A Randomized, Controlled Clinical Trial of a Geriatric Consultation Team: Compliance With Recommendations

Published

Journal Article

As part of a prospective, randomized, controlled study of the effectiveness of a geriatric consultation team, we examined compliance by the house staff with recommendations made by the team. Recommendations were formulated for 185 patients, aged 75 years or older, who were randomized into intervention (n = 92) and control (n=93) groups. In the control group, only 27.1% of the actions that would have been recommended by the team were implemented independently by the house staff. Problems commonly neglected included polypharmacy, sensory impairment, confusion, and depression. In the intervention group, overall compliance was 71.7%. Highest compliance occurred for recommendations addressing instability and falls (95.0%) and discharge planning (94.3%). We conclude that a geriatric consultation team contributes substantial additional input into the care of older patients. Furthermore, relatively high compliance can be achieved with recommendations made by a geriatric consultation team, thereby overcoming the first barrier to the establishment of such a service. © 1986, American Medical Association. All rights reserved.

Full Text

Duke Authors

Cited Authors

  • Allen, CM; Becker, PM; McVey, LJ; Saltz, C; Feussner, JR; Cohen, HJ

Published Date

  • May 16, 1986

Published In

Volume / Issue

  • 255 / 19

Start / End Page

  • 2617 - 2621

Electronic International Standard Serial Number (EISSN)

  • 1538-3598

International Standard Serial Number (ISSN)

  • 0098-7484

Digital Object Identifier (DOI)

  • 10.1001/jama.1986.03370190101032

Citation Source

  • Scopus