Abstract:
BACKGROUND:Geriatric syndromes are rarely detected in family medicine. Within the AGE program (active geriatric evaluation), a brief assessment tool (BAT) designed for family physicians (FP) was developed and its diagnostic performance estimated by comparison to a comprehensive geriatric assessment. METHODS:This prospective diagnostic study was conducted in four primary care sites in Switzerland. Participants were aged at least 70 years and attending a routine appointment with their physician, without previous documented geriatric assessment. Participants were assessed by their family physicians using the BAT, and by a geriatriciant who performed a comprehensive geriatric assessment within the following two-month period (reference standard). Both the BAT and the full assessment targeted eight geriatric syndromes: cognitive impairment, mood impairment, urinary incontinence, visual impairment, hearing loss, undernutrition, osteoporosis and gait and balance impairment. Diagnostic accuracy of the BAT was estimated in terms of sensitivity, specificity, and predictive values; secondary outcomes were measures of feasibility, in terms of added consultation time and comprehensiveness in applying the BAT items. RESULTS:Prevalence of the geriatric syndromes in participants (N=85, 46 (54.1%) women, mean age 78 years (SD 6))ranged from 30.0% (malnutrition and cognitive impairment) to 71.0% (visual impairment), with a median number of 3 syndromes (IQR 2 to 4) per participant. Sensitivity of the BAT ranged from 25.0% for undernutrition (95%CI 9.8% - 46.7%) to 82.1% for hearing impairment (95%CI 66.5% - 92.5%), while specificity ranged from 45.8% for visual impairment (95%CI 25.6-67.2) to 87.7% for undernutrition (76.3% to 94.9%). Finally, most negative predictive values (NPV) were between 73.5% and 84.1%, excluding visual impairment with a NPV of 50.0%. Family physicians reported BAT use as per instructions for 76.7% of the syndromes assessed. CONCLUSIONS:Although the BAT does not replace a comprehensive geriatric assessment, it is a useful and appropriate tool for the FP to screen elderly patients for most geriatric syndromes. TRIAL REGISTRATION:The study was registered on ClinicalTrials.gov on February 20, 2013 ( NCT01816087 ).
journal_name
BMC Geriatrjournal_title
BMC geriatricsauthors
Mueller YK,Monod S,Locatelli I,Büla C,Cornuz J,Senn Ndoi
10.1186/s12877-018-0761-zsubject
Has Abstractpub_date
2018-03-13 00:00:00pages
72issue
1issn
1471-2318pii
10.1186/s12877-018-0761-zjournal_volume
18pub_type
杂志文章相关文献
BMC Geriatrics文献大全abstract:BACKGROUND:This study investigated the association between non-exercise based estimation of cardiorespiratory fitness (eCRF) and metabolic syndrome (Mets) in Korean adults aged 18 years and older (13,400 women and 9885 men). METHODS:Data from the 2008 and 2011 Korea National Health and Nutrition Examination Surveys IV...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01558-z
更新日期:2020-04-19 00:00:00
abstract:BACKGROUND:Neuropsychiatric symptoms (NPS) frequently occur in patients with dementia. To date, prospective studies on the course of NPS have been conducted in patients with dementia in clinical centers or psychiatric services. The primary goal of this study is to investigate the course of NPS in patients with dementia...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-14-32
更新日期:2014-03-17 00:00:00
abstract:BACKGROUND:China and India are the world's two most populous countries. Although their populations are growing in number and life expectancies are extending they have different trajectories of economic growth, epidemiological transition and social change. Cross-country comparisons can allow national and global insights...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0589-y
更新日期:2017-08-31 00:00:00
abstract:BACKGROUND:Primary care physicians need a brief and accurate screening test of dementia. The objective of this study was to determine whether a short form of Mini-Mental State Examination (SMMSE) was as accurate as the Mini-Mental State Examination (MMSE) in screening dementia. METHODS:Based on case control design stu...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-11-59
更新日期:2011-10-04 00:00:00
abstract:BACKGROUND:Venous thromboembolic events (VTE), including deep venous thrombosis and pulmonary embolism, are common in older age. It has been suggested that statins might reduce the risk of VTE however positive results from studies of middle aged subjects may not be generalisable to elderly people. We aimed to determine...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-11-8
更新日期:2011-02-22 00:00:00
abstract:BACKGROUND:Physical inactivity is a health issue that often occurs after serious disaster. Social factors, which can be disrupted by disaster, are important determinants of physical activity levels in everyday living. This study was designed to confirm the association between social factors and physical activity among ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0203-8
更新日期:2016-01-27 00:00:00
abstract:BACKGROUND:Meperidine (pethidine) is an opioid analgesic that offers little advantage relative to other opioids and several disadvantages including limited potency, short duration of action, and the production of a neurotoxic metabolite (normeperidine) with a long half-life. Older adults are more sensitive to meperidin...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0275-5
更新日期:2016-05-11 00:00:00
abstract::The Memory Services National Accreditation Programme states that memory services should provide "timely access to assessment and diagnosis" of dementia. We undertook a quality improvement project using Plan-Do-Study-Act methodology to improve patient access to an inner city memory service. This report focuses on the t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-14-4
更新日期:2014-01-15 00:00:00
abstract:BACKGROUND:Many balance and strength tests exist that have been designed for older seniors, often aged ≥70 years. To guide strategies for preventing functional decline, valid and reliable tests are needed to detect early signs of functional decline in young seniors. Currently, little is known about which tests are bein...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-1011-0
更新日期:2019-01-09 00:00:00
abstract:BACKGROUND:Sarcopenia often accompanies osteoarthritis (OA), which is managed by total knee arthroplasty (TKA) in the late stage. Recent studies have suggested a higher risk of post-operative complications after TKA in sarcopenic OA subjects, but whether TKA can benefit them similar to non-sarcopenic subjects remains u...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01929-6
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:Many survivors of the Great East Japan Earthquake that occurred in 2011 were at risk of deteriorating health, especially elderly people living in disaster-stricken areas. The objectives of this prospective study were: a) to clarify the different lifestyle and psychosocial factors associated with frailty by s...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0828-x
更新日期:2018-06-04 00:00:00
abstract:BACKGROUND:Physical, emotional, and psychosocial wellbeing are important domains of function. The aims of this study were to explore the existence of separable groups among 70-year olds with scores representing physical function, perceived quality of life, and emotional wellbeing, and to characterise any resulting grou...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-12-64
更新日期:2012-10-22 00:00:00
abstract:BACKGROUND:Older persons represent a growing share of the population, yet very little is known about their specific healthcare needs, problems, and expectations. IMPROVE is an international research project that seeks to improve elderly persons' involvement in their healthcare. This paper analyzes perceptions of patien...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-8-9
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:There is scientific evidence that preventive physical exercise is effective even in high age. In contrast, there are few opportunities of preventive exercise for highly aged people endangered by or actually in need of care. For example, they would not be able to easily go to training facilities; standard exe...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-9-51
更新日期:2009-11-24 00:00:00
abstract:BACKGROUND:Although research productivity in the field of frailty has risen exponentially in recent years, there remains a lack of consensus regarding the measurement of this syndrome. This overview offers three services: first, we provide a comprehensive catalogue of current frailty measures; second, we evaluate their...
journal_title:BMC geriatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2318-13-64
更新日期:2013-06-21 00:00:00
abstract:BACKGROUND:To enable older people to make decisions about the appropriateness of cardiopulmonary resuscitation (CPR), information is needed about the predictive value of pre-arrest factors such as comorbidity, functional and cognitive status on survival and quality of life of survivors. We systematically reviewed the l...
journal_title:BMC geriatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2318-13-68
更新日期:2013-07-03 00:00:00
abstract:BACKGROUND:The choice of measure for use as a primary outcome in geriatric research is contingent upon the construct of interest and evidence for its psychometric properties. The Late-Life Function and Disability Instrument (LLFDI) has been widely used to assess functional limitations and disability in studies with old...
journal_title:BMC geriatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2318-14-12
更新日期:2014-01-29 00:00:00
abstract:BACKGROUND:Psychotropic medications have been associated with many adverse outcomes in older people living in residential care. Home-like models of residential care may be preferable to traditional models of care and we hypothesized that this model may impact on the prevalence of psychotropic medications. The objective...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0752-0
更新日期:2018-02-26 00:00:00
abstract:BACKGROUND:Dementia is an increasing public health threat worldwide. The pathogenesis of dementia has not been fully elucidated yet. Inflammatory processes are hypothesized to play an important role as a driver for cognitive decline but the origin of inflammation is not clear. We hypothesize that disturbances in gut mi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01644-2
更新日期:2020-07-20 00:00:00
abstract:BACKGROUND:Selecting appropriate outcome measures for vulnerable, multimorbid, older patients with acute and chronic impairments poses specific challenges, which may have caused inconsistent findings of previous intervention trials on early inpatient rehabilitation in acutely hospitalized older patients. The aim of thi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1201-4
更新日期:2019-07-09 00:00:00
abstract:BACKGROUND:Communication skills are known to decrease with advancing cognitive impairment. Analgesic treatment in long-term care may be deficient due to the residents' impaired ability to communicate their pain and needs. Undertreated pain frequently leads to rising BPSD in residents with cognitive impairment, resultin...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0295-1
更新日期:2016-06-17 00:00:00
abstract:BACKGROUND:The aging process reduces both sensory capabilities and the capabilities of the motor systems responsible for postural control, resulting in a high number of falls among the elderly. Some therapeutic interventions can directly interrupt this process, including physical exercise. This study compares and exami...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12877-015-0059-3
更新日期:2015-06-02 00:00:00
abstract:BACKGROUND:African American caregivers of community-residing persons with dementia are mostly unpaid and have high rates of unmet basic and health needs. The National Alzheimer's Project Act (NAPA) mandates improved coordination of care for persons with dementia and calls for special attention to racial populations at ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1341-6
更新日期:2019-11-14 00:00:00
abstract:BACKGROUND:Undernutrition prior to major abdominal surgery is frequent and increases morbidity and mortality, especially in older patients. The management of undernutrition reduces postoperative complications. Nutritional management should be a priority in patient care during the preoperative period. However undernutri...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12877-016-0402-3
更新日期:2017-01-07 00:00:00
abstract:BACKGROUND:Nearly one in every seven Americans is 65 years and older, facing day-to-day challenge of aging. Although interest in healthy aging is growing, most of the efforts are directed towards understanding the perceptions of older adults. Little is known about the perspectives of community-based practitioners who w...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01611-x
更新日期:2020-06-15 00:00:00
abstract:BACKGROUND:A qualitative, interview-based study was embedded in a randomized intervention trial, the Older People Exercise and Nutrition (OPEN) study. Participants in the OPEN study were encouraged to conduct sessions of sit-to-stand (STS) exercises combined with Oral Nutritional Supplements (ONS) intake. The aim was t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01731-4
更新日期:2020-09-04 00:00:00
abstract:BACKGROUND:The family often takes care of an elderly person who suddenly becomes dependent. This greatly affects different aspects of the caregivers' lives. The aim of this study is to explore the initial experiences, during the first year of care, of persons who suddenly become caregivers for elderly dependent relativ...
journal_title:BMC geriatrics
pub_type: 杂志文章,meta分析
doi:10.1186/s12877-018-0922-0
更新日期:2018-09-25 00:00:00
abstract:BACKGROUND:Globally, the population is ageing and lives with several chronic diseases for decades. A high symptom burden is associated with a high use of healthcare, admissions to nursing homes, and reduced quality of life. The aims of this study were to describe the multidimensional symptom profile and symptom burden ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-15-1
更新日期:2015-01-05 00:00:00
abstract:BACKGROUND:Individualized decision making has been recommended for cancer screening decisions in older adults. Because older adults' preferences are central to individualized decisions, we assessed older adults' perspectives about continuing cancer screening later in life. METHODS:Face to face interviews with 116 resi...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-6-10
更新日期:2006-08-03 00:00:00
abstract:BACKGROUND:Frail older adults have reduced functional and physiological reserves, rendering them more vulnerable to the effects of hospitalization, which frequently results in failure to recover from the pre-hospitalization functional loss, new disability or even continued functional decline. Alternative care models wi...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12877-015-0109-x
更新日期:2015-09-15 00:00:00