Global Geriatric Assessment at Internal Medicine: A More Appropriate Model in The Evaluation of Hospitalized Elderly Patients

Authors

DOI:

https://doi.org/10.24950/rspmi/original/214/1/2019

Keywords:

Aged, Comorbidity, Geriatric Assessment/methods, Fragilidade, Internal Medicine

Abstract

Introduction: The population is ageing. Increasing numbers
of people are living with frailty and disability, and dying with
multiple chronic diseases. Geriatric Assessment is a multidimensional diagnostic tool designed with the aim of enabling
a more precise determination of the health status of the elderly patient, with the objective of establishing a coordinated
and integrated plan.
Material and Methods: This study aimed to characterize the
overall health status of the old patient admitted to Internal
Medicine Department in Hospital de Braga. As secondary
objective we pretend to assess the effectiveness of the model in predicting morbidity and mortality. To accomplish this, a
transversal and prospective analysis was carried out on all
old patients (65 years or older) hospitalized at Internal Medicine Department, on March 2, 2018.
Conclusion: The present study allowed us to confirm that
the patient admitted to the Internal Medicine Department is
mostly old or very old, with pluripatology, polymedicated, dependent on basic activities of daily living and frail.

Downloads

Download data is not yet available.

References

Hall S, Petkova H, Tsouros AD, Costantini M, Higginson IJ. Palliative care for older people: better practices. [e-book] 2006 [consultado 2017 Set 18]. Disponível em: http://www.euro.who.int/__data/assets/pdf_ file/0017/143153/e95052.pdf.

Sousa S, Moraes ME, Beato V, Corredoura AS, Rodrigues G, Soares M, et al. Factores preditivos de morbilidade e mortalidade hospitalar e aos seis meses em doentes idosos hospitalizados. Acta Med Port. 2002; 15:177- 84.

Miller E, Weissert W. Predicting elderly people’s risk for nursing home placement, hospitalization, functional impairment, and mortality: a synthesis. Med Care Res Rev.2000; 57):259-97. doi: 10.1177/107755870005700301.

Hoogerduijn J, Schuurmans M, Duijnstee M, De Rooij SE, Grypdonck MF. A systematic review of predictors and screening instruments to identify older hospitalized patients at risk for functional decline. J Clin Nurs.2007; 16:46-57

Volpato S, Onder G, Cavalieri M, Guerra G, Sioulis S, Maraldi C, et al. Characteristics of nondisabled older patients developing new disability associated with medical illnesses and hospitalization. J Gen Intern Med. 2007; 22:668-74. doi: 10.1007/s11606-007-0152-1.

Brown C, Friedkin R, Inouye S. Prevalence and outcomes of low mobility in hospitalized older patients. J Am Geriatr Soc. 2004;52:1263-70.

Ngangbam T. Frailty syndrome in older adults. J Med Soc. 2017; 31:71.

Costa EF, Monego ET. Avaliação Geriátrica Ampla. Rev UFG. 2003; 5: 2.

Uptodate [homepage na Internet]. Comprehensive Geriatric Assessment. 2018 [consultado 13 Ago 2018]. Disponível em: https://www. uptodate.com/contents/comprehensive-geriatric-assessment?search=- comprehensive-geriatricassessment&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

Welsh TJ, Gordon AL, Gladman JR. Comprehensive Geriatric Assessment – a guide for the non-specialist. Int J Clin Pract. 2014; 68: 290–3. doi: 10.1111/ijcp.12313.

Ellis G. Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. BMJ. 2011;343:d6553. doi: 10.1136/bmj.d6553.

Duque AS, Gruner H, Clara JG, Ermida JG, Veríssimo MT. Núcleo de Estudos de Geriatria da Sociedade Portuguesa de Medicina: Avaliação Geriátrica. [e-book] [consultado 2017 Fev 18]. Disponível em: http://www. spmi.pt/wp-content/uploads/GERMI_36.pdf

Perna S, Francis MA, Bologna M, Moncaglieri F, Riva A, Morazzoni P, et al. Performance of Edmonton Frail Scale on frailty assessment: its association with multi-dimensional geriatric conditions assessed with specific screening tools. BMC Geriatr. 2017; 17: 2. doi: 10.1186/s12877-016-0382-3.

Fabrício-Wehbe SCC. Adaptação cultural e Validação da Edmonton Frail Scale (EFS) escala de avaliação de fragilidade em idosos. [dissertação]. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto; 2008.

Martins D, Carvalho I, Cordeiro N, Pinheira V. Contributo para a validação da Edmont Frail Scale (EFS). [e-book]2012 [consultado 2018 Ago 16]. Disponível em: https://repositorio.ipcb.pt/bitstream/10400.11/1505/1/ poster_EFS_new.pdf

Thomas K. The GSF Prognostic Indicator Guidance. 4th Ed. Royal College Of General Practitioners. [e-book] 2011 [consultado 2017 jun 16]. Disponível em: https://www.goldstandardsframework.org.uk/cd-content/ uploads/files/General%20Files/Prognostic%20Indicator%20Guidance%20October%202011.pd

Fick D, Semla T, Beizer J, Brandt N, Dombrowski R, DuBeau CE, et al. American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2012;60:616-31. doi: 10.1111/jgs.13702.

Romero I, Braga B, Rodrigues J, Rodrigues R, Neto IG. “Desprescrever” nos doentes em fim de vida: um guia para melhorar a prática clínica. Rev Med Intern. 2018; 25: 48-57.

Sampaio FM. Confusion Assessment Method (CAM): Tradução e Validação Para A População Portuguesa. [dissertação] Porto: Escola Superior de Enfermagem do Porto; 2012.

Carvalho A, Dias C, Morais A, Veríssimo MT, Sousa MC, Campos L, et al. Rede de Referenciação Hospitalar: Medicina Interna [e-book] 2016 [consultado 2018 Agosto 20]. Disponível em: https://www.sns.gov.pt/wp- -content/uploads/2018/01/RRH-Medicina-Interna-Para-CP-21-12-2017. pdf

Vilas-Boas A, Eça Guimarães E, Bernardino Vieira N. O Internamento de Medicina Interna em Portugal [e-book]2016 [consultado 2018 Jun 27]. Disponível em:https://www.spmi.pt/22congresso/resumos_aceites_consulta.php?id=CO-48-01

Tucci A, Ferrari S, Bottelli C, Borlenghi E, Drera M, Rossi G. A Comprehensive Geriatric Assessment is more effective than clinical judgment to identify elderly diffuse large cell lymphoma patients who benefit from aggressive therapy. Cancer. 2009;115:4547-53. doi: 10.1002/cncr.24490.

Campos L. Diversificar a população de doentes dos serviços de medicina e estimular populações homogéneas: um desafio difícil. Rev Med Intern. 2018; 25: 8-9.

Published

2019-03-15

How to Cite

1.
Sousa L, Isabel Oliveira A, Rita Marques A, Mendes M, Morais J, Cardoso R, Costa S, Capela C. Global Geriatric Assessment at Internal Medicine: A More Appropriate Model in The Evaluation of Hospitalized Elderly Patients. RPMI [Internet]. 2019 Mar. 15 [cited 2024 Dec. 21];26(1):40-6. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/361

Issue

Section

Original Articles

Most read articles by the same author(s)