Cochrane · systematic review · CD012705
Comprehensive Geriatric Assessment for community‐dwelling, high‐risk, frail, older people
Briggs, R, McDonough, A, Ellis, G, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 40%Low 1 · 20%Moderate 1 · 20%High 1 · 20%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Comprehensive Geriatric Assessment compared with usual care for community‐dwelling, high‐risk, frail, older people
Population: older people at risk of poor health outcomes
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Death Median Comprehensive Geriatric Assessment vs usual care | RR 0.88 [0.76, 1.02] | 18 studies · 7151 participants | Moderate Downgraded: imprecision |
Nursing home admission Median Comprehensive Geriatric Assessment vs usual care | RR 0.93 [0.76, 1.14] | 13 studies · 4206 participants | High |
Unplanned hospital admission Median Comprehensive Geriatric Assessment vs usual care | RR 0.83 [0.7, 0.99] | 6 studies · 1716 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Emergency department visits Median Comprehensive Geriatric Assessment vs usual care | RR 0.65 [0.26, 1.59] | 3 studies · 873 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Serious adverse events (falls) Median Comprehensive Geriatric Assessment vs usual care | RR 0.82 [0.58, 1.17] | 2 studies · 1380 participants | Very low Downgraded: risk of bias, inconsistency, publication bias |