Rainfray Muriel, Bourdel-Marchasson Isabelle, Dehail Patrick, Richard-Harston Sandrine
Centre de Gériatrie Henri-Choussat, Groupe Hospitalier Sud, CHU de Bordeaux, 33604 Pessac Cedex, France.
Ann Med Interne (Paris). 2002 Oct;153(6):397-402.
Comprehensive geriatric assessment is a useful complement to the standard clinical examination of elderly people. It focuses on a systematic evaluation of functional status, dependency, cognitive functions, psychological status, continence, nutritional status and social way of life, administered by a multidisciplinary team. Standardized test, well-validated in the elderly, are used. Most studies have demonstrated the efficacy of geriatric assessment programs in outpatients, hospitalized patients or in emergency unit patients. Mostly useful in frail elderly patients, geriatric assessment results in a decrease in morbidity and dependency, shorter hospital stays and fewer referrals to nursing homes. By introducing adequate medical and social interventions, comprehensive geriatric assessment, even in very old people, is useful in preventing acute situations leading to emergency referrals.
综合老年评估是对老年人标准临床检查的有益补充。它侧重于由多学科团队对功能状态、依赖程度、认知功能、心理状态、大小便失禁情况、营养状况和社会生活方式进行系统评估。使用的是在老年人中经过充分验证的标准化测试。大多数研究已经证明老年评估项目在门诊患者、住院患者或急诊科患者中的有效性。老年评估对体弱的老年患者最为有用，可降低发病率和依赖程度，缩短住院时间，并减少转至养老院的情况。通过引入适当的医疗和社会干预措施，即使对非常高龄的老年人，综合老年评估也有助于预防导致紧急转诊的急性情况。
