老年综合评估的临床应用及研究进展

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610041〔〕〔〕R19〔〕A〔〕1005-9202201203-0660-03doi10.3969/j.issn.1005-9202.2012.03.1121969-。1986-。CGA、。①②③。。。CGACGA、〔1〕。CGACGA。1CGACGAADLIADLAADL〔2〕。WarrenCGA。CGA。。CGA。CGA。。CGA。2CGACGA。2.1CGACGA。CGA。Burns〔3〕128652CGA、、IADL、、、。Sumi〔4〕309CGA、、ADL、2/3CGA。〔5〕CGAMeta、、、CGA。2.2CGACGACGA。CGA545CGACGA。12。CGA、、、MPIMPI。〔6〕26265MPI1、6、12。CGAMPI。。CGA、CGA。Harari〔7〕CGA。9570CGA·066·2012232CGA。CGA。、CGA。2.3CGACGA、、。CGA、、、、、、、、、、。Teiji〔8〕2386041165。ADLIADLsQOL。。3CGA3.1CGACGA。McCorkle〔9〕37560~92135CGA。P=0.002267%40%。Bernardi〔10〕CGA≥70ADLIADL5≥80IADL575%。1223109CGA191579%211%1713211。〔、、ECOG2〕、。CGA。Maione〔11〕IADL、。CGACGA。NCCNCGA、。CGAADL、、、、、、、。。IADL、、、、、。3.2CGAPilotto〔1213〕CGA366537665CGAMPIMPI86312。4CGACGA。CGA①CGA。、、CGA。②CGA、CGA。。③CGA、CGACGA。CGA。51.〔J〕.20012269-70.2DevonsCathrynA.Comprehensivegeriatricassessmentmakingthemostoftheagingyears〔J〕.CurrOpinClinNutrMetabCare2002519-24.3BurnsRNicholsLMartindale-AdamsJetal.Interdisciplinarygeriatricprimarycareevaluationandmanagementtwo-yearoutcomes〔J〕.Am·166·3GeriatrSoc2000488-13.4ErikoSumijHajimeTakechiTaizoWadaetal.Comprehensivegeriatricassessmentforoutpatientsisimportantforthedetectionoffunctionaldisa-bilitiesanddepressivesymptomsassociatedwithsensoryimpairmentaswellasforthescreeningofcognitiveimpairment〔J〕.GeriatrGerontolInt2006694-100.5Hsu-KoKuoKarenGlasserScandrettJatinDaveetal.Theinfluenceofoutpatientcomprehensivegeriatricassessmentonsurvivalameta-analysis〔J〕.ArchivesGerontolGeriatr200439245-54.6PilottoASancarloDPanzaFetal.Themultidimensionalprognosticin-dexMPIbasedonacomprehensivegeriatricassessmentpredictsshort-andlong-termmortalityinhospitalizedolderpatientswithdementia〔J〕.AlzheimersDis200918191-9.7HarariDMartinFCButteryAetal.Theolderpersons'assessmentandliaisonteam'OPAL'evaluationofcomprehensivegeriatricassessmentinacutemedicalinpatients〔J〕.AgeAgeing200736670-5.8TeijiSakagamiKiyohitookumiyaMasayukiLshineetal.ComprehensivegeriatricassessmentforconnunitydwellingelderlyinAsiacomparedwiththoseinJapanIIHongchoninKorea〔J〕.GeriatrGerontolInt20055107-14.9McCorkleRStrumpfNENuamahIFetal.Aspecializedhomecarein-terventionimprovessurvivalamongolderpost-surgicalcancerpatients〔J〕.JAmGeriatrSoc2000481707-13.10BernardiDMilanIBalzarottiMetal.Comprehensivegeriatricevalua-tioninelderlypatientswithlymphomafeasibilityofapatient-tailoredtreatmentplan〔J〕.JClinOncol200321754-6.11MaionePPerroneFGalloCetal.Pretreatmentqualityoflifeandfunctionalstatusassessmentsignificantlypredictsurvivalofelderlypa-tientswithadvancednon-small-celllungcancerreceivingchemothera-pyaprognosticanalysisofthemulticenterItalianlungcancerintheelderlystudy〔J〕.JClinOncol2005236865-72.12PilottoAAddanteFFranceschiMetal.AmultidimensionalprognosticindexMPIbasedonacomprehensivegeriatricassessmentpredictsshort-termmortalityinolderpatientswithheartfailure〔J〕.CircHeartFail20103114-20.13PilottoAFerrucciLScarcelliCetal.Usefulnessofthecomprehensivegeriatricassessmentinolderpatientswithuppergastrointestinalbleed-ingatwo-yearfollow-upstudy〔J〕.DigDis200725124-8.〔2010-12-012011-03-17〕/233030〔〕〔〕R197〔〕A〔〕1005-9202201203-0662-03doi10.3969/j.issn.1005-9202.2012.03.113No.2008jyxm432No.BY0904SK1964-。1974-。、、〔1〕。。11.12009《》607.39。1.9%20504.163%205016〔2〕。1999。2009《2008》601.5912%651.098.3%。、。1.2、、、、〔3〕。、。、、、〔3〕。、·266·2012232

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