, or nursing home placement by 60 days. After adjustment for baseline characteristics, no significant differences were observed between the two groups on measures of physical functioning, social functioning, role limitations, health perceptions, pain, mental health, energy and/or fatigue, health change, or overall well-being. Although efficacy has been demonstrated for some forms of comprehensive geriatric assessment, the types of services that are easier to establish (inpatient consultation services and ambulatory assessment) have not been shown to improve outcomes. These results indicate that outcomes are unaffected by limited comprehensive geriatric assessment begun in the hospital and completed at home.

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.