J Korean Acad Fam Med.
2001 Sep;22(9):1383-1393.
The multi-center study of the comprehensive geriatric assessment in the Korean elderly
- Affiliations
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- 1Department of Family Medicine, Soochunhyang University College of Medicine.
- 2Department of Family Medicine, Ewha Womans University College of Medicine.
- 3Department of Family Medicine, Keimyung University College of Medicine.
- 4Department of Family Medicine, Dong-A University College of Medicine.
- 5Department of Family Medicine, Kyunghee University College of Medicine.
- 6Department of Family Medicine, Youngnam University College of Medicine.
- 7Department of Family Medicine, Kwandong University College of Medicine.
- 8Department of Family Medicine, Inchon Eunhye Hospital.
- 9Department of Rehabilative Medicine, Hanyang University College of Medicine.
- 10Department of Family Medicine, Wonkwang University College of Medicine.
- 11Department of Family Medicine, Pochon CHA Medical University.
Abstract
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BACKGROUND: Comprehensive geriatric assessment is identified as a dynamic process responsive to the changes on health status that occurs over time in the context of extremely increasing trend in the numbers of the elderly people, their office visit, and the medical cost universally. We completed the comprehensive geriatric assessment and applied it to the Korean elderly through the multi-center trials.
METHODS
We performed studies variables using questionnaires, with interviewing, physical examination to the number of total 312 elderly people who visited the department of family medicine or physical medicine and rehabilitation of the 11 university hospital or general hospital in Korea from July 1, 1999 through October 31, 1999. We, the geriatrician, met and discussed 3 times to complete the comprehensive geriatric assessment through the consensus panel.
RESULTS
We found the sex ratio of 312 subjects was 1 to 2 (104 males and 208 females) and the average age was 73.2 years old. The orders of more frequency of self-reported health status of the respondents were hypertension, arthritis, cataract, gastrointestinal disturbance, diabetes mellitus, urinary/fecal incontinence, depression, cerebrovascular accident, anemia, and heart disease. Nearly 15% of those showed depression, 41.6% of those were in the status of socially isolation. We found 43.1% of those showed hypertension, 3.7% isolated systolic hypertension, and 20.2% orthostatic hypotension. Of those, cognitive impairment were measured in 37.1%, gait disturbance 13.0%, and the risk of malnutrition 39.6%. Geriatrician spent 21.1 minutes per person during the process of comprehensive geriatric assessment.
CONCLUSION
We realized we could diagnose and intervene effectively certain hidden conditions/diseases, particularly urinary incontinence, falls, visual impairment, hearing impairment, pain, depression, social isolation, cognitive impairment, and orthostatic hypotension, with using the comprehensive geriatric assessment. These results reflected the fact that the comprehensive geriatric assessment might be necessary for the care of the elderly.
MeSH Terms
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Aged*
Anemia
Arthritis
Cataract
Consensus
Surveys and Questionnaires
Depression
Diabetes Mellitus
Gait
Geriatric Assessment*
Hearing Loss
Heart Diseases
Hospitals, General
Humans
Hypertension
Hypotension, Orthostatic
Korea
Male
Malnutrition
Office Visits
Physical and Rehabilitation Medicine
Physical Examination
Sex Ratio
Social Isolation
Stroke
Urinary Incontinence
Vision Disorders
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