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Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward
In Poland, the elderly population is noticeably increasing every year. Therefore, the current healthcare system has to rise to the challenge of treatment and prevention strategies targeting elderly persons. Based on the Vulnerable Elders Survey (VES-13 scale), consisting of international and validat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915924/ https://www.ncbi.nlm.nih.gov/pubmed/36767432 http://dx.doi.org/10.3390/ijerph20032065 |
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author | Gołębiowska, Justyna Szymala-Pędzik, Małgorzata Żórawska, Joanna Sobieszczańska, Małgorzata Agrawal, Siddarth |
author_facet | Gołębiowska, Justyna Szymala-Pędzik, Małgorzata Żórawska, Joanna Sobieszczańska, Małgorzata Agrawal, Siddarth |
author_sort | Gołębiowska, Justyna |
collection | PubMed |
description | In Poland, the elderly population is noticeably increasing every year. Therefore, the current healthcare system has to rise to the challenge of treatment and prevention strategies targeting elderly persons. Based on the Vulnerable Elders Survey (VES-13 scale), consisting of international and validated scales, we put effort into identifying the factors affecting the increased percentage of CGA (Comprehensive Geriatric Assessment) recommendations by healthcare system physicians. The study group involved 78 patients from the Department of Geriatrics, Wroclaw Medical University, Poland, aged 60–91 (median Me = 81 years old). Of the studied patients, 51 were recommended for CGA (51/78; 64.6%). A statistically significant association was observed between CGA recommendation and age (p < 0.001); the likelihood of a CGA recommendation increased with age. Furthermore, the increased CGA recommendation was observed among geriatric patients with: (a) frailty syndrome (OR = 11.2, CI95% 2.88–43.5, p < 0.001), (b) high risk of malnutrition or malnutrition (OR = 3.87; CI95%, 1.00–14.9, p = 0.04), (c) low mental status (OR = 3.32, CI95% 1.22–9.09, p = 0.029), (d) low ability to perform basic daily duties (according to ADL scale—OR = 12.6, CI95% 1.57–101, p = 0.004 and IADL scale—OR = 4.71, CI95% 1.72–12.9, p = 0.003), and (e) fall risk (OR = 15.0, CI95% 4.67–48.3, p < 0.001). Moreover, homocysteine levels increased with age (p = 0.003) and decreased with sleep duration (p = 0.043). Taken together, all these factors seem to be important when implementing treatment programs adjusted to the individual geriatric patient. |
format | Online Article Text |
id | pubmed-9915924 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99159242023-02-11 Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward Gołębiowska, Justyna Szymala-Pędzik, Małgorzata Żórawska, Joanna Sobieszczańska, Małgorzata Agrawal, Siddarth Int J Environ Res Public Health Article In Poland, the elderly population is noticeably increasing every year. Therefore, the current healthcare system has to rise to the challenge of treatment and prevention strategies targeting elderly persons. Based on the Vulnerable Elders Survey (VES-13 scale), consisting of international and validated scales, we put effort into identifying the factors affecting the increased percentage of CGA (Comprehensive Geriatric Assessment) recommendations by healthcare system physicians. The study group involved 78 patients from the Department of Geriatrics, Wroclaw Medical University, Poland, aged 60–91 (median Me = 81 years old). Of the studied patients, 51 were recommended for CGA (51/78; 64.6%). A statistically significant association was observed between CGA recommendation and age (p < 0.001); the likelihood of a CGA recommendation increased with age. Furthermore, the increased CGA recommendation was observed among geriatric patients with: (a) frailty syndrome (OR = 11.2, CI95% 2.88–43.5, p < 0.001), (b) high risk of malnutrition or malnutrition (OR = 3.87; CI95%, 1.00–14.9, p = 0.04), (c) low mental status (OR = 3.32, CI95% 1.22–9.09, p = 0.029), (d) low ability to perform basic daily duties (according to ADL scale—OR = 12.6, CI95% 1.57–101, p = 0.004 and IADL scale—OR = 4.71, CI95% 1.72–12.9, p = 0.003), and (e) fall risk (OR = 15.0, CI95% 4.67–48.3, p < 0.001). Moreover, homocysteine levels increased with age (p = 0.003) and decreased with sleep duration (p = 0.043). Taken together, all these factors seem to be important when implementing treatment programs adjusted to the individual geriatric patient. MDPI 2023-01-23 /pmc/articles/PMC9915924/ /pubmed/36767432 http://dx.doi.org/10.3390/ijerph20032065 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Gołębiowska, Justyna Szymala-Pędzik, Małgorzata Żórawska, Joanna Sobieszczańska, Małgorzata Agrawal, Siddarth Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward |
title | Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward |
title_full | Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward |
title_fullStr | Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward |
title_full_unstemmed | Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward |
title_short | Identification of Factors Affecting the Increased Percentage of CGA Recommendations among Patients on Geriatric Ward |
title_sort | identification of factors affecting the increased percentage of cga recommendations among patients on geriatric ward |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915924/ https://www.ncbi.nlm.nih.gov/pubmed/36767432 http://dx.doi.org/10.3390/ijerph20032065 |
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