Comprehensive geriatric assessment: recognition of identified geriatric conditions by community-dwelling older persons

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Abstract

Objectives

to study (i) the prevalence of geriatric conditions in community-dwelling older persons at increased risk of functional decline and (ii) the extent to which older persons recognise comprehensive geriatric assessment (CGA)-identified conditions as relevant problems.

Methods

trained registered nurses conducted a CGA in 934 out of 1209 older persons at increased risk of functional decline participating in the intervention arm of a randomised trial in the Netherlands. After screening for 32 geriatric conditions, participants were asked which of the identified geriatric conditions they recognised as relevant problems.

Results

at baseline, the median age of participants was 82.9 years (interquartile range (IQR) 77.3–87.3 years). The median number of identified geriatric conditions per participant was 8 (IQR 6–11). The median number of geriatric conditions that were recognised was 1 (IQR 0–2). Functional dependency and (increased risk of) alcohol and drug dependency were the most commonly identified conditions. Pain was the most widely recognised problem.

Conclusion

CGA identified many geriatric conditions, of which few were recognised as a problem by the person involved. Further study is needed to better understand how older persons interact with identified geriatric conditions, in terms of perceived relevance. This may yield a more efficient CGA and further improve a patient-centred approach.

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