Long-Term Evaluation of the Ambulatory Geriatric Assessment: A Frailty Intervention Trial (AGe-FIT): Clinical Outcomes and Total Costs After 36 Months

Ekdahl, Anne; Alwin, Jenny; Eckerblad, Jeanette; Husberg, Magnus; Jaarsma, Tiny; Mazya, Amelie Lindh; Milberg, Anna; Krevers, Barbro; Unosson, Mitra; Wiklund, Rolf; Carlsson, Per

doi:10.1016/j.jamda.2015.12.008

Cited by 56 publications

(52 citation statements)

References 23 publications

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“…Comprehensive Geriatric Assessment (CGA) is a well-established clinical tool used to determine older adults' medical, psychosocial and functional capabilities [27][28][29][30]. It provides key baseline data for identifying degrees of risk and establishing individual care plans [31][32]. Proven benefits for patients include the preservation of physical function, maintenance of community living status and shorter stays and fewer admissions to hospitalization [27][28][29][30][31][32].…”

Section: Discussion -Innovative Models For Care For Older Adultsmentioning

confidence: 99%

“…It provides key baseline data for identifying degrees of risk and establishing individual care plans [31][32]. Proven benefits for patients include the preservation of physical function, maintenance of community living status and shorter stays and fewer admissions to hospitalization [27][28][29][30][31][32]. A deficit accumulation based frailty index can be calculated using CGA items.…”

Section: Discussion -Innovative Models For Care For Older Adultsmentioning

confidence: 99%

“…The CGA is a systematic multidimensional information gathering approach for the assessment of older adults [27][28][29][30][31][32]. It includes redundant assessment items of multiple domains of cognition, emotion, motivation, health attitude, communication, sleep, pain, control of life, strength, balance, mobility, activities and instrumental activities of daily living, social engagement, and medication intake.…”

Section: Frailty Assessmentmentioning

confidence: 99%

“…It includes redundant assessment items of multiple domains of cognition, emotion, motivation, health attitude, communication, sleep, pain, control of life, strength, balance, mobility, activities and instrumental activities of daily living, social engagement, and medication intake. Based on the comprehensive understanding of the overall health status of the older patients, health care professionals can develop a bird's eye view of complex patients and generate a problem list and appropriate care plans [27][28][29][30][31][32]. The FI-CGA was initiated by both using data from a standardized CGA and data derived from the clinical examination of a population-based study [25,26].…”

Section: Frailty Assessmentmentioning

confidence: 99%

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Using an Electronic Comprehensive Geriatric Assessment and Health Coaching to Prevent Frailty in Primary Care: The CARES Model

Garm¹,

Park²,

Song³

2018

Med Clin Rev

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Frailty threatens the quality of life of seniors. As the leading cause for the disproportionate use of health care resources, frailty is a serious threat to the sustainability of the health care system. Mounting evidence suggests frailty can be prevented with early assessment and management. Primary care providers are well positioned to identify "at risk" seniors and enact care plans to prevent frailty from progressing. The Comprehensive Geriatric Assessment (CGA) has repeatedly demonstrated value in the clinical setting for enhanced outcomes for seniors. The Frailty Index (FI) is a reliable and sensitive measure of frailty that can be generated from the CGA (FI-CGA). Implementing the FI-CGA into the electronic medical records of primary care can enable the use of a reliable and valid measurement of frailty at point of service. Using the electronic FI-CGA in the clinic setting guides healthcare providers to make more meaningful and comprehensive healthcare decisions. Based on the degree of frailty, health coaching aims to both support the seniors competence in their self-management as well the adoption of health promoting behaviors like exercise and improved nutritional choices. The Community Actions and Resources Empowering Seniors (CARES) collaborative model in primary care aims to provide substantial healthcare cost savings over time by addressing frailty at early stages and decreasing costly hospital admissions. CARES further aims to improve the quality of life of seniors by generating a sense of empowerment and control over their risk for frailty through health coaching to adopt healthy aging strategies.

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Section: Discussion -Innovative Models For Care For Older Adultsmentioning

confidence: 99%

Section: Discussion -Innovative Models For Care For Older Adultsmentioning

confidence: 99%

Section: Frailty Assessmentmentioning

confidence: 99%

Section: Frailty Assessmentmentioning

confidence: 99%

See 2 more Smart Citations

Using an Electronic Comprehensive Geriatric Assessment and Health Coaching to Prevent Frailty in Primary Care: The CARES Model

Garm¹,

Park²,

Song³

2018

Med Clin Rev

View full text Add to dashboard Cite

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“…Regarding Dr. Ekdahl's 2016 follow-up study, 3 the search algorithm we used for our review did not identify it. As we described in our review, this topic was challenging to search for as there is no standard nomenclature on this topic and the keywords varied slightly between Dr. Ekdahl's 2015 and 2016 studies.…”

Section: R Ekdahl Correctly Points Out That Inmentioning

confidence: 99%

Regarding “Effectiveness of Intensive Primary Care Interventions: A Systematic Review”

2018

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hospitalizations (mean of 2.1 vs. 2.4 over 24 months, p = 0.212) and a reduction in average length of stay (mean of 11.1 days vs. 15.2 days over 24 months, p = 0.035).2 Of note, in the results section of our review, we described the reduction in length of stay correctly. We have corrected Table 4 for inclusion as an erratum and include several edits for improved clarity. We apologize for the error. Overall, this error does not affect the conclusions of our systematic review.In Table 2 of our review, we reported the sample size for each included study. For randomized controlled trials, we typically reported the number of patients originally randomized, after exclusion criteria were applied. In the case of Dr. Ekdahl's 2015 study, the number of patients reported as originally randomized was 844, but exclusion criteria were applied after randomization. Of these 844 patients, 55% were excluded, with more patients excluded from the treatment group than the control group. Given the high level of post-randomization exclusion and our lack of clarity about the enrollment process, we were not certain that the 382 patients reported as enrolled in the abstract represented a number comparable to other randomized controlled trials in our review.

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Comprehensive Geriatric Assessment for community-dwelling, high-risk, frail, older people

Briggs

McDonough

Ellis

et al. 2022

Cochrane Database of Systematic Reviews

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Long-Term Evaluation of the Ambulatory Geriatric Assessment: A Frailty Intervention Trial (AGe-FIT): Clinical Outcomes and Total Costs After 36 Months

Cited by 56 publications

References 23 publications

Using an Electronic Comprehensive Geriatric Assessment and Health Coaching to Prevent Frailty in Primary Care: The CARES Model

Using an Electronic Comprehensive Geriatric Assessment and Health Coaching to Prevent Frailty in Primary Care: The CARES Model

Regarding “Effectiveness of Intensive Primary Care Interventions: A Systematic Review”

Comprehensive Geriatric Assessment for community-dwelling, high-risk, frail, older people

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