Promising results have been reported from Salford Royal NHS Foundation Trust (SRFT):
“ …introduction of an embedded frailty unit within the EAU at SRFT has allowed resources to be focused on older patients with the greatest need. We have demonstrated how a novel, targeted approach to front-line geriatric services, integrated with and alongside acute medicine, can improve service delivery and access to resources… ”.
Taylor, JK. Gaillemin, OS. [and] Pearl, AJ. [et al] (2016). Embedding comprehensive geriatric assessment in the emergency assessment unit: the impact of the COPE zone. Clinical Medicine. February 2016, Vol.16(1), pp.19-24. (Click here to view the PubMed abstract).
Leung, D. (2016). Embedding comprehensive geriatric assessment in the emergency assessment unit: the impact of the COPE zone. Clinical Medicine. June 2016; 16(3): 303. Full Text Link.
Wood, H. Ward, R. Morris, V. [et al] (2016). Embedding comprehensive geriatric assessment in the emergency assessment unit: the impact of the COPE zone. Clinical Medicine. June 2016; 16(3): 304. Full Text Link.
CGAs and Medicines Optimisation in Primary Care Settings
A small local study involving seven GP practices in a region of Stoke-on-Trent indicates promising potential of comprehensive geriatric assessment for medicines optimisation in primary care:
Lea, SC. Watts, KL. [and] Davis, NA. [et al] (2017). The potential clinical benefits of medicines optimisation through comprehensive geriatric assessment, carried out by secondary care geriatricians, in a general practice care setting in North Staffordshire, UK: a feasibility study. BMJ Open. 2017; 7: e015278.
Nuffield Trust / NIHR-Funded Comprehensive Geriatric Assessment: Needs-Assessment Tool
An MS Excel tool:
Full Text Link (Note: The tool comprises an Excel Binary Workbook file, designed for use on desktop computers).
Fisher, E. Keeble, E. [and] Kraindler, J. (2018). Comprehensive geriatric assessment: needs assessment tool. [Online]: Nuffield Trust, August 2018.
Older Adults / Geriatric Syndromes in Cardiac Intensive Care Units (CICUs)
Consideration of age-related risks and “detours” in the care of older adults in the CICU environment, with a focus on complications arising from multimorbidity, polypharmacy, cognitive decline, delirium and frailty:
Damluji, AA. Forman, DE. [and] van Diepen, S. [et al] (2019). Older adults in the cardiac intensive care unit: factoring geriatric syndromes in the management, prognosis, and process of care: a scientific statement from the American Heart Association. Circulation. December 9th 2019. [Epub ahead of print].