e-GAB: Electronic Geriatric Assessment Bundle: Development of an Arabic Self-administered Android CGA Application

Study Overview
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Brief Summary
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The aim of this study is to design and assess the accuracy of administering the electronic Geriatric Assessment Bundle (e-GAB) compared to geriatrician performed comprehensive geriatric assessment (CGA) in a group of Egyptian elderly. The development of an Arabic software platform for CGA can improve the clinical practice by providing a valid user friendly tool to collect and analyze data for geriatric patients attending non- Geriatric health care service.

Detailed Description
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Modern geriatric care is based primarily on the concept of multidisciplinary approach of elderly care. This could be achieved by integrating CGA in different disciplines dealing with the older patient. CGA is different from that of the standard medical evaluation; it is a systematic evaluation of frail older adults. It uses combinations of validated geriatric tools to formulate an inventory of health problems, and develop an individualized geriatric intervention plan. The software platform for CGA has been widely used in western countries; however, tools that can fit patients with different backgrounds should be implemented.. From the initial pool of 3 potential subtests, four experienced geriatricians developed a bundle of 15 subtests, to evaluate cognition, mood, vision, hearing, urinary continence, nutrition, functional capacity, fall risk and balance impairment, frailty, polypharmacy, sleep, pain, home safety, and social problems. Moreover, a rapid survey of medical and surgical conditions was obtained. Initial evaluation of these subsets compared to the reference standard CGA was done. Each patient completed the bundle then underwent CGA by an experienced geriatrician blinded to the result of e-GAB

Official Title
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e-GAB: Electronic Geriatric Assessment Bundle: Development of an Arabic Self-administered Android CGA Application

Conditions
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Health Services for the Aged, Frailty, Cognitive Impairment, Depression, Disability Physical, Urinary Incontinence, Malnutrition

Intervention / Treatment
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* Diagnostic Test: e-GAB
* Diagnostic Test: standard physician performed CGA


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 60 years or above community dwelling can read and write can use the android application Exclusion Criteria: any patient refused to participate

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| community dwelling elderly<br>community dwelling elderly patients (60 years or older), can read and write, able to use the android software applications | Diagnostic Test: e-GAB<br>* android application for comprehensive geriatric assessment<br>Diagnostic Test: standard physician performed CGA<br>* CGA by an experienced geriatrician blinded to the result of e-GAB<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the sensitivity and specificity of administering the electronic Geriatric Assessment Bundle (e-GAB) | assess sensitivity and specificity of the e-GAB for detecting the aforementioned conditions (e.g. Frailty, Depression, sleep disturbance, malnutrition, cognitive decline etc.. )compared to standard CGA | the geriatrician will perform standard CGA within 30 minutes of e-GAB completion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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comprehensive geriatric assessment, telemedicine, multidisciplinary approach of elderly care, electronic geriatric assessment bundle