Cognitive Impairment, Depression, Disability Physical, Frailty, Health Services for the Aged, Malnutrition, Urinary Incontinence
Conditions
Keywords
comprehensive geriatric assessment, telemedicine, multidisciplinary approach of elderly care, electronic geriatric assessment bundle
Brief summary
The aim of this study is to design and assess the accuracy of administering the electronic Geriatric Assessment Bundle (e-GAB) compared to geriatrician performed comprehensive geriatric assessment (CGA) in a group of Egyptian elderly. The development of an Arabic software platform for CGA can improve the clinical practice by providing a valid user friendly tool to collect and analyze data for geriatric patients attending non- Geriatric health care service.
Detailed description
Modern geriatric care is based primarily on the concept of multidisciplinary approach of elderly care. This could be achieved by integrating CGA in different disciplines dealing with the older patient. CGA is different from that of the standard medical evaluation; it is a systematic evaluation of frail older adults. It uses combinations of validated geriatric tools to formulate an inventory of health problems, and develop an individualized geriatric intervention plan. The software platform for CGA has been widely used in western countries; however, tools that can fit patients with different backgrounds should be implemented.. From the initial pool of 3 potential subtests, four experienced geriatricians developed a bundle of 15 subtests, to evaluate cognition, mood, vision, hearing, urinary continence, nutrition, functional capacity, fall risk and balance impairment, frailty, polypharmacy, sleep, pain, home safety, and social problems. Moreover, a rapid survey of medical and surgical conditions was obtained. Initial evaluation of these subsets compared to the reference standard CGA was done. Each patient completed the bundle then underwent CGA by an experienced geriatrician blinded to the result of e-GAB
Interventions
DIAGNOSTIC_TESTe-GAB
android application for comprehensive geriatric assessment
DIAGNOSTIC_TESTstandard physician performed CGA
CGA by an experienced geriatrician blinded to the result of e-GAB
Sponsors
Ain Shams University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
60 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
* 60 years or above * community dwelling * can read and write * can use the android application
Exclusion criteria
* any patient refused to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the sensitivity and specificity of administering the electronic Geriatric Assessment Bundle (e-GAB) | the geriatrician will perform standard CGA within 30 minutes of e-GAB completion | assess sensitivity and specificity of the e-GAB for detecting the aforementioned conditions (e.g. Frailty, Depression, sleep disturbance, malnutrition, cognitive decline etc.. )compared to standard CGA |
Countries
Egypt
Outcome results
None listed