Ability of Comprehensive Geriatric Assessment to Detect Frailty

Abstract

Background and Aim of the Work: Frailty is a state of reduced physiological reserve associated with increased susceptibility to disability. It is associated with a high morbidity and mortality. This work assessed the ability of comprehensive geriatric assessment to detect frailty in elderly patients. Subjects and Methods: A total number of 104 elderly patients (above 60 years old) were included in this study and they were subjected to a comprehensive geriatric assessment (CGA) including: (history and full clinical examination, Mini mental status examination (MMSE), Geriatric depression scale (GDS), Activities of daily living (ADL), Instrumental activities of daily living (IADL). The patients were divided into frail and non-frail groups using Fried's criteria as applied by AvilaFunes et al., 2008, each group included 52 patients. Results: There were no significant differences between the two groups regarding age gender or smoking habits. But there was higher percentage of ADL, IADL dependence in addition to higher incidence of depression and cognitive impairment among frail cases. Conclusion: Comprehensive geriatric assessment can be used to detect frailty and its associated impairment and comorbidities.

The Relationship Between Frailty and Treatment Compliance in Diabetic and Geriatric Patients Using Insulin

“…In a study by Gregg et al 17 , which included 6,588 residents aged 60 and over, it was reported that 32% of diabetic women and 15% of men with diabetes did not have the capacity to walk a quarter of a mile, do housework or climb stairs, this rate for those without diabetes was detected as 14% for women and 8% in men. In a study by Amer et al 18 in which 104 elderly patients were included, similar to our study, it was seen that in physically frail cases the rate of associated chronic diseases, diabetes, ischemic heart diseases, hypertension, stroke, vision and hearing loss was significantly higher than others.…”