Geriatric problems correlated with cognitive decline using a screening test named “Dr. SUPERMAN” for comprehensive geriatric assessment in elderly inpatients
Geriatric problems correlated with cognitive decline using a screening test named “Dr. SUPERMAN” for comprehensive geriatric assessment in elderly inpatients
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使用名为“Dr. SUPERMAN”的筛查测试对老年住院患者进行全面的老年病评估，发现老年问题与认知能力下降相关。
DOI：
10.1111/ggi.12859
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发表时间：
2017
影响因子：
3.3
通讯作者：
Hirofumi Sakurai
中科院分区：
文献类型：
--
作者：
Nayuta Namioka;Hirofumi Sakurai
目的我们最近开发并验证了一种用于综合老年评估（CGA）的筛查试验。我们调查了老年住院患者使用CGA的老年问题的患病率，并确定了老年问题和认知能力下降之间的关系。MethodsWe招募了年龄>65岁的连续老年住院患者，他们在2013年7月至12月期间在日本东京医科大学医院的所有医院科室入院。我们使用名为“超人博士”的CGA筛查试验，调查了老年住院患者中特定老年问题或情况的患病率。我们使用CGA检查了3969名老年住院患者（2211名男性和1758名女性;平均年龄75.5 ± 6.7岁）。住院患者按年龄分为三组，即65-74岁、75-84岁和≥85岁。住院病人分为“内科”和“其他科室”两组。结果老年问题多见于年龄≥85岁的内科患者。多元回归分析发现，认知功能下降与ADL下降、年龄、服药依从性差、上下肢功能障碍、视觉/听觉障碍、泌尿系统障碍显著相关。特别是，认知能力下降与日常生活活动能力下降密切相关。结论CGA应被考虑用于老年住院患者的治疗，特别是那些认知能力下降并进入“内科”部门的患者。Geriatr Gerontol Int 2017; 17：1252-1256。
AimWe have recently developed and validated a screening test for comprehensive geriatric assessment (CGA). We investigated the prevalence of geriatric problems in elderly inpatients using CGA, and determined the relationship between geriatric problems and cognitive decline.MethodsWe enrolled consecutive elderly inpatients aged >65 years who were admitted to all of the hospital departments at Tokyo Medical University Hospital, Tokyo, Japan, between July and December 2013. We investigated the prevalence of specific geriatric problems or situations in elderly inpatients using a screening test for CGA named “Dr. SUPERMAN.” We examined 3969 elderly inpatients (2211 men and 1758 women; mean age 75.5 ± 6.7 years) using CGA. Inpatients were divided into three groups by age, namely, 65–74 years, 75–84 years and ≥85 years. Inpatients were divided into the two groups of “internal medicine” and “other departments.”ResultsGeriatric problems were more frequently found in patients who were aged ≥85 years and admitted to “internal medicine” departments. Furthermore, multiple regression analysis found cognitive decline significantly correlated with ADL decline, age, poor medication adherence, upper and lower extremity function disorder, visual/auditory disorder, and urinary disorder. In particular, cognitive decline strongly correlated with a decline in activities of daily living.ConclusionsCGA should be considered for the treatment of elderly inpatients, particularly those with cognitive decline and admitted to “internal medicine” departments.Geriatr Gerontol Int 2017; 17: 1252–1256.
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影响因子：
3.3
作者：
H. Umegaki;F. Ando;H. Shimokata;Sayaka Yamamoto;Akira Nakamura;H. Endo;M. Kuzuya;A. Iguchi
通讯作者：
A. Iguchi
门诊患者的综合老年评估对于检测与感觉障碍相关的功能障碍和抑郁症状以及筛查认知障碍非常重要
DOI：
--
发表时间：
2006
期刊：
Geriatrics & Gerontology International 6
影响因子：
--
作者：
Sumi;E;Takechi;H;Wada;T;Ishine;M;Wakatsuki;Y;Murayama;T;Yokode;M;Tanaka;M;Kita;T;Matsubayashi;K;Arai;H
通讯作者：
H
影响因子：
4.1
作者：
Avelino-Silva TJ;Farfel JM;Curiati JA;Amaral JR;Campora F;Jacob-Filho W
通讯作者：
Jacob-Filho W
[建立认知能力下降的简短筛查测试，作为新开发的综合老年评估计划的一部分，名为“Dr.”
DOI：
10.3143/geriatrics.49.241
发表时间：
2012
期刊：
Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
影响因子：
--
作者：
Takeshi Ohnuma;H. Kanetaka;T. Iwamoto
通讯作者：
T. Iwamoto
基于综合老年评估的个体针对性干预措施对衰弱前和衰弱社区居住老年人活动能力的影响
影响因子：
3.3
作者：
Päivi Tikkanen;E. Lönnroos;S. Sipilä;I. Nykänen;R. Sulkava;S. Hartikainen
通讯作者：
S. Hartikainen