Targeted Geriatric Assessment for Fast‐Paced Healthcare Settings: Development, Validity, and Reliability

Aliberti, Márlon Juliano Romero; Apolinário, Daniel; Suemoto, Cláudia Kimie; Melo, Juliana A.; Fortes-Filho, Sileno Q.; Saraiva, Marcos Daniel; Trindade, Carolina B.; Covinsky, Kenneth E.; Jacob‐Filho, Wilson

doi:10.1111/jgs.15303

Cited by 28 publications

(29 citation statements)

References 30 publications

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“…We asked participants to wear light clothing and no shoes when anthropometric measures were taken. We calculated body mass index (BMI) using the metric system (kg/m 2 ) and measured the calf circumference (cm) using an inelastic tape placed on the broadest possible section of the left calf [14].…”

Section: Clinical Assessmentmentioning

confidence: 99%

“…Finally, we screened for the presence of visual and auditive de cits ("yes" or "no") using the following questions, is calculated, dividing the total sum of points by the number of evaluated domains [14]. Based on previous work demonstrating the good predictive power of 10-TaGA for one-year mortality, we classi ed participants as having low (0-0.24), medium (0.25-0.49), or high (0.50-1) risk of death [17].…”

Section: Clinical Assessmentmentioning

confidence: 99%

“…We additionally used the Katz index to evaluate ADLs (feeding, dressing, bathing, toileting, transferring, and continence). Each activity is scored as either zero (unable to perform the activity) or one (completely independent to perform the activity) [14,19].…”

Section: Clinical Assessmentmentioning

confidence: 99%

“…We measured gait speed instructing participants to walk 4.5 meters at their usual pace and used the faster of two measurements in our analyses. Participants were allowed the use of assistive devices whenever necessary [14].…”

Section: Clinical Assessmentmentioning

confidence: 99%

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Prospective GERiatric Observational (ProGERO) Study: Cohort Design and Preliminary Results

Saraiva

Rangel

Cunha

et al. 2020

Preprint

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Background: The demographic changes in Brazil as a result of population aging is one of the fastest in the world. The far-reaching new challenges that come with a large older population are particularly disquieting in low- and middle-income countries (LMICs). Longitudinal studies must be completed in LMICs to investigate the social and biological determinants of aging and the consequences of such demographic changes in their context. Therefore, we designed the Prospective GERiatric Observational (ProGERO) study, a longitudinal study of older adults in Brazil, to collect data both on healthy aging and chronic diseases, and investigate characteristics associated with adverse outcomes in this population. Methods: The ProGERO study takes place in a geriatric outpatient clinic in the largest academic medical center in Latin America. We performed baseline health examinations in 2017 and will complete subsequent in-person visits every three years when new participants will also be recruited. We will use periodic telephone interviews to collect information on the outcomes of interest between in-person visits. The baseline evaluation included data on demographics, medical history, physical examination, and comprehensive geriatric assessment (CGA; including multimorbidity, medications, social support, functional status, cognition, depressive symptoms, nutritional status, pain assessment, frailty, gait speed, handgrip strength, and chair-stands test). We used a previously validated CGA-based model to rank participants according to mortality risk (low, medium, high). Our selected outcomes were falls, disability, health services utilization (emergency room visits and hospital admissions), institutionalization, and death. We will follow participants for at least ten years.Results: We included 1,336 participants with a mean age of 82±8 years old. Overall, 70% were women, 31% were frail, and 43% had a Charlson comorbidity index score ≥3. According to our CGA-based model, the incidence of death in one year varied significantly across categories (low-risk=0.6%; medium-risk=7.4%; high-risk=17.5%; P<0.001).Conclusion: The ProGERO study will provide detailed clinical data and explore the late-life trajectories of community-dwelling older patients during a follow-up period of at least 10 years. Moreover, the study will substantially contribute to new information on the predictors of healthy and pathological aging in older adults from LMICs.

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Section: Clinical Assessmentmentioning

confidence: 99%

Section: Clinical Assessmentmentioning

confidence: 99%

Section: Clinical Assessmentmentioning

confidence: 99%

Section: Clinical Assessmentmentioning

confidence: 99%

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Prospective GERiatric Observational (ProGERO) Study: Cohort Design and Preliminary Results

Saraiva

Rangel

Cunha

et al. 2020

Preprint

Self Cite

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“…Acrescentaríamos, ainda, um sexto e último M, de multidisciplinaridade, pois o cuidado desses idosos deve estar coordenado de forma horizontal por um profissional, mas nunca isolado em sua figura, sendo importante a participação de outros especialistas e profissionais de saúde. Na Unidade de Cardiogeriatria do InCor, para todos os pacientes é realizada uma avaliação geriátrica ampla com o auxílio da ferramenta TAGA-10 (Targeted Geriatric asssesment) 10,11 A Evolução da Cardiogeriatria…”

Section: A Essência Da Cardiogeriatriaunclassified

A Evolução do Cenário da Cardiogeriatria no Brasil: Novos Desafios para um Novo Mundo

Tavares

Cavalcanti

2020

ABC Cardiol

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How gait influences frailty models and health‐related outcomes in clinical‐based and population‐based studies: a systematic review

Bortone

Sardone

Lampignano

et al. 2021

J cachexia sarcopenia muscle

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Aging is often associated with a decline in physical function that eventually leads to loss of autonomy in activities of daily living (ADL). Walking is a very common ADL, important for main determinants of quality of life in older age, and it requires the integration of many physiological systems. Gait speed has been described as the 'sixth vital sign' because it is a core indicator of health and function in aging and disease. We reviewed original studies up to June 2020 that assessed frailty in both longitudinal and cross-sectional observational studies, paying particular attention to how gait is measured in older population and how the gait parameter adopted may influence the estimated frailty models and the health-related outcomes of the various studies (i.e. clinical, cognitive, physical, and nutritional outcomes). Eighty-five studies met the search strategy and were included in the present systematic review. According to the frailty tools, more than 60% of the studies used the physical phenotype model proposed by Fried and colleagues, while one-third referred to multi-domain indexes or models and only 5% referred to other single-domain frailty models (social or cognitive). The great heterogeneity observed in gait measurements and protocols limited the possibility to directly compare the results of the studies and it could represent an important issue causing variability in the different outcome measures in both clinical-and population-based settings. Gait appeared to be an indicator of health and function also in frail older adults, and different gait parameters appeared to predict adverse health-related outcomes in clinical, cognitive, and physical domains and, to a lesser extent, in nutritional domain. Gait has the potential to elucidate the common basic mechanisms of cognitive and motor decline. Advances in technology may extend the validity of gait in different clinical settings also in frail older adults, and technology-based assessment should be encouraged. Combining various gait parameters may enhance frailty prediction and classification of different frailty phenotypes.

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Targeted Geriatric Assessment for Fast‐Paced Healthcare Settings: Development, Validity, and Reliability

Abstract: The study presents evidence supporting the TaGA's validity and reliability. This instrument may be a practical and efficient approach to screening geriatric syndromes in fast-paced healthcare settings. Future research should investigate its predictive value and effect on care.

Cited by 28 publications

References 30 publications

Prospective GERiatric Observational (ProGERO) Study: Cohort Design and Preliminary Results

Prospective GERiatric Observational (ProGERO) Study: Cohort Design and Preliminary Results

A Evolução do Cenário da Cardiogeriatria no Brasil: Novos Desafios para um Novo Mundo

How gait influences frailty models and health‐related outcomes in clinical‐based and population‐based studies: a systematic review

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