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The performance of simple instruments in detecting geriatric conditions and selecting community-dwelling older people for geriatric assessment
Author(s)Rose C Maly, Susan H Hirsch, David B Reuben
Journal titleAge and Ageing, vol 26, no 3, May 1997
Pagespp 223-231
KeywordsHealth [elderly] ; Assessment procedures for mental patients ; Living in the community ; Depression ; Incontinence ; Falls ; Cognitive impairment.
AnnotationComprehensive geriatric assessment (CGA) appears to be less effective when performed in out-patient clinics than in hospital settings. The effectiveness of out-patient CGA might be improved by selectively targeting frailer community-dwelling older people. This study evaluated the clinical performance of rapidly-administered standard screening measures for geriatric syndromes in selecting community-dwelling older people for out-patient CGA. In the study sample screened for CGA, 81.3% of subjects received at least one major recommendation for further medical intervention; most were for a target-related condition (functional impairment, depression, urinary incontinence), and the remainder dealt with another significant medical condition. Simple screening instruments used in community settings have variable degrees of accuracy, but may be markers of frailty. Such screening instruments can thus identify older people likely to benefit from geriatric assessment.
Accession NumberCPA-970905008 A
ClassmarkCC: DA:4C: K4: ENR: CTM: OLF: E4

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