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A Randomized, Controlled Trial of Outpatient Geriatric Evaluation and Management in a Large Public Hospital
Author(s) -
Rubin Craig D.,
Sizemore Mark T.,
Loftis Paula A.,
Mola Nancy Loret
Publication year - 1993
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1993.tb06447.x
Subject(s) - medicine , randomized controlled trial , geriatrics , emergency medicine , medline , medical emergency , family medicine , gerontology , intensive care medicine , surgery , psychiatry , political science , law
Objective : To study the effect of outpatient geriatric evaluation and management on physical function, mental status, and subjective well‐being. Design : Prospective randomized controlled trial with a 1‐year study period. Setting : Large medical school‐affiliated public hospital in an urban community. Subjects : Patients at least 70 years old admitted to the medicine service were screened, randomized, and completed a 1‐year follow‐up interview. Interventions : Comprehensive geriatric evaluation and an outpatient care management program. Main Outcome Measures : Mental status (SPMSQ), ADL (Katz Index), IADL (Five‐Item OARS Scale), Life satisfaction (LSI‐Z), and self‐perception of health status (physical health section of OARS). Results : No significant differences were found for cognitive status, ADL functioning, life satisfaction, nursing home placement, or mortality. The experimental patients reported significantly higher function in IADL and more favorable self‐perception of health status compared with controls. Conclusion : Outpatient comprehensive geriatric evaluation and management appears to be a useful model for providing care to medically frail elderly patients.