Randomized clinical trial on the efficacy of global geriatric assessment in primary care

Rosa Monteserín Nadal, Salvador Altimir Losada, Carlos Brotons Cuixart, Jaume Padrós Selma, Sebastián Santaeugenia González, Irene Moral Peláez, Marco Fornasini, Jaume Sellarès Sallas

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    Abstract

    Objective: the family doctor is in a unique position to prevent complications in the elderly population. The aim of this study was to evaluate the efficacy of a multifactorial intervention in reducing morbidity and mortality after a global geriatric assessment (GGA) was performed. Material and methods: a randomized clinical trial with a control group was carried out in elderly patients aged more than 75 years old visited in the primary care setting over a 18-month period. An individualized intervention was applied to all patients in the intervention group (IG) identified as frail by the GGA. A group session was offered to the remaining patients in the IG. Results: there were 620 participants: 49.7% were randomized to the IG and 50.3% to the control group (CG). Follow-up was completed by 430 (69.4%) participants. At the end of the study, the CG showed a significantly greater risk of depression (Yesavage) than the IG (P=.048). During the follow-up, 13% of the IG and 5% of the CG changed their initial status of frailty to one of non-frailty, while 11% of the IG and 22% of the CG were newly diagnosed as frail (P<.001). The total number of events (nursing home admission, home visits, deaths) was 15% in the IG and 17% in the CG (P=.64). Conclusions: the intervention proved to be effective in containing the number of patients newly diagnosed as frail and in increasing the number of participants who reversed their status from frail to non-frail during the follow-up. GGA is effective if used in conjunction with an intervention.
    Original languageEnglish
    Pages (from-to)5-12
    JournalRevista Espanola de Geriatria y Gerontologia
    Volume43
    Issue number1
    DOIs
    Publication statusPublished - 1 Jan 2008

    Keywords

    • Frail elderly
    • Geriatric assessment
    • Primary health care

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  • Cite this

    Monteserín Nadal, R., Altimir Losada, S., Brotons Cuixart, C., Padrós Selma, J., Santaeugenia González, S., Moral Peláez, I., Fornasini, M., & Sellarès Sallas, J. (2008). Randomized clinical trial on the efficacy of global geriatric assessment in primary care. Revista Espanola de Geriatria y Gerontologia, 43(1), 5-12. https://doi.org/10.1016/S0211-139X(08)71144-2