Could the Geriatric Mobile Team trial (GerMoT) inclusion criteria be a pragmatic approach to identifying older adults who may be a relevant target group for integrated care interventions?
- 1Department of Geriatric Medicine, Helsingborg Hospital, Charlotte Yhléns Gata 10, 251 87 Helsingborg, Sweden
- 2Department of Clinical Sciences, Helsingborg, Faculty of Medicine, Lund University, Lund, Sweden
Abstract
Purpose: Patients with the traditional definition of multimorbidity, with 2 or more chronic diseases, are a very large and heterogeneous group who differ considerably depending on which set of disorders they suffer from. This paper describes the baselines characteristics of the GerMoT cohort and investigates if the GerMoT inclusion criteria could be used to identify a subgroup of multimorbid patients who may be considered a relevant target group for integrated care interventions.
Method: Participants were 75 years or older, had 3 or more visits to the Emergency Department in the last 18 months, had 3 or more diseases diagnosed according to different ICD-10 chapters and lived in their own home. GerMoT is a randomized-controlled trial comparing proactive outpatient care based on Comprehensive Geriatric Assessment with usual care. The participant’s living arrangements, frailty, grip strength, cognition, physical activity, activities of daily living, quality of life, and physical performance were recorded at baseline.
Results: 450 participants were included with a mean age of 83 years (range 75–100); 54% were female. 54% of the cohort lived alone and 44% needed some home adaptation to manage at home. This group had high levels of multimorbidity with a mean of 7.2 (SD = 2.5) diagnoses in different ICD-10 chapters per patient and suffered from pain (80%) and mobility issues (64%). However, they had low levels of frailty (60% non-frail, 13% severely frail) and 90% were independent or partially independent with basic ADLs.
Conclusion: The GerMoT inclusion criteria could be a pragmatic way to identify a subgroup of multimorbid people with frequent emergency department use who may be considered a relevant target group for integrated care interventions.
Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s41999-026-01548-1.
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BibTeX
@article{biegus2026could,
title = {{Could the Geriatric Mobile Team trial (GerMoT) inclusion criteria be a pragmatic approach to identifying older adults who may be a relevant target group for integrated care interventions?}},
author = {Karol R. Biegus and Anne W. Ekdahl},
journal = {European Geriatric Medicine},
year = {2026},
month = jul,
doi = {10.1007/s41999-026-01548-1},
url = {https://doi.org/10.1007/s41999-026-01548-1},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Could the Geriatric Mobile Team trial (GerMoT) inclusion criteria be a pragmatic approach to identifying older adults who may be a relevant target group for integrated care interventions?
AU - Karol R. Biegus
AU - Anne W. Ekdahl
PY - 2026
DA - 2026/07/26
JO - European Geriatric Medicine
DO - 10.1007/s41999-026-01548-1
UR - https://doi.org/10.1007/s41999-026-01548-1
AB - Purpose: Patients with the traditional definition of multimorbidity, with 2 or more chronic diseases, are a very large and heterogeneous group who differ considerably depending on which set of disorders they suffer from. This paper describes the baselines characteristics of the GerMoT cohort and investigates if the GerMoT inclusion criteria could be used to identify a subgroup of multimorbid patients who may be considered a relevant target group for integrated care interventions. Method: Participants were 75 years or older, had 3 or more visits to the Emergency Department in the last 18 months, had 3 or more diseases diagnosed according to different ICD-10 chapters and lived in their own home. GerMoT is a randomized-controlled trial comparing proactive outpatient care based on Comprehensive Geriatric Assessment with usual care. The participant’s living arrangements, frailty, grip strength, cognition, physical activity, activities of daily living, quality of life, and physical performance were recorded at baseline. Results: 450 participants were included with a mean age of 83 years (range 75–100); 54% were female. 54% of the cohort lived alone and 44% needed some home adaptation to manage at home. This group had high levels of multimorbidity with a mean of 7.2 (SD = 2.5) diagnoses in different ICD-10 chapters per patient and suffered from pain (80%) and mobility issues (64%). However, they had low levels of frailty (60% non-frail, 13% severely frail) and 90% were independent or partially independent with basic ADLs. Conclusion: The GerMoT inclusion criteria could be a pragmatic way to identify a subgroup of multimorbid people with frequent emergency department use who may be considered a relevant target group for integrated care interventions. Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s41999-026-01548-1.
SN - 1878-7649
SN - 1878-7657
ER -