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. 2016 Apr 26;11(7):1245–1259. doi: 10.2215/CJN.06660615

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.

a

Age ≥65 years old.

b

Age <65 years old.

c

Alzheimer disease, vascular dementia, dementia not otherwise specified, or presenile dementia.

d

Dementia, psychosis, or severe neurosis that may affect patient dependence or compliance with treatment.

e

Modification of the Karnofsky Index (39).