Comprehensive geriatric assessment and multidisciplinary team interventions for hospitalized older adults: A scoping review

• Published in: Archives of gerontology and geriatrics Vol. 104; p. 104831
• Main Authors: Choi, Jung-Yeon, Rajaguru, Vasuki, Shin, Jaeyong, Kim, Kwang-il
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.01.2023
• Subjects: Aged; Comprehensive geriatric assessment; Geriatric Assessment - methods; Geriatricians; Health status; Hospitalization; Humans; Multidisciplinary; Patient Care Team; Readmission; Transitional care; Transitional care; Comprehensive geriatric assessment; Hospitalization; Readmission; Health status; Multidisciplinary
• ISSN: 0167-4943; 1872-6976
• DOI: 10.1016/j.archger.2022.104831

•CGA based multidisciplinary intervention was reviewed for past 10 years and summarized.•Consensus of domains derived from articles was effective in older hospitalized people.•Subdomain performance improves general strategy knowledge for multidisciplinary teams.•Consensus among the articles is the cornerstone for further CGA based intervention.•Findings warrant in geriatric health sector, to ensure policies improve outcomes.•Emerging trend of CGA and intervention would be an extension of current research. Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic and treatment process to evaluate medical, psychosocial, and functional capability. It is useful to develop a coordinated and integrated plan for frail older patients. This study aimed to examine the current scope of CGA based multidisciplinary team interventions in acute care setting to improve the health outcomes for older adults. We searched electronic databases: PubMed, Ovid, PsychINFO, Scopus, RISS and KoreaMed from 2011 to 2021. The selected articles were extracted by three reviewers and cross checked by the fourth reviewer to resolve any conflicts. Data were synthesized and analyzed descriptively and thematically. Articles are nested three themes: inpatient (IN), emergency room (ER) and oncology patient (ONCO). Of the 1830 articles that were screened, 710 were potentially eligible. Finally, 26 articles were selected and categorized as IN (n=8), ER (n=7) and ONCO (n=11). Geriatricians and nurses participated in most of the multidisciplinary teams followed by other health professionals. The most effective primary outcomes were focused and retrieved across five domains, screening, prevention, treatment, quality of care, and rehabilitation. The subdomains are problem lists which is common and problematic among hospitalized older patients and retrieved from the most commonly used multidisciplinary interventions according to each domain. CGA based multidimensional intervention (MDI) are likely to be an effective in care of older adults. There is remarkable paradigm shift required to improve better health outcomes for hospitalized older adults. It also suggests that there is a need to design the CGA based MDI to build a standardized protocol for older adults to maintain functional capacity and increase likelihood of living in their own home. [Display omitted]