geriatrРоссийский журнал гериатрической медициныRussian Journal of Geriatric Medicine2686-86362686-8709Сайт издателя10.37586/2686-8636-4-2022-210-227geriatr-304Research ArticleГЛАВНАЯ ТЕМАMAIN TOPICКомплексная гериатрическая оценка — основной инструмент работы врача-гериатраComprehensive geriatric assessment — the main tool for the work of a geriatricianhttps://orcid.org/0000-0002-6465-4842ШарашкинаН. В.SharashkinaN. V.

Шарашкина Наталья Викторовна - кандидат медицинских наук, заведующая лабораторией общей гериатрии.

Москва, телефон: +7(903)244-27-50

Sharashkina Natalia V. - MD, PhD, Head of Geriatrics Laboratory.

Moscow, +7(903)244-27-50

sharashkina_nv@rgnkc.ruhttps://orcid.org/0000-0002-4193-688XТкачеваО. Н.TkachevaO. N.

Ткачева Ольга Николаевна - член-корреспондент РАН, доктор медицинских наук, профессор, директор Российского геронтологического научно-клинического центра.

Москва, телефон: +7(499)187-64-67

Treneva Ekaterina V. - MD, PhD, associate professor, Department of Endocrinology and Geriatrics.

Moscow +7(987)915-55-79

tkacheva@rgnkc.ruhttps://orcid.org/0000-0001-5272-0454РунихинаН. К.RunikhinaN. K.

Рунихина Надежда Константиновна - доктор медицинских наук, заместитель директора по гериатрической работе.

Москва, телефон: +7(499)187-78-09

Runikhina Nadezhda K. - MD, PhD, professor, Deputy Director.

Moscow +7(499)187-78-09

nkrunihina@rgnkc.ruАрефьеваМ. С.ArefievaM. S.

Арефьева Мария Сергеевна - ординатор кафедры болезней старения.

Москва

Arefieva Maria S. - resident of the Department of Aging Diseases.

Moscow

https://orcid.org/0000-0003-0048-268XЕруслановаК. А.EruslanovaK. A.

Ерусланова Ксения Алексеевна - кандидат медицинских наук, заведующая лабораторией сердечно-сосудистого старения.

Москва, телефон: +7(499)187-78-09

Eruslanova Ksenia A. - MD, PhD, Head of Laboratory of Cardiovascular Aging.

Moscow +7(499)187-78-09

Eruslanova_KA@rgnkc.ruhttps://orcid.org/0000-0003-1222-3351ОстапенкоВ. С.OstapenkoV. S.

Остапенко Валентина Сергеевна - кандидат медицинских наук, врач-гериатр, заведующая отделением гериатрической терапии, доцент кафедры болезней старения.

Москва, телефон: +7(916)244-59-24

Ostapenko Valentina S. - MD, PhD, associate professor of Agerelated Diseases Department, Head of Geriatrics Department.

Moscow +7(916)244-59-24

ostapenkovalent@yandex.ruhttps://orcid.org/0000-0002-1628-5093КотовскаяЮ. В.KotovskayaYu. V.

Котовская Юлия Викторовна, доктор медицинских наук, профессор, заместитель директора по научной работе.

Москва, телефон: +7(499)187-78-09

Kotovskaya Yulia V. - MD, PhD, professor, Deputy Director.

Moscow +7(499)187-78-09

kotovskaya_yv@rgnkc.ruФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РоссииРоссияPirogov National Research Medical University, Russian Gerontology Research and Clinical CentreRussian FederationФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центрРоссияPirogov National Research Medical University, Russian Gerontology Research and Clinical CentreRussian FederationФДПО ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РоссииРоссияPirogov National Research Medical University, Russian Gerontology Research and Clinical CentreRussian FederationФДПО ФГАОУ ВО РНИМУ им. Н.И. Пирогова МинздраваРоссияPirogov National Research Medical University, Russian Gerontology Research and Clinical CentreRussian FederationФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центрРоссияPirogov Russian National Research Medical University, Russian Gerontology Research and Clinical CentreRussian Federation20220102202304210227Copyright © Шарашкина Н.В., Ткачева О.Н., Рунихина Н.К., Арефьева М.С., Ерусланова К.А., Остапенко В.С., Котовская Ю.В., 20232023Шарашкина Н.В., Ткачева О.Н., Рунихина Н.К., Арефьева М.С., Ерусланова К.А., Остапенко В.С., Котовская Ю.В.Sharashkina N.V., Tkacheva O.N., Runikhina N.K., Arefieva M.S., Eruslanova K.A., Ostapenko V.S., Kotovskaya Y.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.geriatr-news.com/jour/article/view/304

Комплексная гериатрическая оценка — основной инструмент диагностики в работе врача гериатра, который также необходим для составления индивидуального плана ведения пожилого пациента. Отличительной особенностью гериатрического подхода является целостное восприятие всех потребностей пожилого человека — не только медицинских, но и функциональных, социальных. Главные цели КГО — совершенствование диагностики, оптимизация лечения, улучшение функционального состояния и качества жизни, включая условия проживания, использование медицинских служб, планирование долгосрочной поддержки пожилого человека. По результатам КГО разрабатывается комплексный подход к оказанию помощи пожилым пациентам, который должен помочь вернуть им независимость, способность к самообслуживанию, повысить качество жизни с помощью различных целенаправленных восстановительных мероприятий, а также позволит оптимизировать затраты здравоохранения, уменьшить риски, улучшить прогноз и увеличить продолжительность жизни пожилых пациентов.

A comprehensive geriatric assessment is the main diagnostic tool in the work of a geriatrician, which is also necessary for drawing up an individual plan for managing an older patient. A distinctive feature of the geriatric approach is a holistic perception of all the needs of an older person — not only medical, but also functional, social. The main goals of the CGA (comprehensive geriatric assessment) are to improve diagnostics, optimize treatment, and enhance the functional state and quality of life, including living conditions, the use of health-care services, and planning long-term support for older adults. Based on the results of the CGA, a comprehensive approach is being developed to provide assistance to older patients, which should help restore their independence, the ability to self-care, improve the quality of life through various targeted rehabilitation measures, as well as optimize healthcare costs, reduce risks, improve prognosis and increase life expectancy of the older patients.

комплексная гериатрическая оценкагериатрические синдромыфункциональный статуспожилой возрастcomprehensive geriatric assessmentgeriatric syndromesfunctional statusolder ageReferencesZazzara MB, Vetrano DL, Carfì A, Onder G. Frailty and chronic disease. Panminerva Med. 2019 Dec;61(4):486–492. DOI: 10.23736/S0031–0808.19.03731–5. Epub 2019 Jul 30Zazzara MB, Vetrano DL, Carfì A, Onder G. Frailty and chronic disease. Panminerva Med. 2019 Dec;61(4):486–492. DOI: 10.23736/S0031–0808.19.03731–5. Epub 2019 Jul 30Ostapenko V.S., Runikhina N.K., Sharashkina N.V. Prevalence of frailty and its correlation with chronic non-infectious diseases among outpatients in Moscow. Russian Journal of Geriatric Medicine. 2020;(2):131–137Ostapenko V.S., Runikhina N.K., Sharashkina N.V. Prevalence of frailty and its correlation with chronic non-infectious diseases among outpatients in Moscow. Russian Journal of Geriatric Medicine. 2020;(2):131–137Kang MG, Kang CH, Lee H, Yoo YC, Lee YR, Kim KI, Kim CH. A medical care model using comprehensive geriatric assessment for community-dwelling older Korean adults. Arch Gerontol Geriatr. 2020 Jul–Aug;89:104064. DOI: 10.1016/j.archger.2020.104064. Epub 2020 Apr 16.Kang MG, Kang CH, Lee H, Yoo YC, Lee YR, Kim KI, Kim CH. A medical care model using comprehensive geriatric assessment for community-dwelling older Korean adults. Arch Gerontol Geriatr. 2020 Jul–Aug;89:104064. DOI: 10.1016/j.archger.2020.104064. Epub 2020 Apr 16.Shepperd S, Butler C, Cradduck-Bamford A, Ellis G, Gray A, Hemsley A, Khanna P, Langhorne P, Mort S, Ramsay S, Schiff R, Stott DJ, Wilkinson A, Yu LM, Young J. Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons?: A Randomized Trial. Ann Intern Med. 2021 Jul;Shepperd S, Butler C, Cradduck-Bamford A, Ellis G, Gray A, Hemsley A, Khanna P, Langhorne P, Mort S, Ramsay S, Schiff R, Stott DJ, Wilkinson A, Yu LM, Young J. Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons?: A Randomized Trial. Ann Intern Med. 2021 Jul;Ткачева О.Н., Котовская Ю.В., Рунихина Н.К., Фролова Е.В., Наумов А.В., Воробьева Н.М., Остапенко В.С., Мхитарян Э.А., Шарашкина Н.В., Тюхменев Е.А., Переверзев А.П., Дудинская Е.Н. Клинические рекомендации «Старческая астения». Российский журнал гериатрической медицины. 2020;(1):11–46. https://doi.org/10.37586/2686-8636-1-2020-11-46Ткачева О.Н., Котовская Ю.В., Рунихина Н.К., Фролова Е.В., Наумов А.В., Воробьева Н.М., Остапенко В.С., Мхитарян Э.А., Шарашкина Н.В., Тюхменев Е.А., Переверзев А.П., Дудинская Е.Н. Клинические рекомендации «Старческая астения». Российский журнал гериатрической медицины. 2020;(1):11–46. https://doi.org/10.37586/2686-8636-1-2020-11-46Ткачева О.Н., Рунихина Н.К., Остапенко В.С., Шарашкина Н.В., Мхитарян Э.А., Онучина Ю.С., Лысенков С.Н. Валидация опросника для скрининга синдрома старческой астении в амбулаторной практике. Успехи геронтологии. — 2017. — Т. 30, № 2. — С. 236–242Ткачева О.Н., Рунихина Н.К., Остапенко В.С., Шарашкина Н.В., Мхитарян Э.А., Онучина Ю.С., Лысенков С.Н. Валидация опросника для скрининга синдрома старческой астении в амбулаторной практике. Успехи геронтологии. — 2017. — Т. 30, № 2. — С. 236–242Gaddey HL, Holder KK. Unintentional Weight Loss in Older Adults. Am Fam Physician. 2021 Jul 1;104(1):34–40Gaddey HL, Holder KK. Unintentional Weight Loss in Older Adults. Am Fam Physician. 2021 Jul 1;104(1):34–40O'Mahony D, O'Sullivan D, Byrne S, O'Connor MN, Ryan C, Gallagher P. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015 Mar;44O'Mahony D, O'Sullivan D, Byrne S, O'Connor MN, Ryan C, Gallagher P. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015 Mar;44By the 2019 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2019 Apr;67(4):674–694. DOI: 10.1111/jgs.15767. Epub 2019 Jan 29. PMID: 30693946.By the 2019 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2019 Apr;67(4):674–694. DOI: 10.1111/jgs.15767. Epub 2019 Jan 29. PMID: 30693946.Watts NB, Lewiecki EM, Miller PD, Baim S. National Osteoporosis Foundation 2008 Clinician's Guide to Prevention and Treatment of Osteoporosis and the World Health Organization Fracture Risk Assessment Tool (FRAX): what they mean to the bone densitometrist and bone technologist. J Clin Densitom. 2008 Oct–Dec.Watts NB, Lewiecki EM, Miller PD, Baim S. National Osteoporosis Foundation 2008 Clinician's Guide to Prevention and Treatment of Osteoporosis and the World Health Organization Fracture Risk Assessment Tool (FRAX): what they mean to the bone densitometrist and bone technologist. J Clin Densitom. 2008 Oct–Dec.McDonagh STJ, Mejzner N, Clark CE. Prevalence of postural hypotension in primary, community and institutional care: a systematic review and meta-analysis. BMC Fam Pract. 2021 Jan.McDonagh STJ, Mejzner N, Clark CE. Prevalence of postural hypotension in primary, community and institutional care: a systematic review and meta-analysis. BMC Fam Pract. 2021 Jan.Warden V, Hurley AC, Volicer L. Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. J Am Med Dir Assoc. 2003 Jan-Feb.Warden V, Hurley AC, Volicer L. Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. J Am Med Dir Assoc. 2003 Jan-Feb.Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, Cunin G, Fermanian J, Ginies P, Grun-Overdyking A, Jafari-Schluep H, Lantéri-Minet M, Laurent B, Mick G, Serrie A, Valade D, Vicaut E. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005 Mar.Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, Cunin G, Fermanian J, Ginies P, Grun-Overdyking A, Jafari-Schluep H, Lantéri-Minet M, Laurent B, Mick G, Serrie A, Valade D, Vicaut E. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005 Mar.Ткачева О.Н., Наумов А.В., Котовская Ю.В., Рунихина Н.К., Мильто А.С., Алексанян Л.А., Ховасова Н.О., Мороз В.И., Маневич Т.М., Розанов А.В., Остапенко В.С., Мешков А.Д. Хроническая боль у пациентов пожилого и старческого возраста. Клинические рекомендации. Российский журнал гериатрической медицины. 2021;(3):275–320. https://doi.org/10.37586/2686-8636-3-2021-275-312Ткачева О.Н., Наумов А.В., Котовская Ю.В., Рунихина Н.К., Мильто А.С., Алексанян Л.А., Ховасова Н.О., Мороз В.И., Маневич Т.М., Розанов А.В., Остапенко В.С., Мешков А.Д. Хроническая боль у пациентов пожилого и старческого возраста. Клинические рекомендации. Российский журнал гериатрической медицины. 2021;(3):275–320. https://doi.org/10.37586/2686-8636-3-2021-275-312Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987.Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987.Miller MD, Paradis CF, Houck PR, Mazumdar S, Stack JA, Rifai AH, Mulsant B, Reynolds CF 3rd. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res. 1992 Mar.Miller MD, Paradis CF, Houck PR, Mazumdar S, Stack JA, Rifai AH, Mulsant B, Reynolds CF 3rd. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res. 1992 Mar.Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999 Feb;15(2):116–22.Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999 Feb;15(2):116–22.Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003 Jun.Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003 Jun.Malnutrition Advisory Group (MAG). MAG!guidelines for detection and management of malnutrition. British Association for Parenteral and Enteral Nutrition. UK: Redditch; 2000.Malnutrition Advisory Group (MAG). MAG!guidelines for detection and management of malnutrition. British Association for Parenteral and Enteral Nutrition. UK: Redditch; 2000.Ткачева О.Н., Тутельян В.А., Шестопалов А.Е., Котовская Ю.В., Стародубова А.В., Погожева А.В., Остапенко В.С., Рунихина Н.К., Шарашкина Н.В., Крылов К.Ю., Варае ва Ю.Р., Герасименко О.Н., Горобей А.М., Ливанцова Е.Н., Переверзев А.П., Шпагина Л.А. Недостаточность питания (мальнутриция) у пациентов пожилого и старческого возраста. Клинические рекомендации. Российский журнал гериатрической медицины. 2021;(1):15– 34. https://doi.org/10.37586/2686-8636-1-2021-15-34Ткачева О.Н., Тутельян В.А., Шестопалов А.Е., Котовская Ю.В., Стародубова А.В., Погожева А.В., Остапенко В.С., Рунихина Н.К., Шарашкина Н.В., Крылов К.Ю., Варае ва Ю.Р., Герасименко О.Н., Горобей А.М., Ливанцова Е.Н., Переверзев А.П., Шпагина Л.А. Недостаточность питания (мальнутриция) у пациентов пожилого и старческого возраста. Клинические рекомендации. Российский журнал гериатрической медицины. 2021;(1):15– 34. https://doi.org/10.37586/2686-8636-1-2021-15-34Fuller-Thomson E, Yu B, Nuru-Jeter A, et al. Basic ADL disability and functional limitation rates among older AMERICANS from 2000–2005: the end of the decline? J Gerontol A Biol Sci Med Sci 2009; 64:1333.Fuller-Thomson E, Yu B, Nuru-Jeter A, et al. Basic ADL disability and functional limitation rates among older AMERICANS from 2000–2005: the end of the decline? J Gerontol A Biol Sci Med Sci 2009; 64:1333.Gill TM, Robison JT, Tinetti ME. Difficulty and dependence: two components of the disability continuum among communityliving older persons. Ann Intern Med 1998; 128:96.Gill TM, Robison JT, Tinetti ME. Difficulty and dependence: two components of the disability continuum among communityliving older persons. Ann Intern Med 1998; 128:96.Inouye SK, Peduzzi PN, Robison JT, et al. Importance of functional measures in predicting mortality among older hospitalized patients. JAMA 1998; 279:1187.Inouye SK, Peduzzi PN, Robison JT, et al. Importance of functional measures in predicting mortality among older hospitalized patients. JAMA 1998; 279:1187.Hung WW, Ross JS, Boockvar KS, Siu AL. Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC Geriatr 2011; 11:47.Hung WW, Ross JS, Boockvar KS, Siu AL. Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC Geriatr 2011; 11:47.Reuben DB, Solomon DH. Assessment in geriatrics. Of caveats and names. J Am Geriatr Soc 1989; 37:570.Reuben DB, Solomon DH. Assessment in geriatrics. Of caveats and names. J Am Geriatr Soc 1989; 37:570.Mahoney fi, barthel dw. Functional evaluation: the barthel index. Md state med j. 1965 feb.Mahoney fi, barthel dw. Functional evaluation: the barthel index. Md state med j. 1965 feb.Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969 Autumn.Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969 Autumn.Sehgal M, Jacobs J, Biggs WS. Mobility Assistive Device Use in Older Adults. Am Fam Physician. 2021 Jun 15;103(12):737– 744.Sehgal M, Jacobs J, Biggs WS. Mobility Assistive Device Use in Older Adults. Am Fam Physician. 2021 Jun 15;103(12):737– 744.Fillekes MP, Kim EK, Trumpf R, Zijlstra W, Giannouli E, Weibel R. Assessing Older Adults' Daily Mobility: A Comparison of GPS-Derived and Self-Reported Mobility Indicators. Sensors (Basel). 2019 Oct 19;19(20):4551.Fillekes MP, Kim EK, Trumpf R, Zijlstra W, Giannouli E, Weibel R. Assessing Older Adults' Daily Mobility: A Comparison of GPS-Derived and Self-Reported Mobility Indicators. Sensors (Basel). 2019 Oct 19;19(20):4551.Luukinen H, Koski K, Laippala P, Kivelä SL. Predictors for recurrent falls among the home-dwelling elderly. Scand J Prim Health Care 1995; 13:294.Luukinen H, Koski K, Laippala P, Kivelä SL. Predictors for recurrent falls among the home-dwelling elderly. Scand J Prim Health Care 1995; 13:294.Pirker W, Katzenschlager R. Gait disorders in adults and the elderly: A clinical guide. Wien Klin Wochenschr. 2017 Feb;129(3– 4):81–95. DOI: 10.1007/s00508-016-1096-4.Pirker W, Katzenschlager R. Gait disorders in adults and the elderly: A clinical guide. Wien Klin Wochenschr. 2017 Feb;129(3– 4):81–95. DOI: 10.1007/s00508-016-1096-4.Mehmet H, Robinson SR, Yang AWH. Assessment of Gait Speed in Older Adults. J Geriatr Phys Ther. 2020 Jan/ Mar;43(1):42–52.Mehmet H, Robinson SR, Yang AWH. Assessment of Gait Speed in Older Adults. J Geriatr Phys Ther. 2020 Jan/ Mar;43(1):42–52.Abellan van Kan G, Rolland Y, Houles M, et al. The assessment of frailty in older adults. Clin Geriatr Med 2010; 26:275.Abellan van Kan G, Rolland Y, Houles M, et al. The assessment of frailty in older adults. Clin Geriatr Med 2010; 26:275.Hardy SE, Perera S, Roumani YF, et al. Improvement in usual gait speed predicts better survival in older adults. J Am Geriatr Soc 2007; 55:1727.Hardy SE, Perera S, Roumani YF, et al. Improvement in usual gait speed predicts better survival in older adults. J Am Geriatr Soc 2007; 55:1727.Feng YS, Yang SD, Tan ZX, Wang MM, Xing Y, Dong F, Zhang F. The benefits and mechanisms of exercise training for Parkinson's disease. Life Sci. 2020 Mar 15;245:117345.Feng YS, Yang SD, Tan ZX, Wang MM, Xing Y, Dong F, Zhang F. The benefits and mechanisms of exercise training for Parkinson's disease. Life Sci. 2020 Mar 15;245:117345.Henderson RM, Leng XI, Chmelo EA, Brinkley TE, Lyles MF, Marsh AP, Nicklas BJ. Gait speed response to aerobic versus resistance exercise training in older adults. Aging Clin Exp Res. 2017 Oct;29(5):969–976.Henderson RM, Leng XI, Chmelo EA, Brinkley TE, Lyles MF, Marsh AP, Nicklas BJ. Gait speed response to aerobic versus resistance exercise training in older adults. Aging Clin Exp Res. 2017 Oct;29(5):969–976.Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995 Mar 2.Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995 Mar 2.Podsiadlo D, Richardson S. The timed «Up & Go»: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142.Podsiadlo D, Richardson S. The timed «Up & Go»: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142.Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 2014 Feb 1;14:14. DOI: 10.1186/1471-2318-14-14. PMID: 24484314; PMCID: PMC3924230.Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 2014 Feb 1;14:14. DOI: 10.1186/1471-2318-14-14. PMID: 24484314; PMCID: PMC3924230.Carnevale V, Castriotta V, Piscitelli PA, Nieddu L, Mattera M, Guglielmi G, Scillitani A. Assessment of Skeletal Muscle Mass in Older People: Comparison Between 2 Anthropometry-Based Methods and Dual-Energy X-ray Absorptiometry. J Am Med Dir Assoc. 2018 Sep;19(9):793–796.Carnevale V, Castriotta V, Piscitelli PA, Nieddu L, Mattera M, Guglielmi G, Scillitani A. Assessment of Skeletal Muscle Mass in Older People: Comparison Between 2 Anthropometry-Based Methods and Dual-Energy X-ray Absorptiometry. J Am Med Dir Assoc. 2018 Sep;19(9):793–796.Tinetti ME. Clinical practice. Preventing falls in elderly persons. N Engl J Med 2003; 348:42.Tinetti ME. Clinical practice. Preventing falls in elderly persons. N Engl J Med 2003; 348:42.Ткачева О.Н., Котовская Ю.В., Мильто А.С., Рунихина Н.К., Фролова Е.В., Наумов А.В., Дудинская Е.Н., Мачехина Л.В., Воробьева Н.М., Розанов А.В., Остапенко В.С., Мхитарян Э.А., Шарашкина Н.В., Ховасова Н.О., Тюхменев Е.А., Бабенко И.В., Лесняк О.М., Белова К.Ю., Евстигнеева Л.П., Ершова О.Б. Падения у пациентов пожилого и старческого возраста. Клинические рекомендации. Российский журнал гериатрической медицины. 2021;(2):153–185. https://doi.org/10.37586/2686-8636-2-2021-148-174Ткачева О.Н., Котовская Ю.В., Мильто А.С., Рунихина Н.К., Фролова Е.В., Наумов А.В., Дудинская Е.Н., Мачехина Л.В., Воробьева Н.М., Розанов А.В., Остапенко В.С., Мхитарян Э.А., Шарашкина Н.В., Ховасова Н.О., Тюхменев Е.А., Бабенко И.В., Лесняк О.М., Белова К.Ю., Евстигнеева Л.П., Ершова О.Б. Падения у пациентов пожилого и старческого возраста. Клинические рекомендации. Российский журнал гериатрической медицины. 2021;(2):153–185. https://doi.org/10.37586/2686-8636-2-2021-148-174Morse JM, Morse RM, Tylko S. Development of a scale to identify the fall-prone patient. Can J Aging. 1989;8(4):366–77.Morse JM, Morse RM, Tylko S. Development of a scale to identify the fall-prone patient. Can J Aging. 1989;8(4):366–77.Poe SS, Cvach M, Dawson PB, Straus H, Hill EE. The Johns Hopkins Fall Risk Assessment Tool: postimplementation evaluation. J Nurs Care Qual. 2007 Oct-Dec.Poe SS, Cvach M, Dawson PB, Straus H, Hill EE. The Johns Hopkins Fall Risk Assessment Tool: postimplementation evaluation. J Nurs Care Qual. 2007 Oct-Dec.Клинические рекомендации «Когнитивные расстройства у лиц пожилого и старческого возраста». Общероссийская общественная организация «Российская ассоциация геронтологов», общественная организация «Российское общество психиатров». 2021 г.Клинические рекомендации «Когнитивные расстройства у лиц пожилого и старческого возраста». Общероссийская общественная организация «Российская ассоциация геронтологов», общественная организация «Российское общество психиатров». 2021 г.Nishiwaki Y, Breeze E, Smeeth L, Bulpitt CJ, Peters R, Fletcher AE. Validity of the Clock-Drawing Test as a screening tool for cognitive impairment in the elderly. Am J Epidemiol. 2004 Oct 15.Nishiwaki Y, Breeze E, Smeeth L, Bulpitt CJ, Peters R, Fletcher AE. Validity of the Clock-Drawing Test as a screening tool for cognitive impairment in the elderly. Am J Epidemiol. 2004 Oct 15.Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc 2003;51:1451–1454.Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc 2003;51:1451–1454.Folstein MF, Folstein SE, McHugh PR. «Mini-mental state». A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov.Folstein MF, Folstein SE, McHugh PR. «Mini-mental state». A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov.Ziad S. Nasreddine, Natalie A. Phillips, Valérie Bédirian, Simon Charbonneau, Victor Whitehead. The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. Journal of the American Geriatrics Society. 2005.Ziad S. Nasreddine, Natalie A. Phillips, Valérie Bédirian, Simon Charbonneau, Victor Whitehead. The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. Journal of the American Geriatrics Society. 2005.Dubois B, Slachevsky A, Litvan I, Pillon B. The FAB: a Frontal Assessment Battery at bedside. Neurology. 2000 Dec 12;55(11):1621–6.Dubois B, Slachevsky A, Litvan I, Pillon B. The FAB: a Frontal Assessment Battery at bedside. Neurology. 2000 Dec 12;55(11):1621–6.Averina M. Nilssen O., Brenn T., et al. Social and lifestyle determinants of depression, anxiety, sleeping disorders and selfevaluated quality of life in Russia // Soc. Psychiatry Psychiatr. Epidemiology. — 2005. — Vol. 40. — P. 511–518.Averina M. Nilssen O., Brenn T., et al. Social and lifestyle determinants of depression, anxiety, sleeping disorders and selfevaluated quality of life in Russia // Soc. Psychiatry Psychiatr. Epidemiology. — 2005. — Vol. 40. — P. 511–518.Sheikh, J. I., Yesavage, J. A. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version / J. I. Sheikh, J. A. Yesavage // Clinical Gerontologist. — 1986. — Vol.5. — P. 165–173Sheikh, J. I., Yesavage, J. A. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version / J. I. Sheikh, J. A. Yesavage // Clinical Gerontologist. — 1986. — Vol.5. — P. 165–173Kurt Kroenke, Robert L Spitzer and Janet B W Williams. The PHQ-9. Validity of a Brief Depression Severity Measure. J Gen Intern Med. 2001 Sep.Kurt Kroenke, Robert L Spitzer and Janet B W Williams. The PHQ-9. Validity of a Brief Depression Severity Measure. J Gen Intern Med. 2001 Sep.Alexopoulos GA, Abrams RC, Young RC & Shamoian CA: Cornell scale for depressionin dementia. Biol Psych, 1988, 23:271–284.Alexopoulos GA, Abrams RC, Young RC & Shamoian CA: Cornell scale for depressionin dementia. Biol Psych, 1988, 23:271–284.Elder abuse prevalence in community settings: a systematic review and meta-analysis.Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Lancet Glob Health. 2017 Feb;5(2):e147-e156.Elder abuse prevalence in community settings: a systematic review and meta-analysis.Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Lancet Glob Health. 2017 Feb;5(2):e147-e156.Ronthal M. Gait Disorders and Falls in the Elderly. Med Clin North Am. 2019 Mar;103(2):203–213. DOI: 10.1016/j.mcna.2018.10.010. Epub 2018 Dec 20. PMID: 30704677.Ronthal M. Gait Disorders and Falls in the Elderly. Med Clin North Am. 2019 Mar;103(2):203–213. DOI: 10.1016/j.mcna.2018.10.010. Epub 2018 Dec 20. PMID: 30704677.Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001 Jul.Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001 Jul.

The authors declare that there are no conflicts of interest present.