scholarly journals The older persons' assessment and liaison team 'OPAL': evaluation of comprehensive geriatric assessment in acute medical inpatients

2007 ◽  
Vol 36 (6) ◽  
pp. 670-675 ◽  
Author(s):  
D. Harari ◽  
F. C. Martin ◽  
A. Buttery ◽  
S. O'Neill ◽  
A. Hopper
Keyword(s):  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Persons ◽  
Medical Inpatients

Comprehensive geriatric assessment decreases prevalence of orthostatic hypotension in older persons

2013 ◽  
Vol 41 (4) ◽  
pp. 351-358 ◽  
Author(s):  
Pasi Lampela ◽  
Piia Lavikainen ◽  
Risto Huupponen ◽  
Esko Leskinen ◽  
Sirpa Hartikainen
Keyword(s):  
Orthostatic Hypotension ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Persons

Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons?

2021 ◽  
Vol 174 (11) ◽  
pp. 1633-1634
Author(s):  
Sasha Shepperd ◽  
Graham Ellis ◽  
Rebekah Schiff ◽  
David J. Stott ◽  
John Young
Keyword(s):  
Hospital Admission ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Persons ◽  
Hospital At Home ◽  
At Home

scholarly journals Comprehensive geriatric assessment: recognition of identified geriatric conditions by community-dwelling older persons

2016 ◽  
Vol 45 (6) ◽  
pp. 894-899 ◽  
Author(s):  
Marjon van Rijn ◽  
Jacqueline J. Suijker ◽  
Wietske Bol ◽  
Eva Hoff ◽  
Gerben ter Riet ◽  
...  
Keyword(s):  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Persons ◽  
Community Dwelling ◽  
Geriatric Conditions

scholarly journals Comprehensive Geriatric Assessment in Older Persons With HIV

2020 ◽  
Vol 7 (11) ◽  
Author(s):  
Aroonsiri Sangarlangkarn ◽  
Jonathan S Appelbaum
Keyword(s):  
Antiretroviral Therapy ◽  
Geriatric Assessment ◽  
Clinical Setting ◽  
Comprehensive Geriatric Assessment ◽  
Older Persons ◽  
Screening Tools ◽  
Geriatric Syndromes

Abstract With increased longevity related to the advent of antiretroviral therapy, there are increasing proportions of older persons with HIV (PWH). Prior studies have demonstrated increased prevalence of geriatric syndromes in older PWH and recommended the Comprehensive Geriatric Assessment (CGA) in this population. However, there is currently no peer-reviewed literature that outlines how to perform the CGA in PWH in the clinical setting. In this article, we offer a review on how to perform the CGA in PWH, outline domains of the CGA and their importance in PWH, and describe screening tools for each domain focusing on tools that have been validated in PWH, are easy to administer, and/or are already commonly used in the field of geriatrics.

scholarly journals Relationship between comprehensive geriatric assessment and amyloid PET in older persons with MCI

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fulvio Lauretani ◽  
Livia Ruffini ◽  
Maura Scarlattei ◽  
Marcello Maggio
Keyword(s):  
Physical Performance ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Daily Living ◽  
Older Persons ◽  
Neuropsychiatric Symptoms ◽  
Mean Value ◽  
Amyloid Deposition ◽  
Amyloid Pet ◽  
Hand Grip

Abstract Background The association between amyloid deposition and cognitive, behavioral and physical performance in mild cognitive impairment (MCI) due to Alzheimer’s disease (AD) has been poorly investigated, especially in older persons. Methods We studied the in vivo correlation between the amyloid deposition at Positron Emission Tomography (amyloid-PET) and the presence of memory loss, reduced executive function, neuropsychiatric symptoms and physical performance in older persons with MCI. Amyloid-PET was performed with 18F-flutemetamol and quantitatively analyzed. Results We evaluated 48 subjects, 21 men and 27 women. We performed in each patient a comprehensive geriatric assessment (CGA) including Mini Mental State Examination (MMSE), Clock Drawing Test (CDT), Activity Daily Living (ADL), Instrumental Activity of Daily Living (IADL), Neuropsychiatric inventory (NPI) questionnaire, 15 Geriatric Depression Scale (GDS), Short Physical Performance Battery (SPPB) and Hand Grip strength. Then, each patient underwent amyloid-PET. Mean age of the enrolled subjects was 74.6 ± 7.8 years. All of these subjects showed preserved cognitive function at MMSE > 24, while 29 of 48 subjects (61.0%) had altered CDT. Mean NPI score was 6.9 ± 5.9. The mean value of SPPB score was 9.0 ± 2.6, while the average muscle strength of the upper extremities measured by hand grip was 25.6 ± 7.7 Kg. CT/MRI images showed cortical atrophic changes in 26 of the 48 examined subjects (54.0%), while cerebrovascular modifications were present in 31 subjects (64.5%). Pathological burden of amyloid deposits was detected in 25 of 48 (52.0%) patients with a mean value of global z-score of 2.8 (subjects defined as MCI due to AD). After stratifying subjects in subclasses of clinical alterations, more probability of pathological amyloid deposition was found in subjects with impaired CDT and higher NPI score (O.R. = 3.45 [1.01–11.2], p = 0.04), with both impaired CDT and low physical performance (O.R. = 5.80 [1.04–32.2], p = 0.04), with altered CDT and high NPI score (O.R. = 7.98 [1.38–46.0], p = 0.02), and finally in those subjects with altered CDT, high NPI and low physical performance (O.R. = 5.80 [1.05–32.2], p = 0.04). Conclusion Our findings support the recent hypothesis that amyloid deposition could be associated with multiple cerebral dysfunction, mainly affecting executive, behavioral and motor abilities.

scholarly journals Relationship between comprehensive geriatric assessment and amyloid PET in older persons with MCI

2020 ◽  
Author(s):  
Fulvio Lauretani ◽  
Livia Ruffini ◽  
Maura Scarlattei ◽  
Marcello Maggio
Keyword(s):  
Physical Performance ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Daily Living ◽  
Older Persons ◽  
Neuropsychiatric Symptoms ◽  
Mean Value ◽  
Amyloid Deposition ◽  
Amyloid Pet ◽  
Hand Grip

Abstract Background. The association between amyloid deposition and cognitive, behavioral and physical performance in mild cognitive impairment (MCI) due to Alzheimer's disease (AD) has been poorly investigated, especially in older persons. Methods. We studied the in vivo correlation between the amyloid deposition at Positron Emission Tomography (amyloid-PET) and the presence of memory loss, reduced executive function, physical performance and neuropsychiatric symptoms in older persons with MCI. Amyloid-PET was performed with 18F-flutemetamol and quantitatively analyzed. Results. We evaluated 48 subjects, 21 men and 27 women. We performed in each patient a comprehensive geriatric assessment (CGA) including Mini Mental State Examination (MMSE), Clock Drawing Test (CDT), Activity Daily Living (ADL), Instrumental Activity of Daily Living (IADL), Neuropsychiatric inventory (NPI) questionnaire, 15 Geriatric Depression Scale (GDS), Short Physical Performance Battery (SPPB) and Hand Grip strength. Then, each patient underwent amyloid-PET. Mean age of the enrolled subjects was 74.6 ± 7.8 years. All of these subjects showed preserved cognitive function at MMSE > 24, while 29 of 48 subjects (61.0 %) had altered CDT. Mean NPI score was 6.9 ± 5.9. The mean value of SPPB score was 9.0 ± 2.6, while the average muscle strength of the upper extremities measured by hand grip was 25.6±7.7 Kg. CT/MRI images showed cortical atrophic changes in 26 of the 48 examined subjects (54.0 %), while cerebrovascular modifications were present in 31 subjects (64.5 %). Pathological burden of amyloid deposits was detected in 25 of 48 (52.0 %) patients with a mean value of global z-score of 2.8 (subjects defined as MCI due to AD). After stratifying subjects in subclasses of clinical alterations, more probability of pathological amyloid deposition was found in subjects with impaired CDT and higher NPI score (O.R.= 3.45 [1.01-11.2], p=0.04), with both impaired CDT and low physical performance (O.R.= 5.80 [1.04-32.2], p=0.04), with altered CDT and high NPI score (O.R.=7.98 [1.38-46.0], p=0.02), and finally in those subjects with altered CDT, high NPI and low physical performance (O.R.= 5.80 [1.05-32.2], p=0.04). Conclusion. Our findings support the recent hypothesis that amyloid deposition could be associated with multiple cerebral dysfunction, mainly affecting executive, behavioral and motor abilities.

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