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Data processing tool for the standardized gerontologic evaluation Results of an investigation done with the general practitioners in the Alpes ? Maritimes ( France )
David BOUAZIZ, JY GIORDANA, J SAOS, JL PHILIP , D Balas
1 ? Objectives :
Since the first work of Rubenstein ( 1984 ) , we know that the fragility evaluation of old people by the standardized gerontologic evaluation ( EGS ) is an important public health problem.
The recommendations of the scientific council of the APA show that we must do a multidimensional evaluation.Two evaluation tools must be used. Answering to this recommendations , in collaboration with the Gerontologic Observatory of the General Council of Alpes Maritimes , we developed an evaluation software.The first level of this one is adapted to the daily practice of the general practitioner (GP) :
- compatibility with the duration of the consultations
- pre seizure of the items
- use of visual barometers to facilitate a fast interpretation, etc
The software use the validated international grids when they exist and takes into account the frequent fragility risks ( situational , cognition , mood , sensory , nutrition , incontinence, motricity , equilibration, ADL-IADL , pain , iatrogenic risk , pathological risk ). With this experimentation , we want to show the feasibility of an EGS by the GP.
2 ? Protocol :
We decide to form 18 General Practitioners ,working in Nice, to the practice of the EGS and the use of our software.Each of them must included 4 patients or more .
Inclusion : Age : More than 60 years , informed and agreeing.
Exclusion : Dementia , Sensory deficit incompatible with the EGS making , Acute disease
After each evaluation , the GP must answer at 8 questions . We also know the real time of evaluation making ( without the knowledge of GP ).
3 ? Results :
The statistical analysis shows that :
1 ? The real time of evaluation making lies between 20 and 32 minutes ( median : 25 min )
2 ? The GP didn?t have difficulty to explain to the patient the interest of the evaluation ( 3,8 / 4 pts )
3 ? The GP arrive to begin the evaluation with the reason of each consultation ( 3,7 / 4 pts )
4 ? The order suggested for the evaluation is perfect ( 3,7 / 4 pts )
5 ? The GP wishes to continue later the evaluation of his patient by using complementary tests ( level 2 or more ) ( 3,6 / 4 pts )
About the software :
1 ? The GP were satisfied by the first level of evaluation ( 9 / 10 pts )
2 ? Even if it?s a new concept , the GP think it?s very important ( 8,7 / 10 pts )
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