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Table 1 Comprehensive Geriatric Assessment (CGA) at admission to the surgical ward

From: A two-step surgery and a multidisciplinary approach in a centenarian patient with an acute presentation of right colon cancer

SCREENING TOOL, CGA ASSESSMENT, FRAILTY ASSESSMNT

CUT OFF

Score

Target Interventions

MMSE [6]

< 24

21/30

delirium prevention strategies

MNA [7]

<  23

17/30

nutrition support

IADL [8]

≤ 7

3/8

–

BARTHEL INDEX [9]

<  50

90/100

–

CIRS SEVERITY [10]

 

1.61/5

–

CIRS COMORBIDITY [10]

> 3

2/13

medical comorbidities optimization

N° OF DRUGS

≥ 3

3

therapeutic reconciliation

GDS [11]

≥ 5

3/15

–

TINETTI SCALE [12]

≤ 18

12/28

rehabilitation program

GIJON SCALE [13]

≥ 10

9

family counselling and planning of postoperative discharge needs

FRAILTY INDEX [14]

Fit ≤ 0,08

0,08 > Pre-frail < 0,25

Frail ≥ 0,25

0.22

 
  1. Abbreviations: MMSE Mini Mental State Examination, MNA Mini Nutritional Assessment, IADL Instrumental Activities of Daily Living, CIRS Cumulative Illness Rating Scale, GDS Geriatric Depression