دورية أكاديمية
أعرض في EDS

Identifying frailty: do the Frailty Index and Groningen Frailty Indicator cover different clinical perspectives? a cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: Identifying frailty: do the Frailty Index and Groningen Frailty Indicator cover different clinical perspectives? a cross-sectional study.
المؤلفون: Drubbel I; Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Universiteitsweg 100, Utrecht 3584 CG, The Netherlands. i.drubbel@umcutrecht.nl, Bleijenberg N, Kranenburg G, Eijkemans RJ, Schuurmans MJ, de Wit NJ, Numans ME
المصدر: BMC family practice [BMC Fam Pract] 2013 May 21; Vol. 14, pp. 64. Date of Electronic Publication: 2013 May 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967792 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2296 (Electronic) Linking ISSN: 14712296 NLM ISO Abbreviation: BMC Fam Pract Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-2021]
مواضيع طبية MeSH: Frail Elderly*/psychology , Health Status Indicators* , Residence Characteristics*, Geriatric Assessment/*methods, Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Electronic Health Records ; Female ; Health Services for the Aged/organization & administration ; Humans ; Male ; Mass Screening/instrumentation ; Middle Aged ; Netherlands ; Primary Health Care ; Surveys and Questionnaires
مستخلص: Background: Early identification of frailty is important for proactive primary care. Currently, however, there is no consensus on which measure to use. Therefore, we examined whether a Frailty Index (FI), based on ICPC-coded primary care data, and the Groningen Frailty Indicator (GFI) questionnaire identify the same older people as frail.
Methods: We conducted a cross-sectional, observational study of 1,580 patients aged ≥ 60 years in a Dutch primary care center. Patients received a GFI questionnaire and were surveyed on their baseline characteristics. Frailty-screening software calculated their FI score. The GFI and FI scores were compared as continuous and dichotomised measures.
Results: FI data were available for 1549 patients (98%). 663 patients (42%) returned their GFI questionnaire. Complete GFI and FI scores were available for 638 patients (40.4%), mean age 73.4 years, 52.8% female. There was a positive correlation between the GFI and the FI (Pearson's correlation coefficient 0.544). Using dichotomised scores, 84.3% of patients with a low FI score also had a low GFI score. In patients with a high FI score, 55.1% also had a high GFI score. A continuous FI score accurately predicted a dichotomised GFI score (AUC 0.78, 95% CI 0.74 to 0.82). Being widowed or divorced was an independent predictor of both a high GFI score in patients with a low FI score, and a high FI score in patients with a low GFI score.
Conclusions: The FI and the GFI moderately overlap in identifying frailty in community-dwelling older patients. To provide optimal proactive primary care, we suggest an initial FI screening in routine healthcare data, followed by a GFI questionnaire for patients with a high FI score or otherwise at high risk as the preferred two-step frailty screening process in primary care.
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تواريخ الأحداث: Date Created: 20130523 Date Completed: 20130909 Latest Revision: 20220408
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC3665587
DOI: 10.1186/1471-2296-14-64
PMID: 23692735
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2296
DOI:10.1186/1471-2296-14-64