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Table 1 Geriatric assessment chart

From: Comprehensive Geriatric Assessment (CGA) in general practice: Results from a pilot study in Vorarlberg, Austria

Target problem Diagnostic test Cut-off value Management strategies
Visual acuity Jaeger's test [37] ≤20/40 Referral to ophthalmologist
Hearing acuity Whisper test [38] Failure to correctly repeat 3 whispered numbers Removal of ear wax
Referral to otolaryngologist
Urinary incontinence IKO-4-Test [39] 4 defined questions ≥1 question answered positive Change of existing drug prescription
Pelvic floor muscle training
Drug treatment
Planning of in-depth exploration by GP
Referral to urologist or gynaecologist
Depression Geriatric depression scale, short version (GDS 4) [33] 4 defined questions ≥1 question answered positive New antidepressant drug therapy
Change of drug prescription
Non-drug treatment strategy
Planning of in-depth exploration by GP
Referral to psychiatrist
Cognitive impairment Memory Assessment Clinics Questionnaire (MAC-Q) [40] 6 defined questions (Score range 7 – 35) Score ≥25 suggestive of cognitive impairment Follow-up examination in 6 months
Referral for memory assessment to neurologist or psychiatrist
ADL and IADL † Katz's ADL scale (4 questions) [41]
Two questions from Lawton [42]
Score ≤7 impairment of functioning in daily living (total score 0–9). Planning of in-depth exploration by GP
Referral according to underlying problem
Psychosocial circumstances Do you have trustworthy persons giving you assistance at home? [43] Yes/No Contact with community nurse, neighbours or relatives
Sleep disorder Do you suffer from frequent sleeping problems? Yes/No Non-Drug therapy
Change of drug prescription
Drug treatment
Planning of in-depth exploration by GP
Referral to psychiatrist/internist.
Influenza and pneumococcal Immunisation Influenza vaccination within a one-year period [24]
Pneumococcal vaccination within a three-year period [44]
Yes/No Influenza or pneumococcal vaccination
Fall risk assessment History of falls
Timed Up and Go Test [45]
Tandem – Stand Test [46]
Fall within last 6 months
>20 s suggestive of balance or gait difficulties
Score 0–4: >1 suggestive of balance or gait difficulty
Exploration of drug prescription
Hip protector
Source exploration
Replacement of footwear initiated
Instructed exercise training
Cardiovascular risk assessment Lipid profile (mmol/l) [47,48]
Blood pressure (mm Hg) [50]
Hyperglycemia [51]
Chol > 5.95 mmol/l
LDL > 3.36 mmol/l
HDL < 1.16 mmol/l
TG > 4.6 mmol/l
BPsyst > 140 mmHg
BPdiast > 80 mmHg
Fasting blood glucose > 6.1 mmol/l
Change or onset of antilipidemic drug treatment
Change or onset of antihypertensive drug treatment
Change or onset of oral antidiabetic drug or insulin
Medication history Number of prescribed drugs
Number of over the counter medications [43]
>5 prescription drugs
>3 over the counter drugs.
 
Hospital stay Hospital stay within a 5-months period [43]   
Nutrition Body mass index BMI normal range for the elderly 24 – 29, Waid Guide [52] Planning of in-depth exploration by GP
Osteoporosis risk factors 9 items risk factor checklist [53] Female sex
Prior spontaneous fracture
Family history of osteoporosis
Immobilisation
Premature menopause
Glucocorticoid treatment
Smoking
Alcohol abuse
Low body weight
Calcium and Vitamin D
Bisphosophonate
Selective estrogen-receptor modulator
Calcitonin
  1. † Basic and instrumental activities of daily living. Only for borderline cases (MAC-Q 22–24 points)