Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial

Edmans, Judi; Conroy, Simon; Harwood, Rowan; Lewis, Sarah; Elliott, Rachel A; Logan, Philippa; Bradshaw, Lucy; Franklin, Matthew; Gladman, John

Abstract

Background
Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay (< 72 hours), yet many re-present to hospital or die within 1 year. Comprehensive Geriatric Assessment may improve patient outcomes for this group.

Method
Participants: Patients aged > 70 years and scoring positive on a risk screening tool ('Identification of Seniors At Risk') who are discharged within 72 hours of attending an AMU with a medical crisis, recruited prior to discharge. Sample size is 400. Carers of participants will also be recruited.

Intervention: Assessment on the AMU and further out-patient management by a specialist physician in geriatric medicine. Assessment and further management will follow the principles of Comprehensive Geriatric Assessment, providing advice and support to primary care services.

Design: Multi-centre, individual patient randomised controlled trial comparing intervention with usual care.

Outcome measurement: Follow up is by postal questionnaire 90 days after randomisation, and data will be entered into the study database by a researcher blind to allocation. The primary outcome is the number of days spent at home (for those admitted from home), or days spent in the same care home (if admitted from a care home). Secondary outcomes include mortality, institutionalisation, health and social care resource use, and scaled outcome measures, including quality of life, disability, mental well-being. Carer strain and well being will also be measured at 90 days.

Analyses: Comparisons of outcomes and costs, and a cost utility analysis between the intervention and control groups will be carried out.

Trial Registration
ISRCTN: ISRCTN21800480

Citation

Edmans, J., Conroy, S., Harwood, R., Lewis, S., Elliott, R. A., Logan, P., …Gladman, J. (2011). Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial. Trials, 12, Article 200. https://doi.org/10.1186/1745-6215-12-200

• Journal Article Type: Article
• Acceptance Date: Aug 24, 2011
• Online Publication Date: Aug 24, 2011
• Publication Date: 2011
• Deposit Date: Jun 28, 2024
• Publicly Available Date: Jul 10, 2024
• Journal: Trials
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 12
• Article Number: 200
• DOI: https://doi.org/10.1186/1745-6215-12-200
• Public URL: https://nottingham-repository.worktribe.com/output/36305991
• Publisher URL: https://trialsjournal.biomedcentral.com/articles/10.1186/1745-6215-12-200