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The Ambulatory Geriatric Assessment - A Frailty Intervention Trial (AGe-FIT) - A randomised controlled trial aimed to prevent hospital readmissions and functional deterioration in high risk older adults : A study protocol

Mazya, A. L. LU ; Eckerblad, J. ; Jaarsma, T. ; Hellström, I. ; Krevers, B. ; Milberg, A. ; Unosson, M. ; Westöö, A. and Ekdahl, A. (2013) In European Geriatric Medicine 4(4). p.242-247
Abstract

Background Care of old people with multimorbidity living at home is often fragmented with lack of coordination and information exchange between health care professionals, the elderly and their relatives. This paper describes the protocol of a randomised, controlled study, which aims to compare the efficacy of caring for older people with multimorbidity and three or more hospital admissions in the previous year at a geriatric ambulatory department based on Comprehensive Geriatric Assessment (CGA) versus usual care. Participants and methods A total of 400 community-dwelling old people with multimorbidity who are living in the city of Norrköping (Sweden) and one of their relatives are recruited for this trial and randomized to an... (More)

Background Care of old people with multimorbidity living at home is often fragmented with lack of coordination and information exchange between health care professionals, the elderly and their relatives. This paper describes the protocol of a randomised, controlled study, which aims to compare the efficacy of caring for older people with multimorbidity and three or more hospital admissions in the previous year at a geriatric ambulatory department based on Comprehensive Geriatric Assessment (CGA) versus usual care. Participants and methods A total of 400 community-dwelling old people with multimorbidity who are living in the city of Norrköping (Sweden) and one of their relatives are recruited for this trial and randomized to an intervention and a control group. Participants in the intervention group receive interdisciplinary care after a CGA at an Ambulatory Geriatric Unit with easy accessibility during working hours in addition to usual care. The control group receives usual care provided by the primary care or hospital. Outcomes The primary outcome is number of hospitalisation, the secondary outcomes are health-related outcomes including measures of frailty, cognition, symptom burden, feeling of security, quality of life of participants and relatives and as well as costs for health and social care. Participants will be followed for 2 years. Discussion This study will contribute to evidence of the effect of two different care models. The study has the potential to change care for older people with multimorbidity.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Ambulatory geriatric care, Comprehensive geriatric assessment, Frail elderly, Health care costs, Quality of life Relatives, Randomised controlled trial
in
European Geriatric Medicine
volume
4
issue
4
pages
6 pages
publisher
Springer
external identifiers
  • scopus:84883895202
ISSN
1878-7649
DOI
10.1016/j.eurger.2013.05.004
language
English
LU publication?
no
id
27e6ada2-6bb6-44ef-9100-9434c36bb7d2
date added to LUP
2018-11-11 07:00:30
date last changed
2020-07-08 04:32:17
@article{27e6ada2-6bb6-44ef-9100-9434c36bb7d2,
  abstract     = {<p>Background Care of old people with multimorbidity living at home is often fragmented with lack of coordination and information exchange between health care professionals, the elderly and their relatives. This paper describes the protocol of a randomised, controlled study, which aims to compare the efficacy of caring for older people with multimorbidity and three or more hospital admissions in the previous year at a geriatric ambulatory department based on Comprehensive Geriatric Assessment (CGA) versus usual care. Participants and methods A total of 400 community-dwelling old people with multimorbidity who are living in the city of Norrköping (Sweden) and one of their relatives are recruited for this trial and randomized to an intervention and a control group. Participants in the intervention group receive interdisciplinary care after a CGA at an Ambulatory Geriatric Unit with easy accessibility during working hours in addition to usual care. The control group receives usual care provided by the primary care or hospital. Outcomes The primary outcome is number of hospitalisation, the secondary outcomes are health-related outcomes including measures of frailty, cognition, symptom burden, feeling of security, quality of life of participants and relatives and as well as costs for health and social care. Participants will be followed for 2 years. Discussion This study will contribute to evidence of the effect of two different care models. The study has the potential to change care for older people with multimorbidity.</p>},
  author       = {Mazya, A. L. and Eckerblad, J. and Jaarsma, T. and Hellström, I. and Krevers, B. and Milberg, A. and Unosson, M. and Westöö, A. and Ekdahl, A.},
  issn         = {1878-7649},
  language     = {eng},
  month        = {09},
  number       = {4},
  pages        = {242--247},
  publisher    = {Springer},
  series       = {European Geriatric Medicine},
  title        = {The Ambulatory Geriatric Assessment - A Frailty Intervention Trial (AGe-FIT) - A randomised controlled trial aimed to prevent hospital readmissions and functional deterioration in high risk older adults : A study protocol},
  url          = {http://dx.doi.org/10.1016/j.eurger.2013.05.004},
  doi          = {10.1016/j.eurger.2013.05.004},
  volume       = {4},
  year         = {2013},
}