TY - JOUR
T1 - Instruments for geriatric assessment
T2 - New multidimensional assessment approaches
AU - Rengo, Franco
AU - Parisi, Valentina
AU - Rengo, Giuseppe
AU - Femminella, Grazia Daniela
AU - Rengo, Carlo
AU - Zincarelli, Carmela
AU - Pagano, Gennaro
AU - Festa, Gabriella
AU - De Lucia, Claudio
AU - Leosco, Dario
PY - 2012
Y1 - 2012
N2 - During the last century the considerable increase in life expectancy has led to important demographic changes and, consequently, to new clinical scenarios. Nowadays, chronic conditions, comorbidities and socio-economic factors constitute a relevant health management issue. In particular, the definition of frail elderly individuals has proven to have a strong role in the identification of high-risk patients, their clinical management and prognosis. Reorganization of the medical system has been associated with the development of new instruments for clinical assessment, focused on clinical and socio-economic issues, resulting in a multidimensional geriatric assessment. A large number of approaches have been validated in different clinical settings and populations, until the development of multidimensional instruments demonstrated to have a crucial role in the identification of frail individuals and in their clinical management. Interestingly, some of these, such as the Multidimensional Prognostic Index (MPI), proved to play a relevant role in mortality risk stratification even in particular clinical settings such as chronic kidney disease.
AB - During the last century the considerable increase in life expectancy has led to important demographic changes and, consequently, to new clinical scenarios. Nowadays, chronic conditions, comorbidities and socio-economic factors constitute a relevant health management issue. In particular, the definition of frail elderly individuals has proven to have a strong role in the identification of high-risk patients, their clinical management and prognosis. Reorganization of the medical system has been associated with the development of new instruments for clinical assessment, focused on clinical and socio-economic issues, resulting in a multidimensional geriatric assessment. A large number of approaches have been validated in different clinical settings and populations, until the development of multidimensional instruments demonstrated to have a crucial role in the identification of frail individuals and in their clinical management. Interestingly, some of these, such as the Multidimensional Prognostic Index (MPI), proved to play a relevant role in mortality risk stratification even in particular clinical settings such as chronic kidney disease.
KW - Comorbidity
KW - Elderly
KW - Frailty
KW - Multidimensional assessment
UR - http://www.scopus.com/inward/record.url?scp=84872030664&partnerID=8YFLogxK
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U2 - 10.5301/jn.5000164
DO - 10.5301/jn.5000164
M3 - Article
C2 - 22711437
AN - SCOPUS:84872030664
VL - 25
JO - Journal of Nephrology
JF - Journal of Nephrology
SN - 1121-8428
IS - SUPPL.19
ER -