scholarly journals Identification of comprehensive geriatric assessment‐based risk factors for insomnia in elderly Chinese hospitalized patients

2021 ◽  
Author(s):  
Rong Liu ◽  
Wenchao Shao ◽  
Jonathan King‐Lam Lai ◽  
Lingshan Zhou ◽  
Man Ren ◽  
...  
Keyword(s):  
Risk Factors ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Hospitalized Patients ◽  
Elderly Chinese

A Randomized Trial of Comprehensive Geriatric Assessment in the Care of Hospitalized Patients

1995 ◽  
Vol 332 (20) ◽  
pp. 1345-1350 ◽  
Author(s):  
David B. Reuben ◽  
Gerald M. Borok ◽  
Girma Wolde-Tsadik ◽  
Daniel H. Ershoff ◽  
Linda K. Fishman ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Hospitalized Patients

scholarly journals Risk Stratification of Patients Undergoing Percutaneous Repair of Mitral and Tricuspid Valves Using a Multidimensional Geriatric Assessment

2021 ◽  
Vol 14 (8) ◽  
Author(s):  
Matthieu Schäfer ◽  
Maria I. Körber ◽  
Rakave Vimalathasan ◽  
Victor Mauri ◽  
Christos Iliadis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Stratification ◽  
Activities Of Daily Living ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Daily Living ◽  
Hazard Ratio ◽  
Individual Risk ◽  
Tricuspid Valve Repair ◽  
Percutaneous Repair

Background: Given their advanced age and high comorbidity, individual risk assessment is crucial in patients undergoing transcatheter mitral and tricuspid valve repair. Therefore, we evaluated the use of a comprehensive geriatric assessment score, the multidimensional prognostic index (MPI), for risk stratification in these patients. Methods: We conducted a prospective, observational single-center study, including 226 patients undergoing percutaneous repair for mitral or tricuspid regurgitation. The MPI was calculated preprocedural and covers 8 domains (activities of daily living, instrumental activities of daily living, mental status, nutrition, risk of pressure ulcers, comorbidity, medication, and marital/cohabitation status). We sought to identify an association of MPI score with procedural outcomes and 6-month mortality. Results: A total of 53.1% of patients were stratified as low risk according to MPI (MPI-1 group), 44.2% as medium risk (MPI-2 group), and 2.7% as high risk (MPI-3 group). Procedural efficacy and safety were similar between groups. The estimated survival rate at 6 months was 97±2% in MPI-1 group, 79±4% in MPI-2 group (hazard ratio, 6.90 [95% CI, 2.36–12.2]; P ≤0.001) and 50±20% in MPI-3 group (hazard ratio, 20.3 [95% CI, 4.51–91.3]; P <0.001). An increase in 1 SD of the MPI score (0.14 points, possible range of MPI score 0–1) was associated with a hazard ratio of 2.13 (95% CI, 1.58–2.73; P ≤0.001) for death after 6 months. The risk association of the MPI with mortality remained significant in multivariate analysis including risk factors, such as peripheral artery disease and NT-proBNP (N-terminal pro-B-type natriuretic peptide) levels. Conclusions: A comprehensive geriatric assessment with the MPI score provides additional information on mortality risk beyond established cardiovascular risk factors.

Risk factors associated with depressive symptoms in older people based on comprehensive geriatric assessment in Chongqing China

2020 ◽  
Author(s):  
Jingxi Duan ◽  
Xia Wang ◽  
Weihua Yu ◽  
Yongtao Deng ◽  
Qi Tu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
Chronic Diseases ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
The Elderly ◽  
Geriatric Syndrome ◽  
Geriatric Depression ◽  
Factors Associated ◽  
Reported Health

Abstract Background As a common geriatric syndrome in the elderly, depression is often associated with many risk factors. The occurrence of depression shows cultural and geographical differences. Aims To explore the prevalence of depression and risk factors associated with depressive symptoms in the elderly peoples in Chongqing, China. Methods A cross-sectional study based on comprehensive geriatric assessment questionnaire was conducted among 925 participants aged 60 years or older. Depressive symptoms were evaluated using the 30-item Geriatric Depression Scale. Risk factors related to depression were evaluated, including gender, age, education, marital status, type of work, living status, chronic diseases, disability, self-reported health, smoking, alcohol, exercise, and current working status. Results 219 (23.67%) of elderly participants suffered from depressive symptoms. Unmarried status, older age, poor self-reported health, disability, irregular exercise and chronic diseases were significantly associated with depressive symptoms in the elderly (P < 0.05). Multivariate logistic regression analysis showed that independent predictors of geriatric depression included unmarried status, poor self-reported health and disability. Conclusions The prevalence of depressive symptoms is high in Chinese old people. Risk factors of depression are mainly social support- and lifestyle- associated. Evaluation of risk factors is a vital strategy for preventing depression and taking interventions.

A practical clinical score to predict early death after a comprehensive geriatric assessment (CGA) in elderly cancer patients: A prospective cohort study with 608 patients.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21537-e21537
Author(s):  
Jurema Telles O Lima ◽  
Anke Bergmann ◽  
Maria Julia Gonçalves Mello ◽  
Zilda Cavalcanti ◽  
Mirella Rebello Bezerra ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Cancer Patients ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Prospective Cohort ◽  
Early Death ◽  
Clinical Score ◽  
Elderly Cancer Patients

e21537 Background: Components of the comprehensive geriatric assessment (CGA) correlate with risk of early mortality in elderly cancer patients (ECP). However, its complexity and the time required for its administration. The aim of this study was to determine the impact of each CGA domain on overall survival(OS) and to first step for the development of a prognostic scoring system to stratify ECP. Methods: a prospective cohort study. Participants with a recent diagnosis of cancer were from eight hospitals and one cancer center in Brazil and were recruited during their first medical appointment at the outpatient oncologic clinic. A basal CGA was done before the care decision (ADL, Charlson Comorbidity Index- CCI, Karnofsky Performance status – KPS, GDS15, IPAQ, MMSE, MNA, MNA-SF, PS, PPS, Polipharmacy, QLQc30, TUG). During the follow up of six months, information about the treatments performed and early death was collected. OS was estimated using the Kaplan–Meier method, and survival curves were compared using the Log rank test for categorical variables. A multivariate Cox proportional hazards model was used to select early death risk factors. A clinical score considering the number of risk variables was created. Results: From 2015-2016, 608 ECP, mean age 71.9 (SD ±7.4; range 60-96), 50.7% male, were enrolled. 100 (16.4%) ECP died in less than six months of follow-up. In our multivariate model, controlled by age, site of cancer and cancer stage, the remaining significant risk factors were malnutrition/nonutrition determined by MNA (HR 3.3, 95%CI 1.81-5.99, p < 0.001), KPS < 50% (HR 2.44, CI 1.56-3.81, p < 0.001) and CCI > 2 (HR 1.6, CI 1.09-2.52, p = 0.018). The risk for early death according to the number of risk variables: three (HR 12.99, CI 5.69-29.60, p < 0.001), two (HR 5.65, CI 2.61-12.24, p < 0.001) or one (HR 2.7, CI 1.28-5.87, p = 0.009). Conclusions: a practical clinical score using three instruments of the CGA (MNA, KPS and CCI) can predict independent the risk for an early death in ECP. The development of a practical system for risk scoring, incorporating few clinical prognostic factors, helps to stratify patients into risk groups and to plan a personalized care.

scholarly journals Identification of Comprehensive Geriatric Assessment Based Risk Factors for Malnutrition in Elderly Asian Cancer Patients

PLoS ONE ◽  
2016 ◽  
Vol 11 (5) ◽  
pp. e0156008 ◽  
Author(s):  
Tira Tan ◽  
Whee Sze Ong ◽  
Tanujaa Rajasekaran ◽  
Khai Nee Koo ◽  
Li Li Chan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cancer Patients ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment
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