(Continued) Young 2005 Randomised controlled study of comparison between Community Hospital care (CGA) and District General Hospital care (CGA) CGA: comprehensive <strong>geriatric</strong> <strong>assessment</strong> <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) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 54
D A T A A N D A N A L Y S E S Comparison 1. CGA versus usual care Outcome or subgroup title No. of studies No. of participants Statistical method Effect size 1 Living at home (up <strong>to</strong> 6 months) 14 5117 Odds Ratio (M-H, Fixed, 95% CI) 1.25 [1.11, 1.42] 1.1 Ward 11 4624 Odds Ratio (M-H, Fixed, 95% CI) 1.31 [1.15, 1.49] 1.2 Team 3 493 Odds Ratio (M-H, Fixed, 95% CI) 0.84 [0.57, 1.24] 2 Living at home (end of follow up) 18 7062 Odds Ratio (M-H, Fixed, 95% CI) 1.16 [1.05, 1.28] 2.1 Ward 14 6290 Odds Ratio (M-H, Fixed, 95% CI) 1.22 [1.10, 1.35] 2.2 Team 4 772 Odds Ratio (M-H, Fixed, 95% CI) 0.75 [0.55, 1.01] 3 Mortality (up <strong>to</strong> 6 months) 19 6786 Odds Ratio (M-H, Fixed, 95% CI) 0.91 [0.80, 1.05] 3.1 Ward 14 6048 Odds Ratio (M-H, Fixed, 95% CI) 0.93 [0.81, 1.08] 3.2 Team 5 738 Odds Ratio (M-H, Fixed, 95% CI) 0.74 [0.47, 1.17] 4 Mortality (end of follow up) 23 9963 Odds Ratio (M-H, Fixed, 95% CI) 0.99 [0.90, 1.09] 4.1 Ward 16 6593 Odds Ratio (M-H, Fixed, 95% CI) 0.98 [0.87, 1.11] 4.2 Team 7 3370 Odds Ratio (M-H, Fixed, 95% CI) 1.00 [0.86, 1.18] 5 Institutionalisation (up <strong>to</strong> 6 months) 14 4925 Odds Ratio (M-H, Fixed, 95% CI) 0.76 [0.66, 0.89] 5.1 Ward 10 4319 Odds Ratio (M-H, Fixed, 95% CI) 0.72 [0.61, 0.85] 5.2 Team 4 606 Odds Ratio (M-H, Fixed, 95% CI) 1.07 [0.73, 1.57] 6 Institutionalisation (end of follow up) 19 7137 Odds Ratio (M-H, Fixed, 95% CI) 0.78 [0.69, 0.88] 6.1 Ward 14 6252 Odds Ratio (M-H, Fixed, 95% CI) 0.73 [0.64, 0.84] 6.2 Team 5 885 Odds Ratio (M-H, Fixed, 95% CI) 1.16 [0.83, 1.63] 7 Dependence 8 4128 Odds Ratio (M-H, Fixed, 95% CI) 0.94 [0.81, 1.10] 7.1 Ward 8 4128 Odds Ratio (M-H, Fixed, 95% CI) 0.94 [0.81, 1.10] 8 Death or dependence 4 1212 Odds Ratio (M-H, Fixed, 95% CI) 0.98 [0.77, 1.25] 8.1 Wards 4 1212 Odds Ratio (M-H, Fixed, 95% CI) 0.98 [0.77, 1.25] 9 Death or deterioration 5 2622 Odds Ratio (M-H, Fixed, 95% CI) 0.76 [0.64, 0.90] 9.1 Ward 3 2305 Odds Ratio (M-H, Fixed, 95% CI) 0.78 [0.65, 0.93] 9.2 Team 2 317 Odds Ratio (M-H, Fixed, 95% CI) 0.65 [0.41, 1.03] 10 Activities of daily living 6 1296 Std. Mean Difference (IV, Fixed, 95% CI) 0.06 [-0.06, 0.17] 10.1 Ward 4 967 Std. Mean Difference (IV, Fixed, 95% CI) 0.11 [-0.03, 0.24] 10.2 Team 2 329 Std. Mean Difference (IV, Fixed, 95% CI) -0.08 [-0.30, 0.14] 11 Cognitive function 5 3317 Std. Mean Difference (IV, Fixed, 95% CI) 0.08 [0.01, 0.15] 11.1 Ward 1 375 Std. Mean Difference (IV, Fixed, 95% CI) 0.06 [-0.14, 0.27] 11.2 Team 4 2942 Std. Mean Difference (IV, Fixed, 95% CI) 0.09 [0.01, 0.16] 12 Length of stay 13 4034 Mean Difference (IV, Random, 95% CI) 1.12 [-1.11, 3.35] 12.1 Ward 8 3303 Mean Difference (IV, Random, 95% CI) 1.73 [-1.56, 5.02] 12.2 Team 5 731 Mean Difference (IV, Random, 95% CI) -0.79 [-2.34, 0.75] 13 Readmissions 9 3822 Odds Ratio (M-H, Fixed, 95% CI) 1.03 [0.89, 1.18] 13.1 Ward 8 3543 Odds Ratio (M-H, Fixed, 95% CI) 1.01 [0.87, 1.17] 13.2 Team 1 279 Odds Ratio (M-H, Fixed, 95% CI) 1.25 [0.78, 2.01] <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) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 55