title: Geriatric problems correlated with cognitive decline using a screening test named "Dr. SUPERMAN" for comprehensive geriatric assessment in elderly inpatients.
abstract: OBJECTIVE
  We have recently developed and validated a screening test for comprehensive geriatric assessment (CGA). We investigated the prevalence of geriatric problems in elderly inpatients using CGA, and determined the relationship between geriatric problems and cognitive decline.
  
  
  METHODS
  We enrolled consecutive elderly inpatients aged >65 years who were admitted to all of the hospital departments at Tokyo Medical University Hospital, Tokyo, Japan, between July and December 2013. We investigated the prevalence of specific geriatric problems or situations in elderly inpatients using a screening test for CGA named "Dr. SUPERMAN." We examined 3969 elderly inpatients (2211 men and 1758 women; mean age 75.5 ± 6.7 years) using CGA. Inpatients were divided into three groups by age, namely, 65-74 years, 75-84 years and ≥85 years. Inpatients were divided into the two groups of "internal medicine" and "other departments."
  
  
  RESULTS
  Geriatric problems were more frequently found in patients who were aged ≥85 years and admitted to "internal medicine" departments. Furthermore, multiple regression analysis found cognitive decline significantly correlated with ADL decline, age, poor medication adherence, upper and lower extremity function disorder, visual/auditory disorder, and urinary disorder. In particular, cognitive decline strongly correlated with a decline in activities of daily living.
  
  
  CONCLUSIONS
  CGA should be considered for the treatment of elderly inpatients, particularly those with cognitive decline and admitted to "internal medicine" departments. Geriatr Gerontol Int 2017; 17: 1252-1256.
authors.affiliation: Department of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
authors.forename: Nayuta
authors.initials: N
authors.lastname: Namioka
authors.affiliation: Department of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.|Comprehensive Counseling and Support Center, Tokyo Medical University Hospital, Tokyo, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Sakurai
authors.affiliation: Department of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Terayama
authors.affiliation: Department of Geriatric Medicine, International University of Health and Welfare, Ohtawara, Tochigi, Japan.
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Iwamoto
authors.affiliation: Comprehensive Counseling and Support Center, Tokyo Medical University Hospital, Tokyo, Japan.
authors.forename: Teruaki
authors.initials: T
authors.lastname: Fujihira
authors.affiliation: Comprehensive Counseling and Support Center, Tokyo Medical University Hospital, Tokyo, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Tsugehara
authors.affiliation: Comprehensive Counseling and Support Center, Tokyo Medical University Hospital, Tokyo, Japan.
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tsuchida
authors.affiliation: Department of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
authors.forename: Haruo
authors.initials: H
authors.lastname: Hanyu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D060825:Cognitive Dysfunction / Q000175:diagnosis* / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D007297:Inpatients; D007564:Japan / Q000453:epidemiology; D008297:Male; D015995:Prevalence
keywords: cognitive decline; comprehensive geriatric assessment; elderly patients; geriatric problems