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Gaceta Médica Boliviana
versión impresa ISSN 1012-2966versión On-line ISSN 2227-3662
Resumen
OROZCO CRESPO, Julio Cesar. Effectiveness of comprehensive geriatric assessment. Gac Med Bol [online]. 2023, vol.46, n.2, pp.28-31. Epub 01-Dic-2023. ISSN 1012-2966. https://doi.org/10.47993/gmb.v46i2.604.
Comprehensive geriatric assessment has become a fundamental tool for the care of institutionalized older adults since it helps to identify risk factors that influence the early detection of the critically ill elderly.
Objective:
to characterize the prognostic/diagnostic effectiveness of a comprehensive geriatric assessment versus a regular geriatric assessment and its influence on morbimortality in institutionalized older adults at the Centro Integral de Atención al Adulto Mayor de Caramarca, Sipe Sipe in the province of Quillacollo, from 2016 to 2019.
Material and methods:
it is an observational study of analytical type, historical cohort subtype, prospective longitudinal. The subjects under study were institutionalized MAs who entered in 2016 or before 2019, divided into two subgroups, one intervened of 47 participants and the other non-intervened of 17 participants.
Results:
the pathological sphere (Tinetti, Lovett/Kendall scales) reduced from 55 to 98 % identifying critical elderly, the nutritional sphere (MNA test) reduced up to 68 % of malnourished and undernourished; the functional sphere (Barthel scale, Katz scale) identified from 85 to 96 % critical states of dependency. The use of the PCDF reduced by 66% the number of elderly with severe motor disabilities. The mental sphere (Pfeiffer Questionnaire and Yesavage scale) identified 75 to 84 % of severe cognitive impairment.
Conclusions:
the integral geriatric assessment, showed that it reduced the morbi-mortality of institutionalized MA of the Centro Integral de Atención al Adulto Mayor de Caramarca.
Palabras clave : elderly; geriatric assessment; critical illness; geriatric evaluation.