{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:24:43Z","timestamp":1791246283175,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Giant cell arteritis (GCA) carries an increased risk of stroke and blindness. International guidelines recommend older people receive routine comprehensive geriatric assessment (RCGA) during unplanned hospital admissions to improve health outcomes. This quality improvement study addressed the need for RCGA in older people with GCA at an Australian tertiary hospital. The aims of this study were to co\u2010design, implement and evaluate a referral process for RCGA for hospitalised people 65\u2009years or older with a new diagnosis of GCA and evaluate changes to the identification and management of falls and cognitive disorders (delirium, dementia and mild cognitive impairment).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Hospital stakeholders co\u2010designed an RCGA referral pathway as a quality improvement change initiative. An observational cohort design measured implementation and outcomes. Consecutive patients aged 65\u2009years or older with a new diagnosis of GCA were recruited for 15\u2009months (<jats:italic>n<\/jats:italic>\u2009=\u200918), and outcomes were compared with a retrospective cohort of similar patients (<jats:italic>n<\/jats:italic>\u2009=\u200955). Descriptive summaries were compared between groups using non\u2010parametric tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Following implementation, all eligible patients received both RCGA and individualised interventions. Forty\u2010four per cent of patients in the RCGA group were diagnosed with delirium, dementia or mild cognitive impairment compared to 18% in the usual care group (<jats:italic>p<\/jats:italic>\u2009=\u2009.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this small population, implementation of an RCGA pathway was associated with increased detection of delirium, mild cognitive impairment and dementia, and allowed for implementation of individualised interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.70020","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T09:54:21Z","timestamp":1745229261000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Routine comprehensive geriatric assessment is associated with improved detection of cognitive disorders in older people with giant cell arteritis"],"prefix":"10.1111","volume":"44","author":[{"given":"Heather","family":"Jones","sequence":"first","affiliation":[{"name":"Sir Charles Gairdner Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxine","family":"Isbel","sequence":"additional","affiliation":[{"name":"West Coast Rheumatology  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2967-3183","authenticated-orcid":false,"given":"Kristie","family":"Harper","sequence":"additional","affiliation":[{"name":"Occupational Therapy Sir Charles Gairdner Osborne Park Healthcare Group  Perth Western Australia Australia"},{"name":"School of Allied Health, Faculty of Health Sciences Curtin University  Perth Western Australia Australia"},{"name":"EnAble Institute  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Jacques","sequence":"additional","affiliation":[{"name":"Institute for Health Research University of Notre Dame  Notre Dame Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Chua","sequence":"additional","affiliation":[{"name":"Sir Charles Gairdner Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ng","sequence":"additional","affiliation":[{"name":"Sir Charles Gairdner Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Bernard","sequence":"additional","affiliation":[{"name":"School of Allied Health, Faculty of Health Sciences Curtin University  Perth Western Australia Australia"},{"name":"Geriatric Acute and Rehabilitation Medicine Sir Charles Gairdner Osborne Park Healthcare Group  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12293"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.11.006"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.11388"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0b013e3182527690"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e3181908e96"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/anr.1780321017"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2017.10.001"},{"key":"e_1_2_10_9_1","unstructured":"SchiffR WanB NolanC et\u00a0al.London: Unplanned Hospital Care Acute Frailty Service Specificactions \u2013 Guidance Document. 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