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Publication - Publication

NHS Fife: getting it right for our most vulnerable patients

Published: 28 Sep 2017
Part of:
Health and social care
ISBN:
9781788511605

Report on improvements by Fife's Victoria Hospital of facilities and care for frail patients, following the Cochrane Review of geriatric care.

22 page PDF

733.8kB

22 page PDF

733.8kB

Contents
NHS Fife: getting it right for our most vulnerable patients
Footnotes

22 page PDF

733.8kB

Footnotes

1 Twenty-two trials evaluating 10,315 participants in six countries were identified. Patients in receipt of CGA were more likely to be alive and in their own homes at up to six months (OR 1.25, 95% CI 1.11 to 1.42, P = 0.0002) and at the end of scheduled follow up (median 12 months) (OR 1.16, 95% CI 1.05 to 1.28, P = 0.003) when compared to general medical care. In addition, patients were less likely to be institutionalised (OR 0.79, 95% CI 0.69 to 0.88, P < 0.0001). They were less likely to suffer death or deterioration (OR 0.76, 95% CI 0.64 to 0.90, P = 0.001), and were more likely to experience improved cognition in the CGA group (OR 1.11, 95% CI 0.20 to 2.01, P = 0.02). Subgroup interaction in the primary outcomes suggests that the effects of CGA are primarily the result of CGA wards.


Contact

Email: Jessica Milne, unscheduledcareteam@gov.scot

Phone: 0300 244 4000 – Central Enquiry Unit

The Scottish Government
St Andrew's House
Regent Road
Edinburgh
EH1 3DG