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. 2020 Oct 17;24(9):920–927. doi: 10.1007/s12603-020-1498-x

Table 1.

Screening Tool for the “Integrated Care for Older Persons” (ICOPE)

Priority Conditions Associated with Declines in Intrinsic Capacity Tests
Cognitive Decline 1. Remember three words: Flower, door, rice (for example)
2. Orientation in time and space: What is the full date today? Where are you now (home, clinic, etc.)?
3. Recalls the three words?
Limited Mobility Chair rise test: Rise from chair five times without using arms. Did the person complete five chair rises within 14 seconds?
Malnutrition 1. Weight loss: Have you unintentionally lost more than 3 kg over the last three months?
2. Appetite loss: Have you experienced loss of appetite?
Visual Impairment Do you have any problems with your eyes: Difficulties in seeing far, reading, eye diseases or currently under medical treatment (e.g., diabetes, high blood pressure)?
Hearing Loss Hears whispers (whisper test) or Screening audiometry result is 35 dB or less or Passes automated app-based digits-in-noise test
Depressive Symptoms Over the past two weeks, have you been bothered by
• Feeling down, depressed or hopeless?
• Little interest or pleasure in doing things?