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Comprehensive geriatric assessment for older adults admitted to ...

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Collard 1985 (Continued)<br />

Allocation concealment (selection bias) Unclear risk Not described<br />

Blinding (per<strong>for</strong>mance bias and detection<br />

bias)<br />

All outcomes<br />

Incomplete outcome data (attrition bias)<br />

All outcomes<br />

High risk No patient, staff or outcome <strong>assessment</strong><br />

blinding<br />

High risk There were significant differences in the<br />

outcome rates <strong>for</strong> some outcomes. Mortality<br />

was recorded at the end of follow up as<br />

was institutionalisation <strong>for</strong> other outcomes<br />

such as dependence was incomplete with<br />

high dropout rates.<br />

Selective reporting (reporting bias) Unclear risk No a priori documentation could be found<br />

<strong>to</strong> judge this item<br />

Other bias Unclear risk No evidence <strong>to</strong> exclude per<strong>for</strong>mance bias<br />

but no clear attrition bias<br />

Baseline outcome measurements similar Unclear risk Measurements at baseline are similar but<br />

differences exist in the reporting numbers<br />

Baseline characteristics similar Unclear risk Baseline characteristics are broadly similar<br />

however because of differences in baseline<br />

numbers it is not entirely clear if the populations<br />

are identical<br />

Study protected against contamination Low risk Care is delivered in different physical units<br />

with separate staffing arrangements<br />

Counsell 2000<br />

Methods Year: 2000<br />

Location: Akron City, Ohio, USA (Community Teaching Hospital)<br />

Team/ward?: ward<br />

Timing: direct (ACE)<br />

Trial methodology: randomised controlled trial<br />

Participants Numbers (<strong>to</strong>tal): 1531<br />

Mean age: 80<br />

Male:female ratio: 40% male (approximately)<br />

Inclusion criteria: community-dwelling persons aged 70 or <strong>older</strong> <strong>admitted</strong> <strong>to</strong> medical or<br />

family practice service<br />

Exclusion criteria: transferred from other hospital, nursing home, required speciality unit<br />

admission, elective admissions, LOS < 2 days<br />

Patient selection criteria: unselected<br />

<strong>Comprehensive</strong> <strong>geriatric</strong> <strong>assessment</strong> <strong>for</strong> <strong>older</strong> <strong>adults</strong> <strong>admitted</strong> <strong>to</strong> hospital (Review)<br />

Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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