A multicenter randomized trial of comprehensive geriatric assessment and management: Experimental design, baseline data, and six-month preliminary results

Reduced Mortality in Treating Acutely Sick, Frail Older Patients in a Geriatric Evaluation and Management Unit. A Prospective Randomized Trial

“…Few randomized studies have been published on the effect of treatment in GEMUs 7–13 . These studies may be divided into two categories.…”

“…In the second category, three studies have been published 7–9 . The study of Rubenstein et al from a Veterans Affairs (VA) rehabilitation hospital showed a 50% reduction in 1‐year mortality 7 .…”

“…In 1990, Applegate et al reported a community‐rehabilitation hospital‐based study that recruited functionally impaired patients recovering from an acute medical or surgical disorder and being at risk of nursing home placement 8 . In 1995 Trentini et al published a multicenter study of patients who had stayed in the hospital for more than 10 days and were considered at risk of losing self‐sufficiency 9 . A reduction in 6‐month mortality was found in both of these studies.…”

“…6 Few randomized studies have been published on the effect of treatment in GEMUs. [7][8][9][10][11][12][13] These studies may be divided into two categories. First, there are studies including patients who were acutely ill, and, second, there are studies including patients in need of rehabilitation after their acute illness was stabilized.…”

Primary Intensive Care: Pilot Study of a Primary Care–Based Intervention for High-Utilizing Patients

“…[25][26][27][28][29] Comprehensive Geriatric Assessment or Discharge Planning followed by case management has shown inconsistent but often positive outcomes. [30][31][32][33][34] While managed care companies do not report their findings, the apparently wide application of case management within their organizations suggests that using case managers has achieved significant cost savings. The few studies investigating ambulatory case management in the primary care setting have not shown benefit or cost savings.…”