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COMPrehensive geriatric AsseSSment and multidisciplinary team intervention for hospitalised older adults (COMPASS): a protocol of pragmatic trials within a cohort

Authors
 Jung-Yeon Choi  ;  Ji Yeon Lee  ;  Jaeyong Shin  ;  Chang Oh Kim  ;  Kwang Joon Kim  ;  In Gyu Hwang  ;  Yun-Gyoo Lee  ;  Su-Jin Koh  ;  Soojung Hong  ;  Sol-Ji Yoon  ;  Min-Gu Kang  ;  Jin Won Kim  ;  Jee Hyun Kim  ;  Kwang-Il Kim 
Citation
 BMJ OPEN, Vol.12(8) : e060913, 2022-08 
Journal Title
BMJ OPEN
Issue Date
2022-08
MeSH
Aged ; Cohort Studies ; Geriatric Assessment* / methods ; Geriatricians* ; Humans ; Multicenter Studies as Topic ; Patient Care Team ; Patient Discharge ; Quality of Life ; Randomized Controlled Trials as Topic
Keywords
change management ; geriatric medicine ; risk management
Abstract
Introduction: There is an increased demand for services for hospitalised older patients with acute medical conditions due to rapidly ageing population. The COMPrehensive geriatric AsseSSment and multidisciplinary team intervention for hospitalised older adults (COMPASS) study will test the effectiveness of comprehensive geriatric assessment (CGA) and multidisciplinary intervention by comparing it with conventional care among acute hospitalised older adults in Korea.

Methods and analysis: A multicentre trial within a cohort comprising three substudies (randomised controlled trials) will be conducted. The intervention includes CGA and CGA-based multidisciplinary interventions by physicians (geriatricians, oncologists), nurses, nutritionists and pharmacists. The multidisciplinary intervention includes nutritional support, medication review and adjustment, rehabilitation, early discharge planning and prevention of geriatric syndromes (falls, delirium, pressure sore and urinary retention). The analysis will be based on an intention-to-treat principle. The primary outcome is living at home 3 months after discharge. In addition to assessing the economic effects of the intervention, a cost-utility analysis will be conducted.

Ethics and dissemination: The study protocol was reviewed and approved by the ethics committees of Seoul National University Bundang Hospital and each study site. The study findings will be published in peer-reviewed journals. Subgroup and further in-depth analyses will subsequently be published.

Trial registration number: KCT0006270.
Files in This Item:
T202300807.pdf Download
DOI
10.1136/bmjopen-2022-060913
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kwang Joon(김광준) ORCID logo https://orcid.org/0000-0002-5554-8255
Kim, Chang Oh(김창오) ORCID logo https://orcid.org/0000-0002-0773-5443
Shin, Jae Yong(신재용) ORCID logo https://orcid.org/0000-0002-2955-6382
Lee, Ji Yeon(이지연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/193224
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