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Table 1 Content of the systematic comprehensive geriatric assessment

From: Systematic comprehensive geriatric assessment in elderly patients on chronic dialysis: a cross-sectional comparative and feasibility study

Geriatric conditions

Measurement tool

Source

Range of scores (cut-off) used

Somatic geriatric conditions

  

Polypharmacy

Number of different medications

medical chart

Ordinal, (≥ 5)

Malnutrition

Short Nutritional Assessment Questionnaire (SNAQ) [18]

patient

0 – 7, (≥ 2)

Obesity

Body Mass Index (BMI)

medical chart

Continuous, (>30)

Pain

Visual Analogue Scale (VAS) [19]

patient

0 – 10

Decubitus

Prevention and Pressure Ulcer Risk Score Evaluation (prePURSE) [20]

patient and nurse

0-46, (≥20)

Constipation

Constipation

patient

yes or no

Incontinence

Presence of incontinence

patient

yes or no

Falls

Two or more falls in the past three months

patient

yes or no

Co morbidity

Charlson co morbidity index [21]

medical chart

0–31

Functional geriatric conditions

  

ADL functioning

Katz ADL index score [22]

patient and caregiver

0–6, (≥ 1)

IADL functioning

Modified Katz index [23]

patient and caregiver

0–9, (≥ 1)

Neurosensory deficits

Impairment of hearing and/or vision, regardless of use of glasses or hearing aid

patient

yes or no

Mobility

Requiring help or the use of a walking aid for mobility

patient

yes or no

Self-perceived Health status

EuroQol (EQ-6D) [24]

patient

6 items, (decreased if scored “severe” ≥ 1)

Quality of life

Visual Analogue Scale in EuroQol-6D [25]

patient

0–100

Psychological geriatric conditions

  

Global cognitive state

Mini Mental State Examination (MMSE) [26]

patient

≤24/30

Cognitive impairment

Informant Questionnaire on Cognitive Decline in the Elderly-short form (IQCODE-SF) [27, 28]

caregiver

16 items, score1 – 5, max score 80 (impairment if ≥ 63, or 3.9 (63/16))

Behavioural disturbances

Neuropsychiatric Inventory Questionnaire (NPI-q) [29]

caregiver

yes or no

Depressive symptoms

Geriatric Depression Scale-15 (GDS-15) [30]

patient

0 – 15, ≥6

Delirium

Confusion Assessment Method (CAM) [31]

nurse

0 – 4, item 1 and 2 plus 3 and/or 4

Social geriatric conditions

  

Caregiver burden

Experienced Burden of Informal Care (EDIZ) [32]

caregiver

0 – 9, ≥ 4

Loneliness

De Jong-Gierveldschaal [33]

patient

≥3/11 indicates loneliness