Document Detail


Minimum geriatric screening tools to detect common geriatric problems.
MedLine Citation:
PMID:  18443718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Health services for the elderly are becoming increasingly important in industrialized nations, and comprehensive geriatric assessment (CGA) is one of the procedures designed to improve the health of this sector of the population. In 2003 a survey among Belgian geriatricians showed that despite the interest of the geriatric teams for comprehensive geriatric assessment, it was not used enough. Considering these results, as a first step, screening tools were proposed for the main geriatric domains (Minimum Geriatric Screening Tools, MGST). OBJECTIVES: To assess the feasibility of a MGST within the teams of geriatric units and to evaluate the efficacy of a MGST on the detection rate of the geriatric problems of admitted subjects. DESIGN: Prospective observational survey. METHODS: The teams were first asked to encode active geriatric problems suspected according to their conventional assessment. Then, in a second phase, a complete MGST was completed by the same team within the first week after admission. RESULTS: Three hundred and twenty six registrations from 33 centres were available. Mean (+/- SD) number of screened geriatric problems was 1.5 +/- 1.2 without MGST and 4.7 +/- 1.7 (p < 0.0001) using the MGST. Except for the assessment for the risk of falls, the MGST leads to a better screening for the seven other main geriatric domains (functional, continence, cognition, depression, nutrition, pain, social). CONCLUSIONS: An improvement associated with the use of simple minimal geriatric tools to screen geriatric problems was evident. This approach has additional value for education and quality assurance.
Authors:
T Pepersack;
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  The journal of nutrition, health & aging     Volume:  12     ISSN:  1279-7707     ISO Abbreviation:  J Nutr Health Aging     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-29     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100893366     Medline TA:  J Nutr Health Aging     Country:  France    
Other Details:
Languages:  eng     Pagination:  348-52     Citation Subset:  IM    
Affiliation:
Service de Gériatrie, Hôpital Erasme, Université Libre de Bruxelles, Bruxelles, Belgium. tpepersa@ulb.ac.be
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Age Factors
Aged
Aged, 80 and over
Cognition
Depressive Disorder / diagnosis*,  epidemiology
Female
Frail Elderly
Geriatric Assessment / methods*
Humans
Length of Stay
Male
Malnutrition / diagnosis*,  epidemiology
Mass Screening / methods
Middle Aged
Prospective Studies
Psychometrics
Questionnaires
Severity of Illness Index
Investigator
Investigator/Affiliation:
J P Baeyens / ; H Daniels / ; M Lambert / ; T Pepersack / ; A Pepinster / ; J Pétermans / ; C Swine / ; N van den Noortgate /

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