Performances of a Brief Assessment Tool for the Early Diagnosis of Geriatric Syndromes by Primary Care Physicians

Performances of a Brief Assessment Tool for the Early Diagnosis of Geriatric Syndromes by Primary Care Physicians

Study AGE - Part 2 (Active Geriatric Evaluation for General Practitioner), Performances of a Brief Assessment Tool for the Early Diagnosis of Geriatric Syndromes by Primary Care Physicians

The AGE (Active Geriatric Evaluation) aims to develop a brief assessment tool adapted to the primary care setting.

The AGE (Active Geriatric Evaluation) program is a collaborative project between a primary care institution and a specialised geriatric unit that aims to develop a brief assessment tool (BAT) adapted to the primary care setting. The objective of this study is to assess the performances of the BAT to identify major geriatric syndromes: cognitive impairment; mood disorder; functional impairment; urinary incontinence; malnutrition; gait and balance impairment; osteoporosis; hearing impairment; visual impairment. In order to achieve our objective, we plan to recruit 155 patients > 70 years old in primary care settings for which primary care physicians will perform the BAT (composed of specific questions and clinical exams). At the end of the consultation, the primary care physician will fill a questionnaire where the absence/presence of syndromes will be recorded (according to the findings of the BAT). Each patient will be then seen a second time by expert geriatricians that will perform a full geriatric evaluation (90 minutes). This will allow to calculate the performances of the intervention (BAT) in terms of sensibility /specificity,...

Cognitive Impairment, Mood Disorders, Urinary Incontinence, Malnutrition, Osteoporosis, Hearing Impairment, Visual Impairment

all participants will have a brief assessment tool (BAT) for the identification of geriatric syndromes performed by their general practitioner. Afterwards, all participants will have a full geriatric assessment performed by geriatricians

All participants will be screened for geriatric syndromes using the brief assessment tool. Mix a simple questions and simple tests

performances of the brief assessment tool (BAT) will be measured by calculating sensibility and specificity for each of the geriatric syndromes: cognitive impairment; mood disorder; functional impairment; urinary incontinence; malnutrition; gait and balance impairment; osteoporosis; hearing impairment; visual impairment

Inclusion Criteria: Age > 70 years follow-up by general practitioner good understanding of french or presence of a translater No previous or on-going geriatric consultation Patient able to provide consent or a relative is present that can provide a consent instead Exclusion Criteria: Age < 70 years No follow-up by general practitioner Unable to understand French or absence of a translater On-going geriatric follow-up Patient unable to provide consent or a relative is absent

Mueller YK, Monod S, Locatelli I, Bula C, Cornuz J, Senn N. Performance of a brief geriatric evaluation compared to a comprehensive geriatric assessment for detection of geriatric syndromes in family medicine: a prospective diagnostic study. BMC Geriatr. 2018 Mar 13;18(1):72. doi: 10.1186/s12877-018-0761-z.