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Table 2 Feasibility indicators of the G-COACH programme

From: How to implement geriatric co-management in your hospital? Insights from the G-COACH feasibility study

Indicators for management by inpatient geriatric co-management team Adherence
Reach, n (%) 137/151 (91%)
Correct stratification to intervention group, n (%)
 Low risk for functional decline 40/44 (91%)
 High risk for functional decline 53/60 (88%)
 Acute complication 7/33 (21%)
Patients in programme with follow-up by geriatrics nurse, n (%) 42/43 (98%)a
 Median number of days to start co-management (IQR) 2 (2)
 Start within 24 h of admission, n (%) 16/43 (37%)
 Start within 48 h of admission, n (%) 29/43 (67%)
 Start within 72 h of admission, n (%) 38/43 (88%)
 Median proportion of patients with appropriate follow-up (IQR) 0.50 (0.71)
 Patients with documented geriatric risks and complications in electronic patient record, n (%)b 43/43 (100%)
 Median proportion of geriatric risks accurately documented in electronic patient record (IQR) 0.80 (0.21)
Patients receiving co-management by geriatrician, n (%) 6/7 (86%)
 Median proportion of patients with appropriate follow-up (IQR) 1 (0.5)
 Median proportion of complications accurately documented in electronic patient record (IQR) 1 (1)
 Patients co-managed by geriatrician receiving medication review, n (%) 5/7 (71%)
 Documentation of precipitating factors for complications in electronic patient record, n (%) 6/7 (86%)
Indicators for management of geriatric risks and complicationsc
Patients at risk for functional decline receiving physical therapy, n (%) 50/60 (83%)
Patients at risk for functional decline performing an individual exercise program, n (%) 20/58 (35%)d
Patients with functional impairments receiving ADL training by an occupational therapist, n (%) 24/39 (62%)
Patients with mobility impairments have access to an ambulatory device on the unit, n (%) 25/29 (86%)
Patients at risk for malnutrition receiving nutritional therapy, n (%) 43/52 (83%)
Median proportion of accurate documentation of nutritional intake during meals (IQR) 0.73 (0.26)
Patients with potential discharge problems receiving discharge planning, n (%) 27/39 (69%)
Patients with potential cognitive impairment receiving cognitive assessment, n (%) 24/36 (67%)
Median proportion of DOSS observations in patients at risk for delirium (IQR) 0.56 (1)
Median proportion of DOSS observations in patients with delirium (IQR) 0.39 (0.58)
Appropriate use of oral laxative or enema for (risk of) obstipation, n (%) 5/6 (83%)
Patients remaining free from a urinary catheter if no indication is present, n (%) 54/60 (93%)
Median proportion of appropriate use of pain medication (IQR) 1 (0.42)
Median proportion of appropriate re-evaluation of pain within 1 h (IQR) 1 (0.81)
  1. Abbreviations: SD Standard deviation, IQR Interquartile range, DOSS Delirium Observation Screening Scale; a Numbers are based on patients who were reached by the programme, correctly stratified and had an active risk status that required follow-up by the inpatient geriatrics co-management team (11 patients did not require follow-up and were not included in the analysis); b Geriatric risks and complications included the presence or risk for functional decline, falls, cognitive decline, delirium, depression, malnutrition, obstipation, incontinence, urinary retention, pressure ulcers, pain, discharge problems, delirium, behavioural problems; c Indicators were scored for patients at risk for functional decline and for patients with complications; d Two missing data