COMPrehensive geriatric AsseSSment and multidisciplinary team intervention for hospitalised older adults (COMPASS): a protocol of pragmatic trials within a cohort
Jaeyong Shin,
Chang Oh Kim,
Jee Hyun Kim,
Jung-Yeon Choi,
Kwang-il Kim,
Ji Yeon Lee,
Jin Won Kim,
Kwang Joon Kim,
In Gyu Hwang,
Yun-Gyoo Lee,
Su-Jin Koh,
Soojung Hong,
Sol-Ji Yoon,
Min-gu Kang
Affiliations
Jaeyong Shin
3 Department of Preventive Medicine and Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Korea (the Republic of)
Chang Oh Kim
2 Division of Geriatrics, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea
Jee Hyun Kim
Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea;
Jung-Yeon Choi
Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of)
Kwang-il Kim
Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of)
Ji Yeon Lee
Department of Internal Medicine, School of Medicine, Keimyung University, Daegu, South Korea
Jin Won Kim
Department of Internal Medicine and Division of Cardiology, Korea University Guro Hospital, Seoul, Korea
Kwang Joon Kim
Internal Medicine, Yonsei University College of Medicine, Seodaemun-gu, Korea
In Gyu Hwang
Internal Medicine, Chung-Ang University College of Medicine, Dongjak-gu, Seoul, Korea
Yun-Gyoo Lee
Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Su-Jin Koh
Hematology and Oncology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea
Soojung Hong
Internal Medicine, National Health Insurance Service, Ilsan Hospital, Goyang, Korea
Sol-Ji Yoon
Internal Medicine, Kangwon National University Hospital, Chuncheon, Kangwon, Korea
Min-gu Kang
Internal Medicine, Chonnam National University Bitgoeul Hospital, Gwang-ju, Korea
Introduction There is an increased demand for services for hospitalised older patients with acute medical conditions due to rapidly ageing population. The COMPrehensive geriatric AsseSSment and multidisciplinary team intervention for hospitalised older adults (COMPASS) study will test the effectiveness of comprehensive geriatric assessment (CGA) and multidisciplinary intervention by comparing it with conventional care among acute hospitalised older adults in Korea.Methods and analysis A multicentre trial within a cohort comprising three substudies (randomised controlled trials) will be conducted. The intervention includes CGA and CGA-based multidisciplinary interventions by physicians (geriatricians, oncologists), nurses, nutritionists and pharmacists. The multidisciplinary intervention includes nutritional support, medication review and adjustment, rehabilitation, early discharge planning and prevention of geriatric syndromes (falls, delirium, pressure sore and urinary retention). The analysis will be based on an intention-to-treat principle. The primary outcome is living at home 3 months after discharge. In addition to assessing the economic effects of the intervention, a cost-utility analysis will be conducted.Ethics and dissemination The study protocol was reviewed and approved by the ethics committees of Seoul National University Bundang Hospital and each study site. The study findings will be published in peer-reviewed journals. Subgroup and further in-depth analyses will subsequently be published.Trial registration number KCT0006270.
