Randomised trial of in-hospital geriatric intervention: impact on function and morale

I. Saltvedt (Corresponding Author), M. S. Jordhoy, E. S. Opdahl, Peter Fayers, S. Kaasa, O. Sletvold

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)


Background: In two previous publications, we have shown that treatment of acutely sick, frail elderly patients in a Geriatric Evaluation and Management Unit (GEMU) compared to treatment in the general Medical Wards (MW) reduced mortality and improved the chances of living at home in contrast to living in nursing homes or being dead. Objective: The aim of this presentation was to study the impact on function, symptoms of depression and general well-being of treatment in the GEMU as compared to treatment in MW. Methods: Acutely sick, frail patients aged >= 75 years, admitted as emergencies to the Department of Internal Medicine,were randomised either to treatment in the GEMU (n = 127) or the MW (n = 127). In the GEMU the treatment strategy emphasised comprehensive interdisciplinary assessment of all relevant disorders, prevention of complications and iatrogenic conditions, early mobilisation, rehabilitation and discharge planning. The control group received treatment as usual from the Department of Internal Medicine. After discharge neither group received specific follow-up. Activities of daily living (ADL), instrumental ADL, cognitive function, symptoms of depression and general well-being were assessed 3, 6 and 12 months after discharge from hospital. Results: There was no difference in function, depression or general well-being in the GEMU as compared to the MW group. If the dead were included in the analysis at the highest ADL dependency level, there was better function in the GEMU group at 3 months (p = 0.03). Conclusion: Treatment in the GEMU had no measurable beneficial impact on function, morale or symptoms of depression. Taken the previously shown mortality reduction into consideration an additional effect on function was less likely and the overall treatment effect was considered to be positive. Copyright (c) 2006 S. Karger AG, Basel.

Original languageEnglish
Pages (from-to)223-230
Number of pages8
Issue number4
Publication statusPublished - Jul 2006

Bibliographical note

The authors acknowledge the members of the staff in the Geriatric Evaluation and Management Unit for their enthusiasm and willingness during the study. The study was supported by the Norwegian Ministry of Health and Social Affairs and the Research Council of Norway.
No conflicts of interests have been declared.


  • geriatric
  • hospital
  • function
  • morale
  • randomised clinical trial
  • CARE


Dive into the research topics of 'Randomised trial of in-hospital geriatric intervention: impact on function and morale'. Together they form a unique fingerprint.

Cite this