Geriatric Management Research Articles

Implementation of a Multidisciplinary Preoperative Protocol for Geriatric Hip Fractures Improves Time to Surgery at a Level III Trauma Center.

Hip fractures are common among the elderly, and delays in time to surgery (TTS) and length of stay (LOS) are known to increase mortality risk in these patients. Preoperative multidisciplinary protocols for hip fracture management are effective at larger trauma hospitals. The purpose of this study is to evaluate the effect of a similar multidisciplinary preoperative protocol for geriatric hip fracture patients at our Level III trauma center. In this single-center retrospective study, patients aged 65 and older who were admitted from March 2016 to December 2018 (pre-protocol group, Cohort #1, n = 247) and from August 2021 to September 2022 (post-protocol group, Cohort #2, n = 169) were included. Demographic information, TTS, and LOS were obtained and compared using Student's t-test and Chi-square testing. There was a significant decrease in TTS in Cohort #2 compared to Cohort #1 (P < .001). There was a significant increase in LOS in Cohort #2 compared to Cohort #1 (P < .05), but when comparing a subset of Cohort #2 (Subgroup 2B, patients admitted from May to September 2022 when the effects of COVID-19 were likely dissipated) to Cohort #1, there was no significant difference in LOS (P = .13). For patients admitted to skilled nursing facilities (SNF), LOS in Cohort #2 was significantly longer than in Cohort #1 (P = .001). In general, Level III hospitals have fewer perioperative resources compared to larger Level I hospitals. Despite this fact, this multidisciplinary preoperative protocol effectively reduced TTS which improves mortality risk in elderly patients. LOS is a multifactorial variable, and we believe the COVID-19 pandemic was a significant confounder that reduced available SNF beds in our area which prolonged the average LOS in Cohort #2. A multidisciplinary preoperative protocol for geriatric hip fracture management can improve efficiency of getting patients to surgery at Level III trauma centers.

Cost-utility of geriatric assessment in older adults with cancer: Results from the 5C trial.

12012 Background: Geriatric assessment is a guideline-recommended approach to optimize cancer management in older adults. We conducted a cost-utility analysis alongside the recently published 5C randomized controlled trial to compare geriatric assessment and management (GAM) with usual care in older adults with cancer. Methods: The economic evaluation was conducted from a societal perspective, using a 12-month time horizon. The 5C study enrolled patients age 65+ from 8 Canadian hospitals and randomly assigned them to receive GAM or usual care. Patients were initiating systemic therapy with curative or palliative intent. Quality-adjusted life years (QALYs) were measured using the EQ-5D-5L questionnaire. Healthcare utilization was evaluated using cost diaries and chart reviews. The primary outcome, an incremental monetary benefit (INMB), was evaluated for the full sample and for preselected subgroups. Multiple imputation was used to account for missing data. The 95% confidence intervals (CI) were computed using bootstrapping. Results: The study included 350 patients, of which 173 received GAM and 177 received usual care. At 12 months, the average QALYs per patient were 0.747 and 0.753 for GAM and usual care respectively (ΔQALY = -0.006, 95%CI: -0.06 to 0.05). The total average costs per patient were $48,397 and $45,342 for GAM and usual care (ΔCost = $3,078 (95% CI: -$5,336 to $12,050). At a cost-effectiveness threshold of $50,000/QALY the INMB was negative (-$3,962; 95% CI: -$7,117 to -$794) meaning that GAM was not cost-effective compared to usual care. In a subgroup analysis the INMB was positive ($4,639, 95% CI: $61 to $8,607) for patients treated with curative intent, and the intervention was cost effective in 78% of simulations, but remained negative (i.e. not cost-effective) for patients treated with palliative intent (INMB -$13,307, 95% CI -$18,063 to -$8,264). Conclusions: This is the first cost-utility analysis of GAM in cancer. The findings showed that GAM was cost-effective for cancer patients treated with curative intent but not for patients with palliative intent. Although the primary results of the 5C trial were negative, extrapolating our costing data to positive GAM trials like GAIN, GAP70, and INTEGERATE will provide a more complete picture of the cost effectiveness of GAM in this setting. Clinical trial information: NCT03154671 .

Recommendations of the International Society of Geriatric Oncology on skin cancer management in older patients

IntroductionNon-melanoma skin cancer (NMSC) is becoming ever more prevalent among older adults. However, older adults with NMSC are often underrepresented in clinical trials and guidelines on effective management is still unclear. The International Society of Geriatric Oncology (SIOG) created a multi-disciplinary task force to explore the potential in developing practical guidelines for the treatment of older patients with basal cell carcinoma (BCC) and skin (cutaneous) squamous cell carcinoma (cSCC). Materials and MethodsA systematic literature search to identify relevant and up-to-date literature on treatment of NMSC in older adults was conducted on various databases including MEDLINE, Embase, CINAHL, Cochrane, and PubMed. The resulting papers were discussed by an expert panel, leading to a consensus recommendation. ResultsA total of 154 articles were identified for the expert panel to utilise in generating consensus recommendations. A major focus on geriatric assessment and management options including surgery, radiotherapy, systemic therapy, clinical monitoring, and medical/medicophysical therapy were reviewed for recommendations. DiscussionPatient age should not be the sole deciding factor in the management of patients with NMSC. Assessment from a multidisciplinary team (MDT) is crucial, and the decision-making process should consider the patient's lifestyle, needs, and expectations. A comprehensive geriatric assessment should also be considered. Patients should feel empowered to advocate for themselves and have their views considered a part of the MDT discussion.

Patient safety for people experiencing advanced dementia in hospital: A video reflexive ethnography.

Patient safety for people experiencing dementia in acute hospitals is a global priority. Despite national strategies as well as safety and quality guidelines, how safety practices are enacted within the complexities of everyday work are poorly understood and articulated. Using video reflexive ethnography, this 18-month study was conducted within an inpatient geriatric evaluation and management unit for people experiencing dementia and/or delirium in Australia. Patients, family members, and staff members participated by: allowing researchers to document fieldwork notes and video-record their practices and/or accounts thereof; and/or interpreting video-recordings with researchers to co-analyse and make sense of the data. Safe care for people experiencing advanced dementia involved: negotiating risk via leadership, teamwork, and transparency; practice-based learning through situated adaptation; managing personhood versus protocols by doing the 'right' thing; joyful and meaningful work; as well as incorporating patient and family voices to do safety together. Patient safety for people experiencing dementia requires continuous responsiveness and prioritising in the context of multiple risks by a staff collective with a shared purpose. Ongoing research to better understand how the nuances of patient safety unfold in everyday complex clinical realities in diverse contexts and with key stakeholders is required.

Policy requirements in promoting older people health care in Iran: A qualitative study.

The demographic structure of Iran as a developing country has undergone various changes in recent years. Therefore, the present study sought to analyze policy and upstream documents related to the older people health in Iran in order to identify and analyze the requirements considered by health policymakers to promote the older people health in Iran. This is a qualitative study conducted in 2021 through national qualitative document analysis. All upstream documents published and related to older people health were reviewed between February 1979 and October 2021. The Scott's four-step method was used to extract the related documents. Policy requirements for promoting older people healthcare in Iran were categorized into 4 main themes in the form of a conceptual framework and 15 sub-themes. Thus, in order to ensure the health of the older people in Iran, it is necessary to take into account the four categories of managerial requirements, financing, infrastructures, and providing older people services. In other words, the sustainable financing requirements and the infrastructural requirements should firstly exist together as basic requirements. Then, geriatric health management requirements are needed to provide the older people health services along with the previous requirements and finally ensure the health of the older people in Iran. The results of this study can be helpful in the review of upstream older people health policy documents by policy makers in order to better promote the health of the older people and pave the way for new policies to enter the agenda of policy makers.

Cost-Effectiveness and Value of Information Analysis of an Ambient Intelligent Geriatric Management (AmbIGeM) System Compared to Usual Care to Prevent Falls in Older People in Hospitals.

The Ambient Intelligent Geriatric Management (AmbIGeM) system combines wearable sensors with artificial intelligence to trigger alerts to hospital staff before a fall. A clinical trial found no effect across a heterogenous population, but reported a reduction in the injurious falls rate in a post hoc analysis of patients on Geriatric Evaluation Management Unit (GEMU) wards. Cost-effectiveness and Value of Information (VoI) analyses of the AmbIGeM system in GEMU wards was undertaken. An Australian health-care system perspective and 5-year time horizon were used for the cost-effectiveness analysis. Implementation costs, inpatient costs and falls data were collected. Injurious falls were defined as causing bruising, laceration, fracture, loss of consciousness, or if the patient reported persistent pain. To compare costs and outcomes, generalised linear regression models were used to adjust for baseline differences between the intervention and usual care groups. Bootstrapping was used to represent uncertainty. For the VoI analysis, 10,000 different sample sizes with randomly sampled values ranging from 1 to 50,000 were tested to estimate the optimal sample size of a new trial that maximised the Expected Net Benefits of Sampling. An adjusted 0.036 fewer injurious falls (adjusted rate ratio of 0.56) and AUD$4554 lower costs were seen in the intervention group. However, uncertainty that the intervention is cost effective for the prevention of an injurious fall was present at all monetary values of this effectiveness outcome. A new trial with a sample of 4376 patients was estimated to maximise the Expected Net Benefit of Sampling, generating a net benefit of AUD$186,632 at a benefit-to-cost ratio of 1.1. The benefits to cost ratio suggests that a new trial of the AmbIGeM system in GEMU wards may not be high-value compared to other potential trials, and that the system should be implemented. However, a broader analysis of options for preventing falls in GEMU is required to fully inform decision making. Australian and New Zealand Clinical Trial Registry (ACTRN 12617000981325).

Are health outcomes in the older colorectal cancer patients treated by curative intent surgery any different to the younger patients?

Colorectal cancer poses a major burden. Its incidence increases with age and older patients with comorbidities have a higher likelihood of major complications. This study investigated the impact of age on health outcomes in colorectal cancer patients treated by surgery. A prospective database of all patients undergoing colorectal cancer surgery with curative intent between 2012 and 2017 was used to identify patients. A retrospective review of existing medical records investigating health-related outcomes in colorectal cancer patients undergoing surgery was performed. Primary outcomes measured were overall survival (OS) and disease-free survival (DFS). Difference in restricted mean survival times (RMST) up to a pre-specified time point of 24 months was used to compare four age groups. Six-hundred and fifty-one patients were divided into four age group categories: ≤65-years (n= 244), 66 to 75-years (n= 213), 76 to 85-years (n= 162) and >85-years (n= 32). Older patients were found to have a higher rate of post-operative medical complications (including confusion) (P= 0.001) and a longer length of stay (LOS) (P= 0.01). There was no difference between the 76 to 85-year age group and >85-year age group in OS and DFS. However, there was a reduced OS in older patients (>65) compared to their younger cohorts (<65) (P= 0.04). Older patients who undergo curative surgery have reduced OS, increased LOS and higher complication rates. Complex older patients may benefit from geriatric assessment and management in the peri-operative period.

Special Circumstances: Agitation with Dementia in Emergency Departments

AbstractBackgroundOlder persons presenting to the emergency department (ED) with agitation have a high prevalence of cognitive impairment which may not have been previously diagnosed.. Agitation in the ED may have many causes, one of the most prominent of which is delirium which occurs in 8–10% of older persons in the ED, and is often not diagnosed till hospital admission . The recently developed IPA algorithm for diagnosis and management of agitation in dementia is applicable to the ED environment particularly as it applies to delirium.MethodThis abstract describes the application of the IPA algorithm to the ED settingResultsOne of the major challenges of agitation management in the ED is taking a history, particularly for patients coming from a LTC environment. LTC staff can readily describe the index episode of agitation, but what is often missing is understanding the timeframe of agitation, including provoking and mitigating factors and any history of prior episodes and their causes. This makes it difficult to know if cognitive impairment is chronic or acute, the hallmark of delirium. A systematic approach to diagnosis and management is required. EDs are making increased use of well‐validated delirium screening assessments such as the Confusion Assessment Method (CAM). Other useful tools for management of delirium in the ED include ADEPT and the Delirium Triage Screen (DTS).Nonpharmacologic strategies have an important role in treatment of agitated patients in the ED. Interventions to prevent or reduce delirium in acute care environments are becoming increasingly effective: a recent Cochrane review supported the effectiveness of interventions including re‐orientation (including use of familiar objects), cognitive stimulation, sleep hygiene, attention to nutrition and hydration, oxygenation, medication review, assessment of mood, and bowel and bladder care. EDs increasingly incorporate these interventions into routine care including the use of delirium‐focused order sets and deployment of geriatric management teams which have been shown to reduce 30‐day ED readmission rates.ConclusionFurther studies should integrate diagnostic workflows and algorithms for behavioral interventions developed for both agitation and delirium management in the ED.

Effect of a geriatric unit in the outcomes of hospitalized older Mexican adults with cancer: A case-control study

IntroductionGeriatric interventions may improve the care of hospitalized older adults with cancer, but information regarding their effect on geriatric-specific outcomes is lacking. We studied the effect of a specialized geriatrician-led inpatient geriatric management unit compared with a conventional internal medicine ward on the outcomes of hospitalized older adults with cancer in Mexico. Materials and MethodsCase-control study including persons aged ≥65 years with solid malignancies who had a cancer-related hospitalization at a university-affiliated hospital in Mexico City. Patients hospitalized in a geriatric unit (cases) were paired 1:2 with those in internal medicine wards (controls). Matching criteria included: age (+/− five years), tumor type (according to International Classification of Diseases [ICD]-10 code), and admission date (+/− three months). The association between being hospitalized in the geriatric unit on various outcomes was determined using conditional logistic regression models. ResultsOne hundred cases and 200 controls were included. Mean age was 75.3 years (standard deviation 6.4 years) and 53% had gastrointestinal tumors. No difference in median length-of-stay was found between cases and controls (9.0 days, vs. 9.5 days, p = 0.34). Hospitalization in the geriatric unit was associated with a reduced risk of delirium (odds ratio [OR] 0.18, 95% confidence interval [CI] 0.04–0.80). Being hospitalized in the geriatric unit was not associated with an effect on hospital-acquired complications (OR 0.83, 95% CI 0.47–1.45) or in-hospital mortality (OR 1.82, 95% CI 0.32–10.18). DiscussionAmong older Mexican adults hospitalized for a cancer-related diagnosis, receiving care in a geriatric management unit was associated to a decreased risk of delirium, without influencing other outcomes.

Abstract 12730: Comparisons of Health Outcomes Between Baby Boomers and Silent Generation Among Older Adults With Heart Failure

Background: Heart failure (HF) is a clinical syndrome of aging. Many studies compare older (≥65 years) and younger (&lt; 65 years) participants’ HF experiences as younger patients’ HF etiology and psychobehavioral factors are distinct from older patients. Yet, best practice geriatric HF management necessitates understanding of the differences present among older generations. Objective: To compare health outcomes (cardiac event-free survival and quality of life [QoL]) in older adults with HF by generational cohort including baby boomers and silent generation. Method: This 2-year longitudinal study of 497 patients with HF (male 61%, age 65±9 years, NYHA III/IV: 34%) included cardiac event data (i.e., HF readmission and cardiac death) collected from patient interview, hospital database and death certificate. QoL was measured using the Minnesota Living with Heart Failure. We collected demographic (e.g., gender, race), clinical (e.g., comorbidities), and psychobehavioral (e.g., depressive symptoms, anxiety, HF knowledge, self-care) factors as covariates. We conducted Chi-squares, t-tests, linear and Cox regression for data analysis. Results: Two fifths of the participants (39.63%) were baby boomers. Baby boomers had more depressive symptoms, higher levels of anxiety, lower levels of B-type natriuretic peptide, and higher number living in the same house than those in the silent generation (all P &lt;.05). Lower percentages of baby boomers were Whites and unemployed compared to the silent generation cohort ( P &lt;.05). There were no differences in other covariates between the two cohorts. Baby boomers had significantly worse QoL than patients in the silent generation ( P &lt;.001). Before and after adjusting for covariates, generation cohort was a significant predictor of cardiac event-free survival (HR=1.46-1.47, both P &lt;.05). Conclusion: Baby boomers with HF had better cardiac event-free survival, but more depressive symptoms, higher levels of anxiety, and worse QoL compared to older adults in the silent generation. In the US, baby boomers are the largest generational cohort in 2022 and are approaching their late 50s and mid-70s. As this group continues to age with increasing rates of HF, practice and research will benefit from continued focus on their needs.

SIOG2022-0094 - The effect of geriatric assessment and management on grade 3-5 treatment toxicity: results of the 5C study

SIOG2022-0094 - The effect of geriatric assessment and management on grade 3-5 treatment toxicity: results of the 5C study

SIOG2022–0095 - The impact of the COVID-19 pandemic on quality of life, health care use and mortality in older adults in the 5C study of geriatric assessment and management: secondary analysis

SIOG2022–0095 - The impact of the COVID-19 pandemic on quality of life, health care use and mortality in older adults in the 5C study of geriatric assessment and management: secondary analysis

SIOG2022-0169 - Factors associated with unplanned hospital readmission in Mexican Older Adults with cancer and the impact of geriatric management

SIOG2022-0169 - Factors associated with unplanned hospital readmission in Mexican Older Adults with cancer and the impact of geriatric management

Geriatric assessment and management with question prompt list using a web-based application for elderly patients with cancer (MAPLE) to communicate ageing-related concerns: J-SUPPORT 2101 study protocol for a multicentre, parallel group, randomised controlled trial

IntroductionElderly cancer patients often have ageing-related physical and psychosocial problems that should be fully shared with their oncologists. Geriatric assessment (GA) can assess these ageing-related problems and guide management. Communication...

The Effects of COVID-19 on Geriatric Hip Fracture Management and 1-Year Mortality in Beijing.

ObjectivesConcerns about the coronavirus disease 2019 (COVID‐19) pandemic resulted in unprecedented challenges to the management of geriatric hip fractures. We aimed to evaluate the effects of the COVID‐19 surge on the time to surgery and 1 year mortality in geriatric patients with hip fracture at a large, urban Level 1 trauma center in Beijing, and to guide the management of geriatric hip fracture patients throughout the COVID‐19 pandemic.MethodsThis single‐center retrospective study included consecutive patients aged ≥65 years and injured 3 weeks prior to admission. Demographic and surgical data were collected between January 20 and May 31, 2020, and from the same period in 2019. Mortality data and functional status were collected at follow‐up of 1‐year after surgery. The primary outcomes were time to surgery and 1 year mortality.ResultsThere were no significant differences in sex, fracture type, and surgical pattern between the 2020 (n = 261) and 2019 time‐matched (n = 307) cohorts. The time from admission to surgery was significantly delayed in the 2020 cohort compared with that in the 2019 cohort (48.9 h vs 20.5 h, p < 0.001). Fewer patients underwent surgery within 48 h in the 2020 cohort (65.5% vs 87.6%, p < 0.001). Surgical delay was also associated with an increased risk of inpatient complications (30.2% vs 20.8%, p = 0.010), however there was no significant difference in the 1‐year mortality rate, nor between pre‐injury and 1 year follow‐up mobility as assessed by Parker score. Only approximately half of the patients in both groups completely returned to their pre‐injury mobility levels.ConclusionsThe COVID‐19 pandemic has significantly increased the surgery waiting time for geriatric patients with hip fractures, which resulted in increased inpatient complications without a higher mortality rate within 1 year. This reinforces the importance of maintaining timely and protocolized care for geriatric hip fractures throughout any subsequent waves of the pandemic.

Current Trends of Computational Tools in Geriatric Medicine and Frailty Management.

While frailty corresponds to a multisystem failure, geriatric assessment can recognize multiple pathophysiological lesions and age changes. Up to now, a few frailty indexes have been introduced, presenting definitions of psychological problems, dysregulations in nutritional intake, behavioral abnormalities, and daily functions, genetic, environmental, and cardiovascular comorbidities. The geriatric evaluation includes a vast range of health professionals; therefore, we describe a broad range of applications and frailty scales-biomarkers to investigate and formulate the relationship between frailty lesions, diagnosis, monitoring, and treatment. Additionally, artificial intelligence applications and computational tools are presented, targeting a more efficacy individualized geriatric management of healthy aging.

Revision and validation of the “Constitution in Chinese Medicine Questionnaire (Elderly Edition)” based on the Delphi process

This study aimed to revise the Constitution in Chinese Medicine Questionnaire (Elderly Edition) (CCMQ-EE), as well as evaluate its reliability and validity. The objective was to provide a more accurate Chinese medicine constitution identification tool for geriatric health management and help further research on the relationship between geriatric diseases and constitution type, etc . The Delphi method and a cross-sectional survey of the elderly population were used. From April to October 2021, experts in different fields were invited to participate in the questionnaire, and items were revised through the experts’ ratings and feedback. From December 2021 to February 2022, the revised CCMQ-EE was validated in the elderly population. The coefficients of variation of rationality and importance scores decreased to less than 0.25 in the third round of Delphi. The Kendall coordination coefficients of rationality and importance in the third round were 0.15 and 0.17 ( P = .031 and P = .007, respectively). The revised CCMQ-EE was established with 34 items. The factor loadings of subscales were between 0.39 and 0.92, and the fitting effects of other subscales were acceptable, except for the inherited special constitution. The Cronbach alpha and test–retest reliability coefficients of each subscale ranged from 0.65 to 0.83, and 0.66 to 0.96, respectively. The composite reliability and average variance extraction were between 0.66 and 0.84, and between 0.32 and 0.57, respectively. The reliability and validity of the revised CCMQ-EE were acceptable or satisfactory. The revised CCMQ-EE was developed through a three-round Delphi process and internal team discussion. After the verification in the elderly in Beijing area, its measurement performance was good. The updated questionnaire can probably replace the initial version to better promote health management and help healthy aging by identifying the constitution type of the elderly.

Diagnosis and Management of Geriatric Patients’ Delirium

&lt;p&gt;譫妄症是急性腦功能受損的一種表現,同時譫妄症也是一種以意識障礙為主的 急性症狀;發生譫妄症之後往往會造成龐大的醫療花費(例如延長住院天數),且 臨床上容易被忽略,造成老年疾病的預後不佳,更可能進一步造成病患的死亡,是 病患安全重要指標;基於其病因的多重因子特性,且與其他老年病症候群(如:跌 倒、失禁)的高度聯結性,因此在處置上也需要多方向並進的治療,針對譫妄症的 完善處理,可明顯改善病患預後,並增進醫療的品質。本文為敘述性文獻回顧,以 老年症候群及急性譫妄症處置為關鍵字,藉由文獻搜尋並整理譫妄症的診斷與處 置,期望可作為醫療人員遭遇病患時不只使用約束帶或藥物,可以有更周全的評估 與治療。&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Delirium is a manifestation of acute impaired brain function. At the same time, delirium is also an acute sign/symptom dominated by disturbances in consciousness. The occurrence of delirium often causes huge medical expenses (ex: prolonged hospitalization days) and often results in poor prognoses for senile diseases. It is more likely to cause further death of patients, which is an important indicator of patient safety, based on its multifactorial etiology and high connectivity with other senile diseases (such as falls, incontinence, etc.). It is also necessary for patients to receive multi-directional treatment that can signifi- cantly improve the prognoses of patients and improve the quality of medication. This article is a narrative literature review with geriatric syndrome and acute delirium management as the keywords. Through a literature survey and sorting out the diagnosis and treatment of delirium, it is hoped that medical staff can not only use restraint bands or sedative drugs when encountering patients, but also provide comprehensive assessment, evaluation and treatment.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H.

BackgroundDysphagia is a geriatric syndrome. Changes in the whole body that occur with aging also affect swallowing functions and cause presbyphagia. This condition may progress to oropharyngeal and/or esophageal dysphagia in the presence of secondary causes that increase in incidence with aging. However, no study has been published that provides recommendations for use in clinical practice that addresses in detail all aspects of the management of dysphagia in geriatric individuals. This study aimed to answer almost all potential questions and problems in the management of geriatric dysphagia in clinical practice.MethodsA multidisciplinary team created this recommendation guide using the seven-step and three-round modified Delphi method via e-mail. The study included 39 experts from 29 centers in 14 cities.ResultsBased on the 5W and 1H method, we developed 216 detailed recommendations for older adults from the perspective of different disciplines dealing with older people. ConclusionThis consensus-based recommendation is a useful guide to address practical clinical questions in the diagnosis, rehabilitation, and follow-up for the management of geriatric dysphagia and also contains detailed commentary on these issues.

Patient Acceptability of a Novel Technological Solution (Ambient Intelligent Geriatric Management System) to Prevent Falls in Geriatric and General Medicine Wards: A Mixed-Methods Study

Introduction: As effective interventions to prevent inpatient falls are lacking, a novel technological intervention was trialed. The Ambient Intelligent Geriatric Management (AmbIGeM) system used wearable sensors that detected and alerted staff of patient movements requiring supervision. While the system did not reduce falls rate, it is important to evaluate the acceptability, usability, and safety of the AmbIGeM system, from the perspectives of patients and informal carers. Methods: We conducted a mixed-methods study using semistructured interviews, a pre-survey and post-survey. The AmbIGeM clinical trial was conducted in two geriatric evaluation and management units and a general medical ward, in two Australian hospitals, and a subset of participants were recruited. Within 3 days of being admitted to the study wards and enrolling in the trial, 31 participants completed the pre-survey. Prior to discharge (post-intervention), 30 participants completed the post-survey and 27 participants were interviewed. Interview data were thematically analyzed and survey data were descriptively analyzed. Results: Survey and interview participants had an average age of 83 (SD 9) years, 65% were female, and 41% were admitted with a fall. Participants considered the AmbIGeM system a good idea. Most but not all thought the singlet and sensor component as acceptable and comfortable, with no privacy concerns. Participants felt reassured with extra monitoring, although sometimes misunderstood the purpose of AmbIGeM as detecting patient falls. Participants’ acceptability was strongly positive, with median 8+ (0–10 scale) on pre- and post-surveys. Discussion/Conclusion: Patients’ acceptability is important to optimize outcomes. Overall older patients considered the AmbIGeM system as acceptable, usable, and improving safety. The findings will be important to guide refinement of this and other similar technology developments.