Comprehensive Geriatric Assessment

AGE Centrum's Comprehensive Geriatric Assessment is a structured multi-domain evaluation conducted by MUDr. Petra Gondová, a specialist geriatrician, targeting adults aged 60 and above. The assessment evaluates physical frailty, sarcopenia, medication appropriateness, cognitive function, and functional independence in a single consultation — coordinating findings across internal medicine, neurology, psychiatry, rehabilitation, nutrition, and palliative care where relevant. It is the most thorough preventive health check available for seniors in the Olomouc region and is designed to identify early-stage deterioration before it becomes crisis-level.

Geriatric medicine occupies a distinct position in preventive health: unlike general health screening, it does not simply identify individual biomarkers or diseases but assesses the cumulative functional impact of aging across all body systems simultaneously. AGE Centrum's geriatric assessment, led by MUDr. Petra Gondová, applies the internationally validated Comprehensive Geriatric Assessment (CGA) framework — a structured, evidence-based evaluation used in academic geriatric centres across Europe. The CGA at AGE Centrum evaluates six major domains: **Frailty and physical function:** Using standardised tests of gait speed, grip strength, and physical endurance to classify frailty status (robust/pre-frail/frail) according to Fried criteria. Early frailty is reversible with targeted intervention; identifying it before the clinical threshold is the primary preventive goal. **Sarcopenia screening:** Muscle mass and function decline accelerates after 60, increasing fall risk and metabolic vulnerability. The geriatrician screens for sarcopenia using validated questionnaires and, where indicated, recommends DEXA body composition imaging (at a partner facility). **Medication review:** Patients aged 60+ are prescribed an average of five or more medications in developed healthcare systems. The geriatrician evaluates the full drug list against the STOPP/START criteria — a validated European tool identifying inappropriate prescribing in older adults — and recommends adjustments where the risk-benefit balance has shifted. **Cognitive assessment:** Standardised memory and cognitive function tests (MMSE, MoCA as appropriate) to identify mild cognitive impairment or early-stage dementia and distinguish it from depression-related pseudodementia. AGE Centrum holds a Czech Alzheimer Society 'Vážka' contact point certificate and has three certified Level 1 memory trainers in-house. **Nutritional status:** BMI alone is unreliable in the elderly — the MNA (Mini Nutritional Assessment) is used to identify malnutrition risk that blood tests may not yet reflect. **Functional independence:** Barthel ADL index and Lawton IADL to assess daily living capacity and identify where social or rehabilitation support would prevent deterioration. For patients 85 and above — a high-risk group with rapidly changing functional status — AGE Centrum recommends biannual assessments. For the 60–84 group, annual assessment provides an evidence base for family decisions, insurance documentation, and early intervention planning. The assessment outcome includes a written summary for the referring GP, specialist recommendations, and a personalised care plan. For self-pay patients, the clinic issues a detailed health dossier. Family members accompanying patients are encouraged to attend part of the consultation to support care coordination at home.