...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Geriatrics >Performance of a brief geriatric evaluation compared to a comprehensive geriatric assessment for detection of geriatric syndromes in family medicine: a prospective diagnostic study
【24h】

Performance of a brief geriatric evaluation compared to a comprehensive geriatric assessment for detection of geriatric syndromes in family medicine: a prospective diagnostic study

机译：一段短暂的老年评估表现，与综合性老年评估检测家庭医学的老年综合征：预期诊断研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Geriatric syndromes are rarely detected in family medicine. Within the AGE program (active geriatric evaluation), a brief assessment tool (BAT) designed for family physicians (FP) was developed and its diagnostic performance estimated by comparison to a comprehensive geriatric assessment. This prospective diagnostic study was conducted in four primary care sites in Switzerland. Participants were aged at least 70?years and attending a routine appointment with their physician, without previous documented geriatric assessment.?Participants were assessed by their family physicians using the BAT, and by a geriatriciant who performed a comprehensive geriatric assessment?within?the following two-month period?(reference standard). Both the BAT and the full assessment targeted eight geriatric syndromes: cognitive impairment, mood impairment, urinary incontinence, visual impairment, hearing loss, undernutrition, osteoporosis and gait and balance impairment. Diagnostic accuracy of the BAT was estimated in terms of sensitivity, specificity, and predictive values; secondary outcomes were measures of feasibility, in terms of added consultation time and comprehensiveness in applying the BAT items. Prevalence of the geriatric syndromes in participants (N=85, 46 (54.1%)?women, mean age 78?years (SD 6))ranged from 30.0% (malnutrition and cognitive impairment) to 71.0% (visual impairment), with?a median number of 3 syndromes (IQR 2 to 4)?per participant. Sensitivity of the BAT ranged from 25.0% for undernutrition (95%CI 9.8% - 46.7%) to 82.1% for hearing impairment (95%CI 66.5% - 92.5%), while specificity ranged from 45.8% for visual impairment (95%CI 25.6–67.2) to 87.7% for undernutrition (76.3% to 94.9%). Finally, most negative predictive values (NPV) were between 73.5% and 84.1%, excluding visual impairment with a NPV of 50.0%. Family physicians reported BAT use as per instructions for 76.7% of the syndromes assessed. Although the BAT does not replace a comprehensive geriatric assessment, it is a useful and appropriate tool for the FP to screen elderly patients for most geriatric syndromes. The study was registered on ClinicalTrials.gov on February 20, 2013 ( NCT01816087 ).
机译：在家庭医学中很少检测到老年综合征。在年龄计划（活性老年评估）中，开发了一个用于家庭医生（FP）的简要评估工具（BAT），并通过与综合性老年评估进行比较估算的诊断性能。该前瞻性诊断研究是在瑞士的四个初级保健场所进行的。参与者年龄在70岁以下的时间，并参加与他们的医生的日常预约，没有先前有文件的老年评估。由他们的家庭医生使用蝙蝠的家庭医生进行评估，并由一只综合性老年评估进行评估？在以下情况下两个月的时间？（参考标准）。蝙蝠和全面评估均有八个老年综合征：认知障碍，情绪障碍，尿失禁，视力障碍，听力丧失，缺陷，骨质疏松和步态和平衡减值。根据敏感性，特异性和预测值估计蝙蝠的诊断准确性;二次结果是可行性的衡量标准，就添加了蝙蝠项目的咨询时间和全面性而言。参与者的老年综合征患病率（n = 85,46（54.1％）？女性，平均78岁？年（SD 6））从30.0％（营养不良和认知障碍）到71.0％（视觉损伤），与？每个参与者的3个综合征（IQR 2至4）中位数。蝙蝠的敏感性范围为25.0％的票据（95％CI 9.8％-46.7％），听力损伤的82.1％（95％CI 66.5％ - 92.5％），而特异性范围为视觉损伤的45.8％（95％CI 25.6-67.2）税前87.7％（76.3％至94.9％）。最后，大多数负面预测值（NPV）均为73.5％和84.1％，不包括视力损害，NPV为50.0％。家庭医生报告了蝙蝠的使用，每指示占评估的综合征的76.7％。虽然蝙蝠不取代综合的老年评估，但它是FP为大多数老年综合征筛查老年患者的有用和适当的工具。该研究于2013年2月20日（NCT01816087）在Clinicaltrials.gov上注册。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号