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Comprehensive Geriatric Assessment in the Hospital

Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic and treatment process that identifies medical, psychosocial, and functional capabilities of older adults in order to develop a coordinated management plan. CGA performed in the hospital, especially in dedicated units, have been shown to be consistently beneficial for several health outcomes, including cognitive impairment, institutionalization, hospital readmission, and mortality risk. In contrast, the data are conflic...

CGA and Clinical Decision-Making: The Multidimensional Prognostic Index

Clinical decision-making is usually difficult in older people due to the presence of a greater number of comorbidities and functional and cognitive or social problems that could worsen prognosis. All these factors could create relevant problems in terms of the correct diagnostic or therapeutic approach to these individuals. Frail individuals are particularly susceptible to adverse drug reactions, and frailty may result in reduced treatment efficacy by physicians. Thus, life expectancy should ...

Anatomic acromioclavicular joint reconstruction

Acromioclavicular joint injuries are among the most common shoulder injuries. Classification and indication for surgical or nonsurgical treatment are based on clinical and radiologic findings. Recent surgical techniques allow for anatomic reconstruction of the instable joint.

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