Table 2.
Prevalence of geriatric impairments
| Impairment and Authors | Test | Prevalence, % | Cutoff | Scale | Test | Elderly |
|---|---|---|---|---|---|---|
| Mood disturbance | ||||||
| Diefenthaeler et al. (27) | BDI | 55 | ≥14 | 0–63 | S | |
| Lacson et al. (35,36) | Depression score | 41 | >2 | 0–6 | P | |
| Genestier et al. (29) | Depression ICD | 28 | R | x | ||
| Chilcot et al. (23) | BDI | 26 | ≥16 | 0–63 | S | |
| Chilcot et al. (23) | Depression ICD | 15 | R | |||
| Boulware et al. (20) | MHI SF-36 | 24 | ≤52 | 0–100 | P | |
| Soucie et al. (41) | Depression ICD | 18 | R | |||
| Thamer et al. (42) | Depression ICD | 10 | R | x | ||
| McClellan et al. (39) | Depression ICD | 4 | R | |||
| Cognitive impairment | ||||||
| Arai et al. (18) | Dementia ICD | 41 | R | x | ||
| Jassal et al. (31) | Mental score | 36a; 7b | <8 | 0–10 | S | x |
| Genestier et al. (29) | Dementia ICD | 13 | R | x | ||
| Rakowski et al. (40) | Dementia ICDc | 12 | R | |||
| Thamer et al. (42) | Dementia ICD | 6 | R | x | ||
| Couchoud et al. (25) | Behavioral disordersd | 5 | R | x | ||
| Couchoud et al. (26) | Behavioral disordersd | 4 | R | x | ||
| Immobility | ||||||
| Arai et al. (18) | Japanese criteria | 33 | ≥3 | 1–8 | S | x |
| Couchoud et al. (25) | Assistance for transfers | 25 | R | x | ||
| Couchoud et al. (25) | Dependent for transfers | 7 | R | x | ||
| Couchoud et al. (26) | Assistance for transfers | 22 | R | x | ||
| Couchoud et al. (26) | Dependent for transfers | 8 | R | x | ||
| Rakowski et al. (40) | Unable to ambulate | 5 | R | |||
| Rakowski et al. (40) | Unable to transfer | 2 | R | |||
| ADLs | ||||||
| Genestier et al. (29) | ADL scale | 30 | ≥7 | 0–12 | S | x |
| Thamer et al. (42) | ADL: dependent | 21 | R | x | ||
| Frailty | ||||||
| Bao et al. (19) | Modified Fried score | 73 | ≥2 | 0–3 | P | |
| Johansen et al. (32) | Modified Fried score | 68 | ≥3 | 0–5 | P | |
| Alfaadhel et al. (17) | Clinical frailty score | 26 | ≥5 | 1–7 | P | |
| Malnutrition | ||||||
| Churchill et al. (43) | SGA (mild to severe) | 55 | ≤5 | 7–0 | S | |
| Chan et al. (21) | SGA (idem) | 52 | B and C | A–C | S | |
| Chung et al. (24) | SGA (idem) | 47 | ≤5 | 7–0 | S | |
| Kim et al. (34) | SGA (idem) | 42 | ≤5 | 7–0 | S | x |
| Honda et al. (30) | SGA (idem) | 32 | ≥2 | 1–4 | S |
| Test | Mild to Severe Prevalence Cutoff | Severe Prevalence Cutoff | Scale | Test | Elderly | |||
|---|---|---|---|---|---|---|---|---|
| % | Νο. | % | Νο. | |||||
| Impaired performance | ||||||||
| Joly et al. (33) | Karnofsky | 69 | ≤70 | 22 | ≤40 | 10–100 | S | x |
| Chandna et al. (22) | Karnofsky | 54 | ≤70 | 33 | ≤40 | 10–100 | C | |
| Churchill et al. (43) | Karnofsky | 41 | ≤70 | — | — | 10–100 | S | |
| Soucie et al. (41) | Karnofskye | 49 | <7 | 18 | <6 | 1–10 | S | |
| Mauri et al. (38) | Karnofskye | 42 | <80 | 13 | <70 | 10–100 | C | |
| McClellan et al. (39) | Karnofskye | 37 | <7 | 20 | <6 | 1–10 | S | |
| Kim et al. (34) | Karnofsky | 24 | ≤70 | — | — | 10–100 | S | x |
| Chilcot et al. (23) | Karnofsky | 15 | <70 | — | — | 10–100 | S | |
| Genestier et al. (29) | AGGIR | 48 | ≤4 | 28 | ≤2 | 1–6 | S | |
| Doi et al. (28) | WHO scale | — | — | 23 | ≥3 | 0–4 | C | |
Prevalence of impairment. If necessary for comparison, the combined prevalence of two separate categories is shown (e.g., severely dependent and dependent for ADLs). Of all of the studies that applied a systematic assessment, the scale and cutoff values are reported. BDI, Beck Depression Inventory, S, applied by staff; P, patient self-report; ICD, International Statistical Classification of Diseases; R, review of medical chart; x, analysis includes elderly patients exclusively; MHI SF-36, Mental Health Inventory Short Form 36; ADL, activity of daily living; SGA, Subjective Global Assessment; A, well nourished; B, mild-moderately malnourished; C, severely malnourished; —, not mentioned; AGGIR, Autonomie Gérontologique Groupes Iso-Ressources; WHO, World Health Organization.
Age ≥65 years old.
Age <65 years old.
Alzheimer disease, vascular dementia, dementia not otherwise specified, or presenile dementia.
Dementia, psychosis, or severe neurosis that may affect patient dependence or compliance with treatment.
Modification of the Karnofsky Index (39).