Development of Comprehensive Assessment System for Elderly Patients in a Geriatric Hospital.
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- Yamanaka Takashi
- Tokyo Metropolitan geriatric Hospital
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- Takahashi Ryutaro
- Tokyo Metropolitan Institute of Gerontology
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- Araki Atsushi
- Tokyo Metropolitan geriatric Hospital
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- Izumo Yuji
- Keijyo Junior College
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- Matsushita Satoru
- Tokyo Metropolitan geriatric Hospital
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- Yamada Hideo
- Tokyo Metropolitan geriatric Hospital
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- Ozawa Toshio
- Tokyo Metropolitan geriatric Hospital
Bibliographic Information
- Other Title
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- 老人専門病院における総合的機能評価法の試み
- ロウジン センモン ビョウイン ニ オケル ソウゴウテキ キノウ ヒョウカホウ
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Abstract
Studies in the United States and Europe revealed that a comprehensive geriatric assessment is useful in the management and treatment of elderly disabled patients. In Japan, there are few reports of the development of such assessment. We examined the reliability of a scale designed to assess the performance of activities of daily living (ADL), a revised version of Hasegawa's Dementia Scale) HDSR, and a depression scale (GDS-15), using results from 140 patients over 65 years old who were admitted to our hospital from the end of January to early February 1994. The reliabilities of the ADL and HDSR scales were acceptable, but the κ value of the GDS-15 was very low. The ADL score was low in patients with cerebrovascular diseases, dementia, and bone and joint problems, but the HDSR score was not low in the latter group. These results suggest that each disease has a characteristic pattern of impairments and disabilities. Although psychological assessment is essential and requires validation, a prospective study of outcomes in the evaluated elderly patients might also be fruitful.
Journal
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- Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 34 (4), 278-284, 1997
The Japan Geriatrics Society
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Details 詳細情報について
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- CRID
- 1390001205022055680
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- NII Article ID
- 130003652301
- 10013852999
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- NII Book ID
- AN00199010
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- NDL BIB ID
- 4229045
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- ISSN
- 03009173
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- PubMed
- 9212682
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed