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https://hdl.handle.net/2440/6221
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Type: | Journal article |
Title: | A randomised controlled trial of the outcome of health assessment of people aged 75 years and over |
Author: | Newbury, J. Marley, J. Beilby, J. |
Citation: | Medical Journal of Australia, 2001; 175(2):104-107 |
Publisher: | Australasian Med Publ Co Ltd |
Issue Date: | 2001 |
ISSN: | 0025-729X 1326-5377 |
Statement of Responsibility: | Jonathan W Newbury, John E Marley and Justin J Beilby |
Abstract: | <h4>Objectives</h4>To measure the outcomes of a health assessment, conducted by a nurse, of people aged 75 years and older (75+HA) living independently in their own homes.<h4>Design</h4>Randomised controlled trial (RCT).<h4>Setting</h4>A convenience sample of six general practices within the Adelaide Western Division of General Practice (AWDGP). A random sample of 100 participants was drawn from practice age-sex registers. Data were collected in initial visits between 1 August 1998 and February 1999, then in follow-up visits one year later.<h4>Participants</h4>Participants were aged 75 years and over on 1 August 1998 and living independently in the community. 145 eligible patients were invited to join the study, and 100 of these consented to enrol (69%).<h4>Intervention</h4>A 75+HA conducted in the participant's home by a nurse and reported to their usual general practitioner.<h4>Main outcome measures</h4>Primary: number of problems in each group; number of participants with problems; and mortality. Secondary: physical function; psychological (including cognitive) function; falls; and admission to institution.<h4>Results</h4>There were no significant differences between the control and intervention groups at follow-up in the number of problems, the number of participants with problems, or mortality. In the intervention group, there was significant improvement in self-rated health, geriatric depression score (GDS 15), and number of falls.<h4>Conclusions</h4>This RCT has not demonstrated improvement in health status of the intervention group which received a 75+HA compared with a control group left to usual care. |
Keywords: | Humans Chronic Disease Activities of Daily Living Geriatric Assessment Cause of Death Follow-Up Studies Family Practice Aged Aged, 80 and over South Australia Female Male |
Description: | Copyright © 2001 Australasian Medical Publishing |
DOI: | 10.5694/j.1326-5377.2001.tb143541.x |
Description (link): | http://www.mja.com.au/public/issues/contents175.html#16jul |
Published version: | http://dx.doi.org/10.5694/j.1326-5377.2001.tb143541.x |
Appears in Collections: | Aurora harvest General Practice publications |
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