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Related Experiment Videos

[Geriatric assessment--case finding by screening hospitalized patients]

W H Kruse1, R Schulz, H P Meier-Baumgartner

  • 1Medizinisch-Geriatrische Klinik Albertinen-Haus, Hamburg.

Zeitschrift Fur Gerontologie Und Geriatrie
|July 1, 1995
PubMed
Summary

A simple screening identifies older patients needing geriatric assessment. This method efficiently detects functional impairments and risks in hospitalized individuals, improving patient selection for care.

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Area of Science:

  • Gerontology
  • Internal Medicine
  • Health Services Research

Context:

  • Geriatric assessment is crucial for effective patient care but requires careful patient selection.
  • Identifying appropriate candidates for geriatric assessment can be challenging in acute hospital settings.
  • A systematic screening process is needed to optimize the use of geriatric assessment resources.

Purpose:

  • To evaluate the feasibility and utility of a simple screening procedure for identifying patients who would benefit from geriatric assessment.
  • To determine the types and frequency of geriatric problems detected by the screening.
  • To assess the recommendations for geriatric assessment based on screening results in newly hospitalized patients.

Summary:

  • A screening procedure was implemented to identify functional impairments and geriatric risks in hospitalized patients.

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  • The screening was feasible, identifying an average of five findings per patient in 245 of 247 admissions.
  • Frequent issues included impaired activities of daily living, mobility, and memory, leading to geriatric assessment recommendations for 44% of patients.
  • Impact:

    • The screening procedure is feasible and effective in identifying patients suitable for geriatric assessment.
    • It provides valuable information for selecting older patients with multiple chronic problems and functional deficits.
    • Implementing this screening in hospitals can optimize the utilization of geriatric assessment services for better patient outcomes.