Abstract
(1) Background: It is important to assess physical and nutritional status using the Comprehensive Geriatric Assessment (CGA). However, the correlation between the CGA usage and nutritional-related assessments remain unclear. This study aims to clarify the correlation between the CGA usage and other nutritional-related assessments. (2) Methods: We conducted a questionnaire survey on clinical use of CGA, assessment of sarcopenia/sarcopenic dysphagia/cachexia, and defining nutritional goals/the Nutrition Care Process/the International Classification of Functioning, Disability, and Health (ICF)/the Kuchi–Kara Taberu Index. (3) Results: The number of respondents was 652 (response rate, 12.0%), including 77 who used the CGA in the general practice. The univariate analyses revealed that participants using the CGA tended to assess sarcopenia (P = 0.029), sarcopenic dysphagia (P = 0.001), and define nutritional goals (P < 0.001). Multivariate logistic regression analyses for the CGA usage revealed that using ICF (P < 0.001), assessing sarcopenia (P = 0.001), sarcopenic dysphagia (P = 0.022), and cachexia (P = 0.039), and defining nutritional goals (P = 0.001) were statistically significant after adjusting for confounders. (4) Conclusions: There are correlations between the use of CGA and evaluation of sarcopenia, sarcopenic dysphagia, and cachexia and nutritional goals.
Highlights
The rapidly aging society warrants continuous advancements of the conventional medical care [1,2]
Geriatrics 2019, 4, 23 typical medical care, the Comprehensive Geriatric Assessment (CGA) implementation enhances the survival time of older adults, increases the duration during which they can live at home, and, perhaps, improves cognitive functions [1,4], improving their quality of life (QOL)
We considered P < 0.05 as statistically significant
Summary
The rapidly aging society warrants continuous advancements of the conventional medical care [1,2]. As frail older adults should have access to comprehensive medical and nursing care, provision of comprehensive care using multicomponent assessment is imperative [2]. The Comprehensive Geriatric Assessment (CGA) is a multidimensional, interdisciplinary diagnostic and treatment process that is designed to collect data about medical aspects of frail older adults [3,4]. The primary components of various models of the CGA comprise the coordinated multidisciplinary assessment, geriatric medicine expertise, determining medical, physical, social, and psychological problems, and the creation of a care plan involving appropriate rehabilitation [4]. Geriatrics 2019, 4, 23 typical medical care, the CGA implementation enhances the survival time of older adults, increases the duration during which they can live at home, and, perhaps, improves cognitive functions [1,4], improving their quality of life (QOL). Despite being recommended to be used in in the clinical practice, the CGA remains only partially utilized [5]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
