ASG based IF vs Geriatric CGA

Frailty is a multidimensional entity, which is defined as a state of vulnerability to stressful factors, and is conditioned by the limitation of compensatory mechanisms that place the person in a situation of high risk for poor health outcomes. Under the conceptual framework of K. Rockwood's cumulative model of deficits, to quantify the frailty of patients in our environment, the frailty index IF-VIG (frailty index based on the comprehensive geriatric assessment VGI) has been developed, an instrument which is still a quantified VGI. The IF-VIG index has proven to be a simple tool (with respect to content), fast (in administration time), with discriminative capacity (in situational diagnosis) and predictive (with high correlation with mortality). The IF-VIG contemplates the assessment of different domains: functional, nutritional, cognitive, emotional, social status, acute symptoms, presence of chronic diseases and some geriatric syndromes. The identification of SG is one of the quality challenges in care for the elderly. There is a close relationship between SG, frailty and mortality and the occurrence of SG is a direct indicator of frailty. Early detection and multidisciplinary intervention in people with initial frailty can reverse the onset of SG. The screening of SG will help us to predict the possible potential problems at the functional, mental and social level in an individualized way, as well as to better plan the necessary resources.

MEDICAL DISCLAIMER: Geriatric CGA is intended for use by qualified healthcare professionals only. This app does not provide individual medical diagnosis or treatment advice. All clinical scores and interpretations must be used alongside, not instead of, professional clinical judgement. Always seek the advice of a qualified physician before making any medical or clinical decisions. Geriatric CGA is a comprehensive, evidence-based clinical reference tool for healthcare professionals performing Comprehensive Geriatric Assessments (CGA) in hospital, clinic, or community settings. Designed for geriatricians, physicians, specialist registrars, and allied health professionals, the app guides structured evaluation across all seven CGA domains using internationally validated assessment tools with instant scored results and colour-coded clinical interpretation. ASSESSMENT DOMAINS & TOOLS ▸ Frailty Screening Clinical Frailty Scale (CFS) 9-point visual selector FRAIL Scale 5-item questionnaire Fried Frailty Phenotype 5-criterion assessment ▸ Functional Status Barthel ADL Index with visual scale bar Lawton IADL Scale 8-item independence checklist Falls Risk Assessment TUG, SPPB, fall history flags ▸ Cognitive Assessment MoCA (Montreal Cognitive Assessment) MMSE (Mini-Mental State Examination) 4AT Delirium Screen validated rapid assessment ▸ Mood & Mental Health Geriatric Depression Scale (GDS-15) full 15-item version GAD-2 Anxiety Screen Sleep disturbance checklist ▸ Medical & Medication Review Polypharmacy counter with STOPP/START v2 high-risk drug flags Mini Nutritional Assessment Short Form (MNA-SF) Sensory, continence, and skin review ▸ Social & Environmental Social support and housing safety checklist Safeguarding assessment Zarit Carer Burden Screen ▸ Goals of Care & Advance Care Planning Mental Capacity Act 2005 two-stage test ReSPECT / DNACPR checklist ACP documentation checklist Patient-defined goals framework KEY FEATURES - Instant scored results with colour-coded interpretation for every calculator - Progress tracker across all 7 domains - Integrated summary dashboard with all scores at a glance - Suggested management priorities and MDT referral pathways - Full References tab with 25+ clickable links to PubMed, NICE guidelines, BGS, ReSPECT, MCA legislation, and official tool websites - Adjustable font size for comfortable bedside use - Works fully offline no login, no account, no data collected EVIDENCE BASE Based on BGS Best Practice Guide 2023, NICE NG56, NICE CG161, NICE NG97, NICE CG90, and Cochrane evidence (Ellis et al. 2017: OR 0.76 for reduced death or dependency at 6 months). WHO IS THIS FOR - Geriatricians and geriatric medicine registrars - General physicians and hospital at home teams - Frailty nurses and advanced nurse practitioners - GPs performing frailty assessments in primary care - Allied health professionals: physiotherapists, occupational therapists, social workers - Medical students on geriatric medicine placements - Clinicians preparing for MRCP, GMC specialty, or AAN examinations DISCLAIMER Geriatric CGA is a clinical reference tool only. It does not provide individual medical diagnosis, treatment recommendations, or replace professional clinical judgement. Users must be qualified healthcare professionals. Always consult current clinical guidelines and seek appropriate medical advice before making any clinical decisions.