Frailty assessment in the geriatric outpatient clinic

Frailty assessment in the geriatric outpatient clinic
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DOI:
10.1111/ggi.12057
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发表时间:
2014-01-01
影响因子:
3.3
通讯作者:
Hornick, Thomas R.
Hornick, Thomas R.
中科院分区:
医学3区
文献类型:
--
作者:
Kim, Hidong;Higgins, Patricia A.;Hornick, Thomas R.

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目标虚弱是老年患者的常见现象。在目前的转化研究中,我们评估了两种衰弱工具(Fried 2001;Gill 2002),比较了学术附属老年病诊所衰弱筛查的有用性和评分分类。方法对老年病诊所登记的 162 名男性退伍军人(平均年龄 83.7 岁,57% 非裔美国人)完成了评估。该仪器的组成标准为老年临床医生所熟知,并按标准顺序进行操作,评分与原始仪器相同。结果五项煎衰仪器需要15-20分钟才能完成;两项目Gill 衰弱仪器需要不到2 分钟。在接受评估的 162 名参与者中,有 72 人被至少一种仪器确定为虚弱,但只有 33 人被两种仪器确定为虚弱。仪器之间的相关性为 Spearman=0.55 (P
AimFrailty is a common phenomenon in geriatric patients. In the present translational research study, we assessed two frailty instruments (Fried 2001; Gill 2002), comparing the usefulness and scoring classifications for frailty screening in an academically affiliated geriatrics clinic.MethodsAssessment was completed on 162 male veterans (mean age 83.7 years, 57% African American) enrolled in a geriatric clinic. The instruments' component criteria, which are well known to gerontological clinicians, were administered in a standard order and scoring was identical to original instruments.ResultsThe five-item Fried frailty instrument required 15-20min to complete; the two-item Gill frailty instrument required less than 2min. Of the 162 participants assessed, 72 were determined to be frail by at least one of the instruments, but just 33 were frail by both instruments. Correlations between the instruments were Spearman=0.55 (P