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RETROSPECTIVE DATA ANALYSIS OF GERIATRIC PATIENTS ASSESSED IN A GERIATRIC DAY HOSPITAL
Gazzotti C, Massart M-F, Toussaint V and Van Nes M-C
OBJECTIVES: to analyse socio-demographic data and the number of interventions required from the multidisciplinary team to complete a comprehensive geriatric assessment(CGA).
DESIGN : a retrospective study.
SETTING : a geriatric day hospital in Li?ge.
PARTICIPANTS : 159 patients with a mean age of 77 ? 5.8 years (63.5 % of women and 36.5% of men) were evaluated by multidisciplinary team between June and September 2005 (41 working days).
MEASUREMENTS : All patients were referred underwent a CGA. Data collected: reason for assessment, list of medications, scores on tests and number of interventions by the team.
RESULTS : 87.4 % of the patients lived at home . The mean number of drugs was 6.9 ? 3.3. Reasons for assessment were: cognitive evaluation ( 72.3 % ), falls (10 %), diabetes (10 %),nutritional assessment (5 %), driving capacity (3 %), follow-up of pressure sore (0.6 %), others ( 15 % ).
Mean scores on CGA tests are noted in table 1.
Table 1: CGA tests applied
Type of tests Mean scores ? SD
Mini Mental State 22.1 ?5.9
Neuropsychiatric inventory 13.9 ?9.6
Mini Nutritional Assessment 19.6 ?4.7
Activities of Daily Living (ADL) 7.9 ?3.5
Instrumental ADL 18.7 ? 7.2
Gait & balance (Tinetti) 23.8 ? 3.8
The mean number of intervention by the health care team was 2.9 ? 1.1.
CONCLUSIONS : The analysis of our retrospective data shows that majority of patients referred to the geriatric day hospital are older than 75 years, still living at home and suffering from cognitive problems. Careful advanced care planning based on CGA could prevent or reduce hospitalisation in this population group.
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