In response to growing awareness of the needs of frail elderly people in hospital, Professor Len Gray at the Centre for Research in Geriatric Medicine (CRGM) and the COH are investigating a Comprehensive geriatric assessment (CGA) which is designed to support risk screening, problem identification, referral and discharge planning.
There is evidence that Comprehensive geriatric assessment (CGA) improves functional recovery, reduces morbidity and assists patients to return to their homes, rather than entering long term care. The assessment is administered by a trained nurse at the patient bedside, with follow-up by a geriatrician who reviews the assessment at a distance and reports on the internet using web-based software.
This process is unique internationally and may have the potential to support CGA in rural areas where geriatricians are not available. The current project is designed to test the reliability and safety of CGA performed “online” in making geriatric triage decisions. It will also explore the accuracy of the procedure in identifying common geriatric syndromes, and its cost relative to conventional “live” consultations. The project is funded by a National Health and Medical Research Council (NHMRC) grant and will include geriatric assessments for 270 patients at three hospitals located in Queensland, Victoria and South