Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? : A Randomized Trial.

ABSTRACT:

Background

Delivering hospital-level care with comprehensive geriatric assessment (CGA) in the home is one approach to deal with the increased demand for bed-based hospital care, but clinical effectiveness is uncertain.

Objective

To assess the clinical effectiveness of admission avoidance hospital at home (HAH) with CGA for older persons.

Design

Multisite randomized trial. (ISRCTN registry number: ISRCTN60477865).

Setting

9 hospital and community sites in the United Kingdom.

Patients

1055 older persons who were medically unwell, were physiologically stable, and were referred for a hospital admission.

Intervention

Admission avoidance HAH with CGA versus hospital admission with CGA when available using 2:1 randomization.

Measurements

The prim

SUBMITTER: Shepperd S 

PROVIDER: S-EPMC7612132 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature