Hospital-Acquired Complications in a Randomized Controlled Clinical Trial of a Geriatric Consultation Team


Journal Article

As part of a controlled clinical trial of a geriatric consultation team (GCT), we investigated whether a GCT could affect the incidence of hospital-acquired complications in elderly patients. One hundred eighty-five patients, aged 75 years and older, were randomized into an intervention (N = 92) and a control (N = 93) group. Members of the intervention group received a GCT consultation and were routinely followed up throughout their hospitalization. The incidence of hospital-acquired complications for the entire study population was 38%. The type and rate of hospital-acquired complications in the intervention and control groups were not significantly different. Functional status on admission and admission to the psychiatry service were predictive for the occurrence of a hospital-acquired complication. In a broadly selected population such as this, the intensity of care available through a GCT was unable to reduce the occurrence of hospital-acquired complications. However, since this is only one aspect of a GCT function, and others may be of great importance, such aspects, and more targeted populations, must be evaluated before final conclusions can be reached about GCT efficiency. © 1987, American Medical Association. All rights reserved.

Full Text

Duke Authors

Cited Authors

  • Becker, PM; Mcvey, LJ; Saltz, CC; Feussner, JR; Cohen, HJ

Published Date

  • May 1, 1987

Published In

Volume / Issue

  • 257 / 17

Start / End Page

  • 2313 - 2317

Electronic International Standard Serial Number (EISSN)

  • 1538-3598

International Standard Serial Number (ISSN)

  • 0098-7484

Digital Object Identifier (DOI)

  • 10.1001/jama.1987.03390170069030

Citation Source

  • Scopus