China's Premier Center for Geriatric Medicine & Healthy Aging
The Department of Geriatric Medicine at Huadong Hospital — affiliated with Fudan University — is one of China's most distinguished and nationally recognized geriatric medicine centers, with a reputation for excellence in comprehensive geriatric assessment, the management of multiple chronic conditions in older adults, frailty, dementia, falls prevention, and the optimization of complex older patients for surgery and other interventions. As one of Shanghai's most prestigious hospitals with a long tradition of serving senior patients and high-profile individuals, Huadong Hospital's geriatric medicine department combines outstanding clinical expertise with a world-class multidisciplinary approach, offering international patients access to some of China's most eminent geriatricians.
For international patients aged 65 and above with multiple chronic conditions, cognitive impairment, frailty, or complex medical needs — Huadong Hospital's geriatric medicine department offers an unparalleled combination of clinical expertise, comprehensive assessment capability, and multidisciplinary integration. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their geriatric care journey at Huadong Hospital.
About the Department
Huadong Hospital's geriatric medicine department is a national key clinical specialty operating dedicated geriatric inpatient wards, a comprehensive geriatric assessment (CGA) clinic, a memory and cognitive disorders clinic, a falls and balance clinic, a frailty clinic, a polypharmacy review service, a geriatric rehabilitation program, and works in close collaboration with cardiology, neurology, endocrinology, clinical nutrition, respiratory medicine, and rehabilitation through a fully integrated multidisciplinary geriatric team.
Faculty members publish regularly in leading geriatric medicine journals including Journal of the American Geriatrics Society, Age and Ageing, Journal of Nutrition, Health & Aging, Geriatrics & Gerontology International, and Aging Clinical and Experimental Research.
Comprehensive Geriatric Assessment (CGA)
The cornerstone of Huadong Hospital's geriatric medicine program is the Comprehensive Geriatric Assessment — a multidimensional, multidisciplinary diagnostic process that evaluates the medical, functional, cognitive, psychological, social, and nutritional status of older patients:
- Medical Assessment — Systematic review of all medical conditions; medication reconciliation and polypharmacy review; Beers Criteria and STOPP/START criteria application; comorbidity burden assessment (Charlson Comorbidity Index)
- Functional Assessment — Activities of daily living (ADL — Barthel Index); instrumental ADL (IADL — Lawton Scale); gait speed; handgrip strength; Timed Up and Go (TUG) test; Short Physical Performance Battery (SPPB)
- Cognitive Assessment — Mini-Mental State Examination (MMSE); Montreal Cognitive Assessment (MoCA); Clock Drawing Test; neuropsychological testing battery; delirium screening (CAM)
- Nutritional Assessment — Mini Nutritional Assessment (MNA); body composition analysis; serum albumin and prealbumin; coordination with clinical nutrition department
- Psychological Assessment — Geriatric Depression Scale (GDS); anxiety screening; social support assessment; caregiver burden evaluation
- Frailty Assessment — Fried Frailty Phenotype; Clinical Frailty Scale (CFS); FRAIL scale; Edmonton Frail Scale
- Pre-operative CGA — Surgical risk stratification for older patients; optimization before elective surgery; coordination with surgical teams; post-operative delirium prevention
Cognitive Disorders & Dementia
- Mild Cognitive Impairment (MCI) — Neuropsychological assessment; biomarker evaluation (CSF Abeta42/tau; amyloid PET; tau PET); lifestyle intervention; cognitive training; risk factor modification; lecanemab and donanemab for amyloid-positive MCI
- Alzheimer's Disease — Comprehensive diagnostic workup; cholinesterase inhibitors (donepezil, rivastigmine, galantamine); memantine; lecanemab (Leqembi) for early AD with confirmed amyloid pathology; donanemab; ARIA monitoring; non-pharmacological interventions; caregiver support
- Vascular Dementia — Vascular risk factor control; antiplatelet therapy; cognitive rehabilitation; management of behavioral symptoms
- Lewy Body Dementia (DLB) — Cholinesterase inhibitors; avoidance of antipsychotics; REM sleep behavior disorder management; Parkinsonism management
- Frontotemporal Dementia (FTD) — Behavioral management; language therapy; caregiver education; genetic counseling for familial FTD
- Behavioral & Psychological Symptoms of Dementia (BPSD) — Non-pharmacological approaches first; low-dose antipsychotics for severe agitation; brexpiprazole for Alzheimer's agitation; valproate; SSRIs for depression and anxiety in dementia
- Delirium — Prevention (HELP program); non-pharmacological management; identification and treatment of precipitating factors; low-dose haloperidol or quetiapine for severe agitation
Frailty & Sarcopenia
- Frailty Assessment & Management — Fried Frailty Phenotype; Clinical Frailty Scale; individualized frailty intervention; exercise prescription; nutritional optimization; medication review; social support
- Sarcopenia — EWGSOP2 diagnostic criteria; DXA body composition; grip strength; gait speed; SPPB; resistance exercise training; protein supplementation (1.2-1.5g/kg/day); leucine-enriched essential amino acids; HMB supplementation; testosterone for hypogonadal men
- Malnutrition in Older Adults — MNA assessment; oral nutritional supplements (ONS); coordination with clinical nutrition for enteral and parenteral nutrition; appetite stimulants; mirtazapine for anorexia
- Osteoporosis in Older Adults — DXA; FRAX; bisphosphonates; denosumab; romosozumab; teriparatide; calcium and vitamin D; fall prevention; coordination with orthopedics for fracture management
Falls Prevention & Balance Disorders
- Falls Risk Assessment — Multifactorial falls risk assessment; TUG; Berg Balance Scale; gait analysis; orthostatic hypotension assessment; medication review for fall-risk drugs
- Falls Prevention Program — Tai Chi and balance training; strength and resistance exercise; home hazard assessment; footwear advice; vision correction; medication optimization; vitamin D supplementation
- Vestibular Disorders — BPPV repositioning; vestibular rehabilitation; coordination with ENT
- Orthostatic Hypotension — Non-pharmacological measures; fludrocortisone; midodrine; droxidopa
Polypharmacy & Medication Management
- Medication Review — Systematic review of all medications; Beers Criteria; STOPP/START criteria; deprescribing inappropriate medications; drug-drug interaction assessment
- Deprescribing — Evidence-based deprescribing of proton pump inhibitors, benzodiazepines, antipsychotics, and other potentially inappropriate medications in older adults
- Adherence Support — Simplified medication regimens; pill organizers; blister packs; caregiver education
Geriatric Syndromes
- Urinary Incontinence — Bladder training; pelvic floor exercises; mirabegron; oxybutynin; coordination with urology for stress incontinence
- Pressure Injuries — Risk assessment (Braden Scale); pressure redistribution mattresses; wound care; nutritional optimization; coordination with wound care team
- Sleep Disorders — Sleep hygiene; CBT-I for insomnia; melatonin; low-dose doxepin; REM sleep behavior disorder management; coordination with respiratory medicine for OSA
- Chronic Pain — Multimodal analgesia; acetaminophen; topical NSAIDs; duloxetine; gabapentin; opioid-sparing strategies; pain rehabilitation
- Dysphagia in Older Adults — Swallowing assessment; texture-modified diet; thickened liquids; coordination with speech therapy and clinical nutrition
Pre-operative Geriatric Optimization
Huadong Hospital's pre-operative geriatric optimization program is one of China's most comprehensive, preparing older patients for elective surgery to minimize complications and improve outcomes:
- Comprehensive Geriatric Assessment before major elective surgery
- Frailty identification and prehabilitation (exercise, nutrition, psychological preparation)
- Medication optimization and deprescribing before surgery
- Delirium prevention planning (HELP protocol; avoid anticholinergics; early mobilization)
- Nutritional optimization with oral nutritional supplements or enteral nutrition
- Coordination with anesthesia for geriatric-specific anesthetic planning
- Post-operative geriatric co-management on surgical wards
Why International Patients Choose Huadong Hospital Geriatric Medicine
- China's Premier Geriatric Center — Nationally recognized as one of China's top geriatric medicine programs; comprehensive multidisciplinary approach
- Lecanemab & Donanemab Access — Anti-amyloid therapy for early Alzheimer's disease with confirmed amyloid pathology; ARIA monitoring
- Pre-operative CGA — Comprehensive geriatric optimization before major surgery; frailty-guided prehabilitation
- Nutrition Integration — Unique seamless integration with China's premier clinical nutrition department
- Sarcopenia Program — Comprehensive sarcopenia assessment and treatment; resistance training; protein optimization
- Cost-Effectiveness — World-class geriatric care at significantly lower cost than equivalent treatment in Western countries
The CMCS Patient Journey
- Initial Inquiry — Share your medical history, current medications, functional status, cognitive concerns, and care goals with CMCS.
- Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
- Specialist Matching — We identify the most appropriate geriatrician based on your needs — comprehensive assessment, dementia, frailty, falls, or pre-operative optimization.
- CGA Coordination — We coordinate your comprehensive geriatric assessment appointment including all required assessments and specialist consultations.
- Priority Scheduling — We secure appointments with minimal waiting time.
- Travel & Logistics — Assistance with visa invitation letters, accessible accommodation near Huadong Hospital, and Shanghai airport transfers.
- Family Support — Coordination of family meetings and caregiver education sessions.
- Post-Consultation Follow-Up — Assessment report translation, care plan interpretation, and remote follow-up coordination after you return home.
Book a Consultation
If you or an elderly family member requires comprehensive geriatric assessment, dementia evaluation and management, frailty optimization, falls prevention, or pre-operative geriatric preparation — CMCS can arrange a specialist consultation with Huadong Hospital's geriatric medicine team in Shanghai.
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