Objective. Compare the characteristics of Hospital-admitted elderly subjects, with that of community-dwelling individuals. Methods. Comprehensive Geriatric Assessment (CGA) was done using the following tests and scales: Mini Mental State Examination, Geriatric Depression Scale, Barthel Index of Independence in Activities of Daily modified, Instrumental Activity Daily Life, Physical Performance Test, Tinetti Performance- Oriented Mobility Assessment, Mini Nutritional Assessment, Cumulative Illness Rating Scale for Geriatrics. 661 subjects were assessed with CGA, 274 (41.4%) in hospital wards (average age 78.7 ± 6.7) and 387 at home (average age 76.4 ± 9.1). Results. The hospital-based group proved to be in worse conditions than the home-assessed one, regarding both functional capacity and cognitive and mood status (p < 0.0001). The hospital-based group was found to be at risk of malnutrition, while the home-assessed one was well nourished (P < 0.0001). BMI was found to be increased in both groups (p = 0.073). Lastly, co-morbidity was significantly higher in the hospital-based group (p < 0.0001). Conclusions. Our results show that health status is significantly worse in hospital- admitted subjects than in home-assessed ones. Hence, it is evident the need to routinely carry out CGA, before organ failure occurs, in order to plan personalized therapy and rehabilitation strategies in advance.

Valutazione multidimensionale geriatrica: confronto tra un gruppo di anziani valutati ambulatorialmente e un gruppo di anziani valutati a domicilio

MANDAS, ANTONELLA
2010

Abstract

Objective. Compare the characteristics of Hospital-admitted elderly subjects, with that of community-dwelling individuals. Methods. Comprehensive Geriatric Assessment (CGA) was done using the following tests and scales: Mini Mental State Examination, Geriatric Depression Scale, Barthel Index of Independence in Activities of Daily modified, Instrumental Activity Daily Life, Physical Performance Test, Tinetti Performance- Oriented Mobility Assessment, Mini Nutritional Assessment, Cumulative Illness Rating Scale for Geriatrics. 661 subjects were assessed with CGA, 274 (41.4%) in hospital wards (average age 78.7 ± 6.7) and 387 at home (average age 76.4 ± 9.1). Results. The hospital-based group proved to be in worse conditions than the home-assessed one, regarding both functional capacity and cognitive and mood status (p < 0.0001). The hospital-based group was found to be at risk of malnutrition, while the home-assessed one was well nourished (P < 0.0001). BMI was found to be increased in both groups (p = 0.073). Lastly, co-morbidity was significantly higher in the hospital-based group (p < 0.0001). Conclusions. Our results show that health status is significantly worse in hospital- admitted subjects than in home-assessed ones. Hence, it is evident the need to routinely carry out CGA, before organ failure occurs, in order to plan personalized therapy and rehabilitation strategies in advance.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11584/22266
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