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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)