Comprehensive Geriatric Assessment for Frail Older People in Swedish Acute Care Settings (CGA-Swed)

Research project
Active research
Project owner
Institute of Neuroscience and Physiology

FORTE, ALF, Regionala FoU, Konung Gustaf V:s och Drottning Victorias Frimurarestiftelse

Short description

The aim is to evaluate if Comprehensive Geriatric Asessment (CGA) in Swedish acute hospital care leads to
1) maintained independence in daily activities, functional level, health related quality of life and life satisfaction
2) increased satisfaction with care and reduced healthcare consumption.
The study is a randomized controlled trial, which targets people who are 75 years and older who seek acute hospital care (1, 2). Inclusion of participants started in March 2016 and the last follow-up was completed in January 2020. CGA comprises care in a geriatric ward, by a multidisciplinary team who do a holistic assessment of the frail older person’s needs, provide care and treatment during the hospital stay, and plan for discharge. Through this way of working, frail older people could receive care that is adapted to their needs (3). 


(1) Comprehensive geriatric assessment pilot of a randomized control study in a Swedish acute hospital: a feasibility study. 
Westgård T, Ottenvall Hammar I, Holmgren E, Ehrenberg E, Wisten A, Ekdahl Al, Dahlin-Ivanoff S, Wilhelmson K
Pilot and Feasibility Studies 2018 Jan;4:41

(2) Comprehensive Geriatric Assessment for Frail Older People in Swedish Acute Care Settings (CGA-Swed) – a Randomised Controlled Study.
Wilhelmson K, Andersson Hammar I, Ehrenberg A, Niklasson J, Eckerblad J, Ekerstad N, Westgård T, Holmgren E, Dahlin Ivanoff S.
Geriatrics 2020, 5(1), 5;

(3) Feeling Respected as a Person: a Qualitative Analysis of Frail Older People’s Experiences on an Acute Geriatric Ward Practicing a Comprehensive Geriatric Assessment
Westgård T, Wilhelmson K, Dahlin-Ivanoff S,  Ottenvall Hammar I.
Geriatrics 2019, 4, 16;

(4) Positive effects on activities of daily living one year after receiving comprehensive geriatric assessment – results from the randomised controlled study CGA-Swed
Wilhelmson, K., Andersson Hammar, I., Westgård, T. et al.
BMC Geriatr 22, 180 (2022).

(5) Comprehensive geriatric assessment is associated with increased antidepressant treatment in frail older people with unplanned hospital admissions— results from the randomised controlled study CGA-Swed.
Westgård T, Andersson Hammar I, Wilhelmson K, Waern M.
BMC Geriatr 2022 5;22(1):645.

(6) Frail older people with decreased cognition can perceive reduced self-determination in self-care and social relationships
Andersson Hammar I, Westgård T, Dahlin-Ivanoff S, Wilhelmson K.
BMC Geriatr. 2024 Jan 3;24(1):7. doi: 10.1186/s12877-023-04492-y.