Article
Geriatrics & Gerontology
Magnus Nord, Johan Lyth, Jan Marcusson, Jenny Alwin
Summary: This study examines the cost-effectiveness of a pragmatic trial of comprehensive geriatric assessment in primary care compared to usual care. The results suggest that the intervention is cost-effective at the 24-month follow-up, and the use of a prediction model to select participants and a low-cost intervention shows promise but requires further study.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Nursing
Helen Lyndon, Jos M. M. Latour, Jonathan Marsden, Bridie Kent
Summary: This study aimed to determine the feasibility of a nurse-led, primary care-based comprehensive geriatric assessment (CGA) intervention. A feasibility cluster randomized controlled trial was conducted in six general practices in the United Kingdom. The results of the study showed that the feasibility criteria for recruitment and retention were met, and quality of life was recommended as the primary outcome for a definitive trial.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Geriatrics & Gerontology
Magnus Nord, Johan Lyth, Jenny Alwin, Jan Marcusson
Summary: The study found that comprehensive geriatric assessment (CGA) conducted in primary care settings can reduce hospital care days in high-risk older adults, which may have important implications for managing the increasing prevalence of frailty and multimorbidity.
Article
Geriatrics & Gerontology
Reza Safari, Jessica Jackson, Louise Boole
Summary: This study aimed to explore the feasibility of conducting a tailored Comprehensive Geriatric Assessment (CGA) by Advanced Nursing Practitioners (ANPs) to identify older adults with frailty and assess their subsequent care and support plan. The results showed that older adults with frailty living in the community may benefit from intervention delivered by ANPs. Further large-scale research is needed to evaluate the cost-effectiveness of this intervention.
Article
Multidisciplinary Sciences
Yoon Penning, Antoine El Asmar, Michel Moreau, Julie Raspe, Lissandra Dal Lago, Thierry Pepersack, Vincent Donckier, Gabriel Liberale
Summary: The concept of frailty extends beyond chronological age. Using a two-step approach of screening with the G8 tool followed by comprehensive geriatric assessment (CGA) can guide treatment decisions and follow-up for oncogeriatric patients. This study found an association between G8 scores and CGA results, as well as the risk of postoperative complications. Identifying altered preoperative nutritional status can help optimize treatment decision making and improve outcomes.
Article
Oncology
Tomohiro F. Nishijima, Mototsugu Shimokawa, Taito Esaki, Masaru Morita, Yasushi Toh, Hyman B. Muss
Summary: A 10-item frailty index (FI-CGA-10) based on deficits in 10 domains was developed and validated for assessing frailty in older adults with cancer. The index showed significant associations with established frailty measures, functional and cognitive impairments, high comorbidity burden, poor self-rated health, and low estimated survival probabilities as frailty levels increased.
Article
Geriatrics & Gerontology
Hong Lyu, Wenhui Jiang
Summary: This study aimed to develop a predictive model for frailty risk among hospitalized older people and validate its performance. By using comprehensive geriatric assessment data, the model showed good predictive accuracy and feasibility, which can guide healthcare professionals in formulating effective nursing interventions.
Review
Geriatrics & Gerontology
Marta Zampino, M. Cristina Polidori, Luigi Ferrucci, Desmond O'Neill, Alberto Pilotto, Manfred Gogol, Laurence Rubenstein
Summary: Measuring intrinsic, biological age is an important question in medicine. Comprehensive geriatric assessment (CGA) and multidimensional prognostic index (MPI) are valuable tools for evaluating and predicting the functional status and health outcomes of older adults.
Review
Oncology
Lucas W. M. Diebel, Kenneth Rockwood
Summary: Biological age, determined by biophysiological measures, is more accurate at assessing an individual's age-related risk of adverse outcomes. Frailty grading and biomarker measurement are two distinct methods to estimate biological age for clinical purposes. Frailty level predicts susceptibility to adverse outcomes, regardless of chronological age, and emerging biomarkers show potential in identifying accelerated aging before clinical manifestation of frailty.
CURRENT ONCOLOGY REPORTS
(2021)
Article
Geriatrics & Gerontology
Smith Giri, Mustafa Al-Obaidi, Christian Harmon, Deanna Clark, Clare Ubersax, Chen Dai, Crystal Young-Smith, Darryl Outlaw, Olumide Gbolahan, Moh'd Khushman, Smita Bhatia, Grant R. Williams
Summary: This study evaluated the ability of a patient-reported frailty index to identify older cancer patients at risk of adverse outcomes. The results showed that the frailty index is a strong predictor of survival, functional decline, and treatment-related toxicity among older adults with GI malignancies.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Review
Public, Environmental & Occupational Health
Jianzhao Luo, Xiaoyang Liao, Chuan Zou, Qian Zhao, Yi Yao, Xiang Fang, John Spicer
Summary: With the global aging population, frailty has become a major public health issue, with most assessment tools currently relying on questionnaires or physical examinations. There is potential in utilizing electronic health records for frailty assessment, but further research is needed to develop and validate such tools in other parts of the world.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Geriatrics & Gerontology
Renuka Visvanathan, Azmeraw T. Amare, Steve Wesselingh, Maria C. Inacio
Summary: The study investigated the utilization of general practice Medicare Benefit Schedule (MBS) services aligned to Comprehensive Geriatric Assessment (CGA) and its effects on mortality and transition to permanent residential aged care (PRAC) among older adults. It found that a combination of interventions considered to be components of CGA by GPs was associated with a lower risk of mortality and transition to PRAC compared to no claims or partial conduct of CGA, particularly in frailer individuals.
Article
Geriatrics & Gerontology
Helen E. Jones, Atul Anand, Iain Morrison, Simon Hurding, Sarah H. Wild, Stewart W. Mercer, Susan D. Shenkin
Summary: This study evaluated the impact of a new General Practitioner (GP)-led modified Comprehensive Geriatric Assessment on service delivery, healthcare utilisation and patient outcomes. The results showed that this GP-led service was associated with lower risk of hospital readmission/ED reattendance, greater use of primary care and improved continuity of care.
Article
Critical Care Medicine
Randeep S. Jawa, Rajeev B. Patel, David H. Young
Summary: Geriatric patients in the ICU and on the ward face several nutritional challenges, including decreased muscle mass, impaired mobility, malnutrition, comorbidities, and frailty. It is important to conduct early nutritional screening, assess for malnutrition risk using tools like NRS2002 and NUTRIC, and initiate nutritional support. Evaluating muscle mass and initiating early mobility and muscle-strengthening programs are essential for improving outcomes in geriatric ICU patients.
CRITICAL CARE CLINICS
(2021)
Article
Geriatrics & Gerontology
Hsien-Hao Huang, Julia Chia-Yu Chang, Chien-Chien Tseng, Yu-Jie Yang, Ju-Sing Fan, Yen-Chia Chen, Li-Ning Peng, David Hung-Tsang Yen
Summary: Frailty was found to be the only independent predictor for revisit/readmission after discharge from the emergency department among older patients, with malnutrition and IADL helping emergency physicians decide whether hospital admission is necessary. For discharged older ED patients, frailty was identified as an essential predictor for the integration of community services.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2021)