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A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations.

Publication ,  Journal Article
Allen, CM; Becker, PM; McVey, LJ; Saltz, C; Feussner, JR; Cohen, HJ
Published in: JAMA
May 16, 1986

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.

Duke Scholars

Published In

JAMA

ISSN

0098-7484

Publication Date

May 16, 1986

Volume

255

Issue

19

Start / End Page

2617 / 2621

Location

United States

Related Subject Headings

  • Referral and Consultation
  • Random Allocation
  • Prospective Studies
  • Patient Care Team
  • Medical Staff, Hospital
  • Humans
  • Geriatrics
  • General & Internal Medicine
  • Cooperative Behavior
  • Comprehensive Health Care
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Allen, C. M., Becker, P. M., McVey, L. J., Saltz, C., Feussner, J. R., & Cohen, H. J. (1986). A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations. JAMA, 255(19), 2617–2621.
Allen, C. M., P. M. Becker, L. J. McVey, C. Saltz, J. R. Feussner, and H. J. Cohen. “A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations.JAMA 255, no. 19 (May 16, 1986): 2617–21.
Allen CM, Becker PM, McVey LJ, Saltz C, Feussner JR, Cohen HJ. A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations. JAMA. 1986 May 16;255(19):2617–21.
Allen, C. M., et al. “A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations.JAMA, vol. 255, no. 19, May 1986, pp. 2617–21.
Allen CM, Becker PM, McVey LJ, Saltz C, Feussner JR, Cohen HJ. A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations. JAMA. 1986 May 16;255(19):2617–2621.
Journal cover image

Published In

JAMA

ISSN

0098-7484

Publication Date

May 16, 1986

Volume

255

Issue

19

Start / End Page

2617 / 2621

Location

United States

Related Subject Headings

  • Referral and Consultation
  • Random Allocation
  • Prospective Studies
  • Patient Care Team
  • Medical Staff, Hospital
  • Humans
  • Geriatrics
  • General & Internal Medicine
  • Cooperative Behavior
  • Comprehensive Health Care