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综合老年评估干预对生活质量、照顾者负担和住院时间的影响：随机对照试验的系统评价和荟萃分析。

Effectiveness of comprehensive geriatric assessment intervention on quality of life, caregiver burden and length of hospital stay: a systematic review and meta-analysis of randomised controlled trials.

机构信息

Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Wuxi, Jiangsu Province, China.

Rongjun Hospital of Jiangsu Province, Wuxi, China.

出版信息

BMC Geriatr. 2021 Jun 21;21(1):377. doi: 10.1186/s12877-021-02319-2.

DOI:10.1186/s12877-021-02319-2
PMID:34154560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8218512/
Abstract

BACKGROUND: Comprehensive geriatric assessment (CGA) interventions can improve functional ability and reduce mortality in older adults, but the effectiveness of CGA intervention on the quality of life, caregiver burden, and length of hospital stay remains unclear. The study aimed to determine the effectiveness of CGA intervention on the quality of life, length of hospital stay, and caregiver burden in older adults by conducting meta-analyses of randomised controlled trials (RCTs). METHODS: A literature search in PubMed, Embase, and Cochrane Library was conducted for papers published before February 29, 2020, based on inclusion criteria. Standardised mean difference (SMD) or mean difference (MD) with 95% confidence intervals (CIs) was calculated using the random-effects model. Subgroup analyses, sensitivity analyses, and publication bias analyses were also conducted. RESULTS: A total of 28 RCTs were included. Overall, the intervention components common in different CGA intervention models were interdisciplinary assessments and team meetings. Meta-analyses showed that CGA interventions improved the quality of life of older people (SMD = 0.12; 95% CI = 0.03 to 0.21; P = 0.009) compared to usual care, and subgroup analyses showed that CGA interventions improved the quality of life only in participants' age > 80 years and at follow-up ≤3 months. The change value of quality of life in the CGA intervention group was better than that in the usual care group on six dimensions of the 36-Item Short-Form Health Survey questionnaire (SF-36). Also, compared to usual care, the CGA intervention reduced the caregiver burden (SMD = - 0.56; 95% CI = - 0.97 to - 0.15, P = 0.007), but had no significant effect on the length of hospital stay. CONCLUSIONS: CGA intervention was effective in improving the quality of life and reducing caregiver burden, but did not affect the length of hospital stay. It is recommended that future studies apply the SF-36 to evaluate the impact of CGA interventions on the quality of life and provide supportive strategies for caregivers as an essential part of the CGA intervention, to find additional benefits of CGA interventions.

摘要

背景：综合老年评估（CGA）干预措施可以提高老年人的功能能力并降低死亡率，但 CGA 干预对生活质量、照顾者负担和住院时间的影响仍不清楚。本研究旨在通过对随机对照试验（RCT）进行荟萃分析，确定 CGA 干预对老年人生活质量、住院时间和照顾者负担的影响。

方法：根据纳入标准，对 2020 年 2 月 29 日前发表的 PubMed、Embase 和 Cochrane Library 中的文献进行了检索。采用随机效应模型计算标准化均数差（SMD）或均数差（MD）及 95%置信区间（CI）。还进行了亚组分析、敏感性分析和发表偏倚分析。

结果：共纳入 28 项 RCT。总体而言，不同 CGA 干预模式中常见的干预内容为多学科评估和团队会议。荟萃分析显示，与常规护理相比，CGA 干预可改善老年人的生活质量（SMD=0.12；95%CI=0.03 至 0.21；P=0.009），亚组分析显示，CGA 干预仅在参与者年龄>80 岁且随访时间≤3 个月时改善生活质量。在 36 项简短健康调查问卷（SF-36）的六个维度中，CGA 干预组的生活质量变化值优于常规护理组。此外，与常规护理相比，CGA 干预可降低照顾者负担（SMD=-0.56；95%CI=-0.97 至-0.15；P=0.007），但对住院时间没有显著影响。

结论：CGA 干预在提高生活质量和降低照顾者负担方面是有效的，但对住院时间没有影响。建议未来的研究应用 SF-36 评估 CGA 干预对生活质量的影响，并为照顾者提供支持策略作为 CGA 干预的重要组成部分，以发现 CGA 干预的其他益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/8383384faf08/12877_2021_2319_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/b6c436463aff/12877_2021_2319_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/fa653cc92924/12877_2021_2319_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/ad723946d714/12877_2021_2319_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/c9188b6f8de9/12877_2021_2319_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/8383384faf08/12877_2021_2319_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/b6c436463aff/12877_2021_2319_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/fa653cc92924/12877_2021_2319_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/ad723946d714/12877_2021_2319_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/c9188b6f8de9/12877_2021_2319_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/854a/8218512/8383384faf08/12877_2021_2319_Fig5_HTML.jpg

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本文引用的文献

[1]
Consequences of chronic diseases and other limitations associated with old age - a scoping review.

BMC Public Health. 2019-11-1

[2]
RoB 2: a revised tool for assessing risk of bias in randomised trials.

BMJ. 2019-8-28

[3]
Factors related to health-related quality of life in older people with multimorbidity and high health care consumption over a two-year period.

BMC Geriatr. 2019-7-5

[4]
A randomized control trial of stress management for caregivers of stem cell transplant patients: Effect on patient quality of life and caregiver distress.

Psychooncology. 2019-5-25

[5]
[Caregiver burden among older informal caregivers of patients with dementia and its influence on quality of life : A systematic literature review].

Z Gerontol Geriatr. 2019-8

[6]
Quality of life and patient-reported outcomes.

Br J Surg. 2018-2

[7]
Geriatrician-performed comprehensive geriatric care in older adults referred to an outpatient community rehabilitation unit: A randomized controlled trial.

Eur J Intern Med. 2018-2-1

[8]
Comprehensive geriatric assessment for older people admitted to a surgical service.

Cochrane Database Syst Rev. 2018-1-31

[9]
What is Comprehensive Geriatric Assessment (CGA)? An umbrella review.

Age Ageing. 2018-1-1

[10]
Economic evaluations of comprehensive geriatric assessment in surgical patients: a systematic review.

J Surg Res. 2017-10

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