Results
Frailty, constipation
ADVERSE EVENTS, SECONDARY
A total of 821 subjects were recruited with 405 being randomly assigned to the control group and 416 to the intervention group (Figure Study flow chart diagram.Clinical and functional values by treatment group.
Abbreviation: MMSE, Mini‐Mental State Examination.CAG of the participants was followed by the building of a care plan in the IG in all cases, although this was not the case for the implementation of the recommendations by the treating physician. In fact, 321 subjects within the intervention group complied with the recommendations given by the geriatric team, which represented 77.16% of that group sample, while the treating physician did not implement the care plan designed by the team in 95 (22.84%) participants.Regarding the primary outcome, the intervention showed a decrease in the risk of worsening the Barthel Index at 3 months after discharge ranging from 28% [OR (95% CI) 0.72 (0.51–1.01; Effect of intervention on the primary outcomes (odds of worsening of the Barthel index score and mortality) at 3 months per setting according to the intention‐to‐treat and per protocol analysis.
Abbreviations: Car, cardiology; CI, confidence interval; ER, emergency room; ES, elective surgery; OR, odds ratio; US, urgent surgery.According to the secondary outcomes (Table Effect of intervention on the secondary outcomes (odds of worsening of the Lawton index and FRAIL scale, re‐admissions and visits to the emergency room) at 3 months per setting according to the intention‐to‐treat and per protocol analysis.
Abbreviations: Car, cardiology; CI, confidence interval; ER, emergency room; ES, elective surgery; OR, odds ratio; US, urgent surgery.After this initial analysis, we separated our sample in order to explore the effect of the intervention on the participants depending upon the frailty tool which identified them as frail at baseline [(Frailty Phenotype or the FRAIL scale (Tables Intervention effect on the primary outcomes (odds of worsening of the Barthel index score and mortality) selecting those participants who were frail exclusively according to the frailty phenotype or the FRAIL scale.
Abbreviations: Car, cardiology; CI, confidence interval; ER, emergency room; ES, elective surgery; OR, odds ratio; US, urgent surgery.Additionally, we assessed the number needed to treat (NNT) to measure the effect of the intervention in those variables in which we found that the intervention had an impact. The estimated NNT for mortality was 44. In relation to the improvement in the Barthel and Lawton scales compared with control patients, the NNT were 19 and 13, respectively. Furthermore, the NNT to avoid a poor outcome in those same outcomes in IG than in the CG were 23 and 38, respectively.We detected 547 adverse events, 225 in 152 participants of the UCG and 322 in 209 participants of the IG. None of these adverse events were related to the intervention, nor motivated the exclusion of the study. Except for constipation (115/405 in UCG vs. 165/416 in IG; 