Assessment Team Research Articles

Speckle tracking echocardiography in plasma cell disorders: the role of advanced imaging in the early diagnosis of AL (Light Chain) cardiac amyloidosis

Abstract Introduction Cardiac involvement is described as the most important prognostic factor in light chain amyloidosis. An early diagnosis is mandatory to customize the follow-up timing and the best treatment. The aim of the study was to identify the role of advanced echocardiography in the diagnosis of amyloid light chain cardiac amyloidosis (ALCA). Material and methods Seventy-seven patients were prospectively included in the study: 22 patients with biopsy proven ALCA, 28 patients with multiple mieloma, and 27 with monoclonal gammopathy of undetermined significance. All patients underwent first and second level imaging including Speckle Tracking and complete biochemical profile. Univariate and Multivariate analysis was applied to the best multi-chamber predictor assessed with Receiver Operating Curve analysis. Continuous variables were discretized and compared with different subgroups based on multiparametric imaging assessment using available AL score. Results Biochemical indices have been confirmed as the best predictors of ALCA. More specifically, high sensitivity troponin (hsTn) and N-terminal pro brain natriuretic peptide (NT-pro-BNP) showed an AUC of 0.88 and 0.91 respectively. Among left ventricular systolic function parameters, left ventricular longitudinal strain (AUC: 0.92); apical sparing pattern (AUC: 0.75) and relative wall thickness (RWT) (AUC: 0.88) showed the best diagnostic accuracy. Atrial parameters such as left atrial volume index (LAVI) (AUC: 0.74), left atrial stiffness (LAS) (AUC: 0.82) and inter-atrial septum diameter (AUC: 0.75) showed a good diagnostic accuracy in ALCA (Figure 1). LAS and AL score maintained their diagnostic value in the multivariate model analysis (B=2,16; p=0,01 and B= 0,72; p<0.01 respectively). However, only LAS, with a cut off value of 0.65, was able to discriminate ALCA when AL score was not detrimental (P<0.001). Conclusion ALCA diagnosis often relies only on the biochemical profile. A comprehensive cardiac evaluation by a multiparametric imaging approach with LAS estimation is mandatory to ensure early diagnosis and a prompt treatment through a multidisciplinary team assessment. Funding Acknowledgement Type of funding sources: None.

TAVI versus SAVR in intermediate-risk patients with severe aortic stenosis and chronic kidney disease: a matched comparison in a subcohort from the GARY registry

Abstract Background According to American and recent European guidelines, both transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) may be used to treat severe aortic stenosis in a subgroup of patients with intermediate surgical risk, in spite of slight differences in recommended age limits (ACC/AHA: 65–80 years and ESC/EACTS: <75 years). A shared therapeutic decision is made with the patient, based on a heart team assessment. For this, individual factors should be taken into account. Concomitant chronic kidney disease (CKD) is a prognostic factor in such patients, and CKD stage ≥3a and ≥3b has been shown to be a significant independent risk factor for SAVR and TAVI, respectively. Purpose To compare TAVI vs. SAVR outcomes in a subgroup of patients for whom both therapies could possibly be considered according to current guidelines. Methods The large nation-wide German Aortic Valve Registry (GARY) includes data from patients treated with TAVI or SAVR. A subcohort of patients from GARY with intermediate surgical risk (age ≤80 years, STS-score 4–8) and moderate-to-severe chronic kidney disease (CKD stages 3a, 3b, and 4) was selected. A matched analysis of 704 patients undergoing TAVI and 374 undergoing SAVR was carried out using a propensity score method. Primary endpoint was 1-year survival. Clinical complications and specifically the need for postprocedural new-onset dialysis were secondary endpoints. Results TAVI and SAVR showed similar survival results at 1 year in a Kaplan-Meier analysis (HR [95% CI] for TAVI: 1.271 [0.795,2.031], p=0.316). Despite a numerically higher post-procedural short-term survival in TAVI patients and a numerically higher 1-year survival in SAVR patients, such differences did not reach statistical significance (96.4% vs. 94.2%, p=0.199, and 86.2% vs. 81.2%, p=0.316, respectively). In weighted analyses, need for permanent pacemaker, vascular complications, and moderate-to-severe valvular regurgitation were significantly more common with TAVI, whereas patients undergoing SAVR had significantly higher rates of myocardial infarction, and transient ischaemic attack, needed more transfusions for bleeding, and had a significantly longer intensive care unit stay and overall hospital stay. The need for new-onset dialysis for a limited time was more common after SAVR (p<0.0001); however, very few patients required chronic dialysis either after TAVI or after SAVR. Conclusion In a matched analysis of intermediate-risk patients with severe aortic stenosis and a concomitant moderate-to-severe CKD, for whom both TAVI and SAVR could possibly be considered, both approaches showed excellent and comparable results. Funding Acknowledgement Type of funding sources: Other. Main funding source(s): The registry receives financial support in the form of unrestricted grants by medical device companies (Edwards Lifesciences, JenaValve Technology, Medtronic, Sorin, St. Jude Medical, Symetis S.A.).In addition, there is unrestricted support by funding statisticians by the DZHK (Deutsches Zentrum für Herz-Kreislaufforschung).

308 A Geriatric Emergency Medicine Assessment Team Reduces Hospital Length of Stay through Faster Discharge to Subacute Rehabilitation

308 A Geriatric Emergency Medicine Assessment Team Reduces Hospital Length of Stay through Faster Discharge to Subacute Rehabilitation

Measuring the impact of simulation debriefing on the practices of interprofessional trauma teams using natural language processing

BackgroundNatural language processing (NLP) may be a tool for automating trauma teamwork assessment in simulated scenarios. MethodsUsing the Trauma Nontechnical Skills Assessment (T-NOTECHS), raters assessed video recordings of trauma teams in simulated pre-debrief (Sim1) and post-debrief (Sim2) trauma resuscitations. We developed codes through directed content analysis and created algorithms capturing teamwork-related discourse through NLP. Using a within subjects pre-post design (n = 150), we compared changes in teams' Sim1 versus Sim2 T-NOTECHS scores and automatically coded discourse to identify which NLP algorithms could identify skills assessed by the T-NOTECHS. ResultsAutomatically coded behaviors revealed significant post-debrief increases in teams' simulation discourse: Verbalizing Findings, Acknowledging Communication, Directed Communication, Directing Assessment and Role Assignment, and Leader as Hub for Information. ConclusionsOur results suggest NLP can capture changes in trauma team discourse. These findings have implications for the expedition of team assessment and innovations in real-time feedback when paired with speech-to-text technology.

Tailored surgery in chronic pancreatitis after implementation of a multidisciplinary team assessment; a prospective observational study

IntroductionOptimal management of chronic pancreatitis involves several specialties. Selection of patients for surgery may benefit from evaluation by a multidisciplinary team (MDT), similar to cancer care. The aim of this study was to evaluate outcomes in patients selected for surgery after MDT decision. MethodsA prospective, observational study of consecutive patients operated for pain due to chronic pancreatitis after implementation of a MDT. The main outcome was Quality of life (QoL) assessed by EORTC-QLQ C30 and pain relief in patients followed >3 months. Complications were registered and predictive factors for pain relief analyzed. ResultsOf 269 patients evaluated by the MDT, 60 (22%) underwent surgery. Postoperative surgical complications occurred in five patients (8.3%) and reoperation within 30 days in two. There was no 90-days mortality. Complete or partial pain relief was achieved in 44 of 50 patients followed >3 months (88%). Preoperative duration of pain predicted lower probability of success. Postoperative improvement in QoL was most prominent for pain, appetite and nausea. ConclusionsAfter MDT evaluation, one in five patients was selected for surgery. Pain relief was obtained in a majority of patients with improved QoL. A tailored approach through a MDT seems warranted and efficient.

Palliative Care Outcome Scale Assessment for Cancer Patients Eligible for Palliative Care: Perspectives on the Relationship between Patient-Reported Outcome and Objective Assessments.

(1) Background: The importance of patient-reported outcome (PRO), i.e., prioritizing patient voice, has increased in cancer treatment, as well as palliative and supportive settings. The Integrated Palliative Care Outcome Scale (IPOS), a hybrid evaluation consisting of “patient evaluation” (PRO) and “peer evaluation” by medical professionals, was developed as a successor version of the Support Team Assessment Schedule (STAS) in 2013 and has been utilized worldwide. The Japanese version of the IPOS (IPOS-J) was developed and released in 2019. The purpose of this study was to explore the applicability of the IPOS-J to clinical practice in the future. (2) Methods: We conducted the following two studies with terminally ill cancer patients: (i) Can an evaluation with the IPOS-J performed by medical professionals (peer evaluation) replace the STAS-J evaluation? (ii) Can the quality of palliative care improve by combining the IPOS-J patient evaluation with the peer evaluation? (3) Results: The overall intervention rate and urgent intervention rate for the STAS-J and IPOS-J was 34.4 vs. 34.1% (p = 0.91) and 10.4 vs. 9.9% (p = 0.78), respectively. The patients selected “intervention required” but the medical professionals selected “no intervention required” in 47 cases. The medical team performed appropriate intervention after re-assessment. As a result, more than 70% of the patients were “intervention-free” after 1 week of intervention. (4) Conclusions: The IPOS-J peer evaluation was as useful as the STAS-J evaluation. A hybrid type of evaluation, combining patient evaluation (PRO) and peer evaluation, may help us to understand patient needs and improve the quality of palliative care.

Prevalence of Autism Spectrum Disorder (ASD) in all Individuals Diagnosed with Down Syndrome (DS): A Systematic Review and Meta-analysis Protocol

Background: Traditionally, autism spectrum disorder in people with Down syndrome was believed to be uncommon. This misconception is rooted in the challenges that a dual diagnosis poses. In fact, evidence indicates that children with Down syndrome are at risk for autism spectrum disorder with a potentially higher prevalence than the typically developing population. The purpose of this review is to determine the reported prevalence rate of autism spectrum disorder in all individuals with Down syndrome in comparison to the prevalence rate of autism spectrum disorder in the typical population when specific diagnostic tools are used. Methods: A systematic review will be conducted of the prevalence and incidence data and perform a meta-analysis of these results. This study will consider all studies that reported on children and adults with an existing diagnosis of Down syndrome and diagnosed by the standardized assessments for autism spectrum disorder. The diagnoses made by team assessment (psychologist, psychiatrist & developmental pediatrician) will also be considered according to DSM-III, DSM-IV or DSM-V criteria for diagnosing autism spectrum disorder or if they use autism spectrum disorder screeners. Studies will be considered from all countries that have data reporting prevalence on this topic. The language restrictions will not be applied attempting to translate studies that are not in English. The five databases (MEDLINE, Embase, PsychINFO, Scopus, and CINAHL) will be searched. Two reviewers will conduct all screening and data extraction independently. The articles will be categorized according to key findings and a critical appraisal performed. Discussion: The results of this review will bring increased awareness of the presence of autism spectrum disorder in individuals with Down syndrome. In doing so, this may facilitate a recommendation for screening and diagnosis of autism spectrum disorder in all individuals with Down syndrome. Based on the research demonstrating the benefits of early identification and intervention on the outcomes of children with autism, we anticipate similar benefits in this population. This will guide the allocation of resources and direct future research.

Learning from Error in Violence Prevention: A School Shooting as an Organizational Accident

This article argues that the organizational structure and culture of schools may impede the prevention of violence in America’s schools, specifically threat assessment and management for students of concern. The data come from a qualitative case study of a school shooting where two students died; the data include deposition testimony from 12 school officials and more than 4,000 pages of school and law enforcement records. The findings illustrate the way the school’s organizational structure and culture shaped and hindered violence prevention practices. The tightly coupled guidelines for threat assessment created an institutional myth of safety and a false sense of security for the school and district, and the loosely coupled structure of the organization led educators to modify guidelines and make decisions about the student’s behavior problems and discipline without consulting others. The school’s culture of autonomy for staff and fresh start mentality for students created unintentional secrets about the history of the student’s difficulties, which gave educators little context for understanding the problem behaviors they observed and inhibited the threat assessment team’s ability to adequately evaluate and monitor those behaviors. Recommendations for building organizational structures and cultures that support violence prevention in schools are discussed.

Location of disaster assessment UAVs using historical tornado data

Preparing and responding to disasters is a complicated task. One must balance coverage of SAR resources versus preparation cost. This article presents a method and solution to prepositioning UAV damage assessment and search teams in Oklahoma using historical tornado data. The approach is based on set covering and multi-station vehicle routing models. It also presents a method to robustify the solution in the event a UAV team cannot be activated to respond to the disaster. This can simulate a team unable to respond. Results show 70% more stations and teams being required when chance of a depot failure goes from 0 to 5% and 90% more stations required when 0–10%. We find that when trying to use a solution that does not account for depot failure, the system of UAVs cannot meet search completion targets in 3–4% of cases. These results demonstrate accounting for the chance of teams not being able to respond to domestic disasters is important and failing to do so means an increased chance of not being able to respond adequately to disasters and incorporating the chance of station failure has a profound impact on the number of stations needed.

Epidemiology of cerebral palsy among children in the remote Gorkha district of Nepal: findings from the Nepal cerebral palsy register

Purpose To describe the epidemiology of cerebral palsy (CP) among children in Gorkha, Nepal. Methods We established the first population-based register of children with CP aged <18 y in Gorkha, Nepal (i.e., Nepal CP Register). Children with suspected CP underwent detailed neurodevelopmental assessment by a multidisciplinary assessment team. Socio-demographic, etiology, motor severity, rehabilitation, and educational status were documented. Results Between January and October 2018, 182 children with confirmed CP were registered (mean (standard deviation (SD)) age: 10 years 1 months (4 years 10 months), 37.4% females). The majority (88.3%) had CP acquired pre- or perinatally. Mean (SD) age of CP diagnosis was four years five months. Mothers who did not receive any formal schooling had 4.5, 3.1, and 6.3 times higher odds of having inadequate antenatal care, homebirth, and unskilled birth attendants, respectively, when adjusted for other factors. Most children had spastic CP (77.5%) and Gross Motor Function Classification System level III-V (54.9%). Overall, 45.8% had never received rehabilitation services, 58.0% of school-aged children were not attending schools. The median age of receiving rehabilitation services was three years zero months. Conclusions The delayed diagnosis and clinical severity indicate the overall poor health status of children with CP in Nepal which could be improved by ensuring early diagnosis and intervention. Implications for rehabilitation The first population-based cerebral palsy register in Nepal suggests diagnosis of CP is considerably delayed among children. The high burden of severe motor impairment and poor communication skill with limited access to timely rehabilitation among children with CP in Nepal is concerning. Capacity development of community-based health workers and mothers of children with CP could help implementing community-based programs for prevention and early diagnosis of CP, and to promote early intervention for children with CP in remote Gorkha, Nepal.

Pemilihan Komandan Komando Distrik Militer Menggunakan Metode WASPAS

At the Military District Command Defense Agency (Kodim) 0201/BS Medan, it requires a Decision Support System (SPK) by applying the web-based Weighted Aggregated Sum Product Assessment (WASPAS) method in the selection process for the Commander of the 0201/BS Medan Kodim. Previously, the selection process was done manually, there were often obstacles in the process of calculating data, assessing, and storing data for each TNI personnel. The process of calculating numbers and data takes quite a long time for the members of the assessment team, so that it has an impact on the selection process that is less than optimal and can affect decision making that must be accurate and fast. The solution to overcome this problem is to create an SPK using the web-based WASPAS method. The purpose of this study is as a recommendation to assist the leadership in selecting the Candidate for the Commander of the Military District Command (Kodim) 0201/BS Medan, quickly even though the data processed is quite large. The calculation results obtained the top 5 alternatives, namely Bina Satria (A7), Azwar (A10), Soni Putrawan Ginting (A3), Agus Miadi (A4), Nirmawan (A2). The ranking after being sorted from the highest Qi value is 0.818261515 under the name of Bina Satria and the lowest Qi value is 0.690876555 under the name of Sabur Utomo

A patient navigation model to improve complex wound care outcomes.

In Brief The authors created a blended model to navigate interprofessional team assessments of patients with complex wounds. This model benefited patients and improved health care system utilization with projected cost savings.

A Patient Navigation Model to Improve Complex Wound Care Outcomes.

To create a blended format model to navigate interprofessional team assessments of patients with complex wounds during COVID-19 as a quality improvement process. During clinical assessments, patients were interviewed in their homes with representation from their circle of care and primary nurse on site linked to a live virtual interprofessional blended remote team model (wound care nurse specialist, advanced wound care doctor). Eligible patients had completed a wound care clinical pathway without wound closure. Palliative patients with complex wounds and patients without precise/accurate diagnoses were also included. This process addressed the components of Wound Bed Preparation 2021: manage the cause, address patient-centered concerns, determine the ability to heal, optimize local wound care, and evaluate outcomes on an ongoing basis. Since April 2020, 48 patients were referred to the Home and Community Care Support Services patient navigation interprofessional team. Patients' home-care services were initiated between 2012 and 2021. The team provided closure in 29% of patients and the wound surface area reduced in 66%. Pain was reduced in 73% of patients and appropriate infection management was implemented in 79%. In addition, nursing visits were reduced by 73% and there was a 77% decrease in supply usage. This project validated the Wound Bed Preparation Paradigm 2021 as a process for assessing patients with complex wounds using a blended virtual and home-based assessment. Patient navigation with this blended model benefited patients and improved healthcare system utilization with projected cost savings.

Implementation of Ship Certificate Extension Policy in the Effort to Support the Ship Operation Process at Kesyabandaran Utama Office Tanjung Perak Surabaya

Services and performance in order to improve the quality of ship certificate renewal activities in an effort to support the process of ship operational activities at the Tanjung Perak Surabaya Main Port Office requires an assessment of the completeness of shipworthiness by the Marine Inspector (MI) as the assessment team and ship verification as a means of assisting the issuance of ship certificate extensions. The purpose of this study is to describe and analyze Policy Implementation as well as the supporting and inhibiting factors in the Extension of Ship Certificates, as an Effort to Support the Process of Ship Operations at the Tanjung Perak Main Harbor Office Surabaya. This qualitative research analyzes the Policy for the Extension of Ship Certificates, in an Effort to Support the Process of Ship Operations by using the Van Mater and Van Horn policy implementation theory. Collecting data in this study using interviews, documentation and observation. The results of the study show that the extension of the Vessel Certificate is very much needed by service company agents in various parts of Indonesia, but in its operation there are still many obstacles that must be watched out for, namely the data from the investigation by the Marine Inspector (MI) on the ship owner, the captain who still has many weaknesses in supervision is due to inadequate human resources and lack of understanding from users, making it difficult for implementing officers, so that it refers to the Van Metter and Van Horn theory, that the implementation of the policy of extending ship certificates in an effort to support the process of ship operational activities at the Tanjung Perak Surabaya Main Port Office has not been optimal .

Psychiatric diagnostic dilemmas among people with intellectual and developmental disabilities.

Research regarding the accuracy of co-morbid psychiatric diagnoses in individuals with intellectual and developmental disabilities (IDD) is sparse. Yet correct diagnostic assignment is vital so that effective and appropriate treatment can be implemented, especially for the large numbers of individuals requiring expensive and restrictive behavioural health crisis services. A retrospective review of de-identified data from multidisciplinary specialty team assessments completed for 50 individuals with ID (IntellectualDisability) with and without ASD and unresolved behavioural health challenges was conducted. The accuracy and reliability of the psychiatric diagnoses upon referral were compared with the diagnoses after the comprehensive team evaluation, and within-individual diagnostic agreement was calculated. The agreement between the Mood and Anxiety Semi-Structured interview tool (MASS) and the full team evaluation was also calculated. The influence of demographic and clinical characteristics on diagnostic agreement was explored. The most common chief complaints upon referral were aggression to others and self-injurious behaviour. Individuals were taking a median of six medications (interquartile range: 5 to 7); 80% were taking an antipsychotic medication. The most common medical conditions were constipation (70%) and gastroesophageal reflux disease (52%). Measures of interrater reliability of the referral diagnoses with the team assessment were below 0.5 (kappa range: -0.04 to 0.39), with the exception of ruling out dementia (kappa=0.85). The interrater reliability estimates for the MASS evaluations for depression and anxiety were higher (kappa=0.69 and 0.64) and reflected higher sensitivity and PPV. The odds of any referral diagnosis being confirmed by team evaluation were low: 0.25 (range: 0 to 0.67). The level of diagnostic agreement for each patient was not significantly attributable to demographic or clinical characteristics, although effect sizes indicate a possible positive relationship to age and the number of prescribed psychotropic medications at referral. Individuals in the current study had serious psychiatric and behavioural problems despite psychiatric care in their communities. The majority of psychiatric diagnoses provided upon referral were not supported by the multidisciplinary specialty team's assessment. In addition to possible diagnostic inaccuracy, the group in the study suffered from multiple medical co-morbidities and were exposed to polypharmacy. Results emphasise the importance of multidisciplinary evaluation by clinicians with expertise in neurodevelopmental disabilities when people with ID with and without ASD have complex behavioural health needs that are unresponsive to usual care. In addition, based on agreement with the full team evaluation, the MASS shows promise as an assessment tool, especially with regards to identifying anxiety and depression.

The PlaceMarker Survey: A Place-Based Tool for Supporting the Monitoring and Appraisal of River-Related Projects and Natural Capital Assessments

The PlaceMarker Survey is an operational tool to support the delivery of the core aims of England’s Environment Agency (EA) in helping to increase resilience to climate change, manage flood risk, and create a better place for people and wildlife. It was developed in response to a recognised need by the EA’s National Environmental Assessment and Sustainability (NEAS) team for a broad-based survey undertaken in the field to get to know the site and prior to more specialist surveys. The key aim of the survey is to capture in a systematic and consistent way the character and condition of a place where river-related projects such as flood risk management and river restoration schemes are proposed to inform discussions around the design and planning of a project and provide the baseline for future place-based monitoring. The tool comprises: a Study Area Survey and one or more River Surveys, which provide measurements to generate metrics and information to support assessments of Habitat and Biodiversity, Landscape, Amenity, and Heritage. Data are stored, analysed, retrieved, shared, and displayed through a web-based information system. It is intended that a PlaceMarker Survey will be conducted on at least three occasions in the lifetime of a project or asset: pre-inception of a project to understand the broad environmental baseline and assist in the design of a scheme; immediately post-project to confirm the “as-built condition”; and post-recovery from the works to monitor the environmental response to interventions at the site. Tracking the assessments over time informs evaluations of environmental enhancements and supports decision-making around adaptive management.

TH6.7 Direct Streaming of Acute Surgical Patients to an Advanced Nurse Practitioner-led Service: A Prospective Audit of a Pilot Service to Improve Patient Flow

AimsThe ongoing uncertainty of the COVID-19 pandemic and recovery to re-establish elective services presents a major challenge to the NHS. Patient flow and bed capacity is now a priority for acute hospitals. We have implemented a new service model aimed at improving patient flow from A&E, where acute surgical patients are triaged and referred directly to the Advanced Nurse Practitioner (ANP) team for assessment and management. A criterion based on the presenting complaint and clinical observations was developed to identify suitable patients. The utilisation of this service was audited for its safety and impact on the Emergency General Surgical provision.MethodsThe setting is a busy University Teaching Hospital with a diverse catchment population of 75,000. A prospective audit identified the number of patients utilising the new care pathway and details of any adverse events or delays in treatment identified. All patients presenting with a General Surgical condition were included.ResultsBetween August and December 2021, 361 patients were referred directly from A&E (81% within first 2 hours of presentation) to the surgical ANP team for assessment. Of these, 85 (24%) were admitted for emergency treatment and 276 (76%) were discharged the same day for either ambulatory or outpatient follow-up, or back to Primary Care. There were no adverse events identified during the audit period.ConclusionDirect streaming of acute surgical patients within a defined criteria to an ANP-led service is safe and effective in helping to improve patient flow and experience within an acute care model.

COMPrehensive geriatric AsseSSment and multidisciplinary team intervention for hospitalised older adults (COMPASS): a protocol of pragmatic trials within a cohort

IntroductionThere 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...

Canadian clinical capacity for fetal alcohol spectrum disorder assessment, diagnosis, disclosure and support to children and adolescents: a cross-sectional study

ObjectiveCanadian fetal alcohol spectrum disorder (FASD) guidelines encourage an age-specific interdisciplinary diagnostic approach. However, there is currently no standard-of-care regarding FASD diagnosis disclosure and few studies document Canadian FASD clinical...

Exploring the Care Experience of a Comprehensive Geriatric Assessment Team in the Management of Debilitating Syndromes in Older People

This study was conducted to investigate the clinical effects of applying the integrated geriatric assessment team approach on the care of elderly patients with debilitating syndromes. This study was conducted in Xi’an Jiaotong University hospital from January 2021 to January 2022. Around 50 patients with the geriatric debilitating syndrome were selected and retrospectively were analyzed, and psychiatrists, geriatric nurses, pharmacists, medical specialists, physiotherapists, and dieticians were selected to form a comprehensive geriatric assessment team. The patients were then assessed, a treatment plan was developed, and care was provided according to the actual situation, and the effectiveness of the clinical intervention was analyzed. This study demonstrated that, of the 50 patients in this study, the longest hospital stay was 15 days, while the shortest was 4 days, and the average length of stay was 10.23±4.37 days. Around 40 of the patients were able to eat on their own and consume food as prescribed, with a compliance rate of 80%, showing the effectiveness rate of the geriatric assessment team. In summary, the use of a comprehensive geriatric assessment team to treat and care for patients with debilitating syndromes in the elderly is an effective way, and this can significantly improve the life quality of the patients.