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

Completed

• Conditions: Depression; Urinary Incontinence; Malnutrition; Health Services for the Aged; Frailty; Cognitive Impairment; Disability Physical
• Interventions: Diagnostic Test: e-GAB; Diagnostic Test: standard physician performed CGA

• Registration Number: NCT04211285
• Lead Sponsor: Ain Shams University

Brief Summary

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

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

Study Timeline

• Study Start: 2018-08-01
• Study First Submitted: 2019-01-23
• Study First Submitted QC: 2019-12-24
• Study First Posted: 2019-12-26
• Primary Completion: 2020-04-15
• Study Completion: 2020-06-01
• Status Verified: 2021-01
• Last Update Submitted: 2021-01-11
• Last Update Posted: 2021-01-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 82

Inclusion Criteria

• 60 years or above
• community dwelling
• can read and write
• can use the android application

Exclusion Criteria

• any patient refused to participate

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
community dwelling elderly	e-GAB	community dwelling elderly patients (60 years or older), can read and write, able to use the android software applications
community dwelling elderly	standard physician performed CGA	community dwelling elderly patients (60 years or older), can read and write, able to use the android software applications

Primary Outcome Measures

Name	Time	Method
the sensitivity and specificity of administering the electronic Geriatric Assessment Bundle (e-GAB)	the geriatrician will perform standard CGA within 30 minutes of e-GAB completion	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

Trial Locations

Locations (1)

Ain Shams University; 🇪🇬 Cairo, Egypt