Trial reportClinical interventions in aging2017
Effects of comprehensive geriatric assessment on physical fitness in an acute medical setting for frail elderly patients.
Trial report in Clinical interventions in aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Acute care models for older people living with frailty: a systematic review and taxonomy.BMC geriatrics · 2023Pooled it
- Exercise for acutely hospitalised older medical patients.The Cochrane database of systematic reviews · 2022Pooled it
- Pooled it
- The impact of interventions on management of frailty in hospitalized frail older adults: a systematic review and meta-analysis.BMC geriatrics · 2020Pooled it
- De-frailing intervention for hospitalized cardiovascular patients in the TARGET-EFT randomized clinical trial.European heart journal. Quality of care & clinical outcomes · 2023Trial
- Modified essential frailty toolset for risk stratification in transcatheter mitral and tricuspid valve repair.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- The Role of the Six-Minute Walk Test in the Functional Evaluation of the Efficacy of Rehabilitation Programs After COVID-19.Life (Basel, Switzerland) · 2024Article
- An examination of the validity of neuropsychological and physical testing batteries in Latin-American adults aged over 55 years.Aging clinical and experimental research · 2023Article
- Comprehensive Geriatric Care in Older Adults: Walking Ability after an Acute Fracture.Medical sciences (Basel, Switzerland) · 2023Article
- Article
- Association of frailty and functional recovery in an Acute Care for Elders unit: a prospective observational study.BMC geriatrics · 2022Observational
- Improved Balance and Gait Ability and Basic Activities of Daily Living after Comprehensive Geriatric Care in Frail Older Patients with Fractures.Healthcare (Basel, Switzerland) · 2021Article
- A balance between meaningfulness and risk of harm - frail elderly patients' perceptions of physical activity and exercise - an interview study.BMC geriatrics · 2020Article
- Postacute Management of Older Adults Suffering an Osteoporotic Hip Fracture: A Consensus Statement From the International Geriatric Fracture Society.Geriatric orthopaedic surgery & rehabilitation · 2020Review
- Geriatric assessment for older adults with sickle cell disease: protocol for a prospective cohort pilot study.Pilot and feasibility studies · 2020Article
- Preserved physical fitness is associated with lower 1-year mortality in frail elderly patients with a severe comorbidity burden.Clinical interventions in aging · 2019Article
- Ambulance clinicians' perceptions, assessment and management of frailty: thematic analysis of focus groups.British paramedic journal · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFrail elderly people often use emergency care. During hospitalization, physical decline is common, implying an increased risk of adverse health outcomes. Comprehensive Geriatric Assessment (CGA) has been shown to be beneficial for these patients in hospital care. However, there is very limited evidence about the effects on physical fitness. The aim was to compare effects on physical fitness in the acute care of frail elderly patients at a CGA unit versus conventional care, 3 months after discharge. PATIENTS AND
methodsA clinical, prospective, controlled trial with two parallel groups was conducted. Patients aged ≥75 years, assessed as frail and in need of inpatient care, were assigned to a CGA unit or conventional care. Measurements of physical fitness, including handgrip strength (HS), timed up-and-go (TUG), and the 6-minute walk test (6-MWT) were made twice, at the hospital index care period and at the 3-month follow-up. Data were analyzed as the mean change from index to the 3-month follow-up, and dichotomized as decline versus stability/improvement in physical fitness.
resultsIn all, 408 participants, aged 85.7±5.4 years, were included. The intervention group improved significantly in all components of physical fitness. The controls improved in TUG and declined in HS and 6-MWT. When the changes were dichotomized the intervention group declined to a lesser extent; HS
conclusionThis study indicates that the acute care of frail elderly patients at a CGA unit is superior to conventional care in terms of preserving physical fitness at 3 months follow-up. CGA management may positively influence outcomes of great importance for these patients, such as mobility, strength, and endurance.
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