ArticleEClinicalMedicine2020
Association between comprehensive geriatric assessment and short-term outcomes among older adult patients with stroke: A nationwide retrospective cohort study using propensity score and instrumental variable methods.
Article in EClinicalMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- Standardized chronic disease management reduces comorbidity risk in China.Nature communications · 2026Article
- Advancing Geriatric Care in Japan: Integrating the 5Ms Framework With Comprehensive Geriatric Assessment for Enhanced Clinical Practice in a Super-Aged Society.Geriatrics & gerontology international · 2026Article
- Differences in the Health Status of Older Adults in Community and Hospital Cohorts.Annals of geriatric medicine and research · 2025Article
- Application of comprehensive geriatric assessment in oncology nursing: A literature review on optimizing treatment decisions and patient outcomes.World journal of clinical oncology · 2025Review
- Harnessing innovation to help meet the needs of elders: field testing an electronic tool to streamline geriatric assessments across healthcare settings.Family medicine and community health · 2024Article
- Prescription of vitamin D was associated with a lower incidence of hip fractures.Scientific reports · 2023Article
- Relationship between antidementia medication and fracture prevention in patients with Alzheimer's dementia using a nationwide health insurance claims database.Scientific reports · 2023Article
- Association between comprehensive geriatric assessment and polypharmacy at discharge in patients with ischaemic stroke: A nationwide, retrospective, cohort study.EClinicalMedicine · 2022Article
- Trends in the Use of Cardiac Rehabilitation in Japan Between 2010 and 2017 - An Epidemiological Survey.Circulation reports · 2021Article
- Types of Geriatric Assessment and Management Approaches to Hip Fracture.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Geriatric assessment and rehabilitation in older stroke patients.EClinicalMedicine · 2020Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComprehensive geriatric assessment (CGA) is a multidimensional and multidisciplinary method to identify geriatric conditions among older patients. The aim of the present study was to examine the associations between CGA and short-term outcomes among older adult inpatients with stroke.
methodsThe study was a nationwide, retrospective cohort study. We used the Diagnosis Procedure Combination database, a national Japanese inpatient database, to identify older adult stroke patients from 2014 to 2017. The associations between CGA and in-hospital mortality, length of hospital stay, readmission rate, rehabilitation intervention, and introduction of home health care were evaluated using propensity score matching and instrumental variable analysis.
findingsWe identified 338,720 patients, 21·3% of whom received CGA. A propensity score-matched analysis of 53,861 pairs showed that in-hospital mortality was significantly lower in the CGA group than in the non-CGA group (3·6% vs. 4·1%,
interpretationCGA was significantly associated with the examined short-term outcomes. These findings from Japan, one of the most aged countries worldwide, highlight the possible benefits of CGA for short-term outcomes and can be of use for health policy in other international contexts.
fundingThis work was supported by grants from the Ministry of Health, Labour and Welfare, Japan (19AA2007 and H30-Policy-Designated-004) and the Ministry of Education, Culture, Sports, Science and Technology, Japan (17H04141).
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