文章基本信息

标题：Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS)
本地全文：下载
作者：Judi Edmans ; Simon Conroy ; Rowan Harwood 等
期刊名称：Trials
印刷版ISSN：1745-6215
电子版ISSN：1745-6215
出版年度：2011
卷号：12
期号：1
页码：200
DOI：10.1186/1745-6215-12-200
语种：English
出版社：BioMed Central
摘要：Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay ( 70 years and scoring positive on a risk screening tool ('Identification of Seniors At Risk') who are discharged within 72 hours of attending an AMU with a medical crisis, recruited prior to discharge. Sample size is 400. Carers of participants will also be recruited. Intervention: Assessment on the AMU and further out-patient management by a specialist physician in geriatric medicine. Assessment and further management will follow the principles of Comprehensive Geriatric Assessment, providing advice and support to primary care services. Design: Multi-centre, individual patient randomised controlled trial comparing intervention with usual care. Outcome measurement: Follow up is by postal questionnaire 90 days after randomisation, and data will be entered into the study database by a researcher blind to allocation. The primary outcome is the number of days spent at home (for those admitted from home), or days spent in the same care home (if admitted from a care home). Secondary outcomes include mortality, institutionalisation, health and social care resource use, and scaled outcome measures, including quality of life, disability, mental well-being. Carer strain and well being will also be measured at 90 days. Analyses: Comparisons of outcomes and costs, and a cost utility analysis between the intervention and control groups will be carried out. ISRCTN: ISRCTN21800480
关键词：Comprehensive Geriatric Assessment ; Palliative Care Service ; Patient Participant ; EuroQoL EQ5D ; Caregiver Strain Index