The role of the Sunfrail tool in the screening of frailty and in integrated community-hospital care pathways: a retrospective observational study.
The role of the Sunfrail tool in the screening of frailty and in integrated community-hospital care pathways: a retrospective observational study.
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DOI：
10.1007/s40520-021-01931-x
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发表时间：
2022-03
影响因子：
4
通讯作者：
Maggio M
中科院分区：
文献类型：
--
作者：
Longobucco Y;Lauretani F;Gionti L;Tagliaferri S;Gobbens R;Kostka T;Palummeri E;Barbolini M;Maggio M
衰老最有问题的表现之一是虚弱，基于早期识别的方法是强制性的。Sunfrail-Tool(ST)是一种由9个项目组成的问卷，是一种很有前途的筛查脆弱性的工具。评估ST与老年综合评估(CGA)之间的诊断准确性和结构效度，CGA由代表脆弱的生物-心理-社会模型的六个测试组成；验证ST的五个关键问题的区分能力；探讨ST在预防跌倒的临床路径中的作用。在这项回顾性研究中，我们从帕尔马大学医院的虚弱多病实验室招募了235名患者。STS的回答是从患者的临床信息中获得的。如果至少有一项CGA测试结果呈阳性，患者就被认为是虚弱的。ST与CGA的判断有关，曲线下面积为0.691(CI 95%：0.591-0.791)。每项CGA测试均与ST总分相关。这五个关键问题在CGA对相应领域的测试中显示了潜在的识别力。ST与跌倒相关的问题与短体能电池总分(OR：0.839，CI 95%：0.766-0.918)显著相关，后者是跌倒风险的替代指标。结果表明，ST能够捕捉到脆弱性的复杂性。ST具有很好的区分力，可以指导对关键脆弱领域和/或临床路径的二级评估。ST是一种有效、易用的脆性筛查工具。
One of the most problematic expression of ageing is frailty, and an approach based on its early identification is mandatory. The Sunfrail-tool (ST), a 9-item questionnaire, is a promising instrument for screening frailty. To assess the diagnostic accuracy and the construct validity between the ST and a Comprehensive Geriatric Assessment (CGA), composed by six tests representative of the bio-psycho-social model of frailty; To verify the discriminating power of five key-questions of the ST; To investigate the role of the ST in a clinical-pathway of falls’ prevention. In this retrospective study, we enrolled 235 patients from the Frailty-Multimorbidity Lab of the University-Hospital of Parma. The STs’ answers were obtained from the patient’s clinical information. A patient was considered frail if at least one of the CGAs’ tests resulted positive. The ST was associated with the CGA’s judgement with an Area Under the Curve of 0.691 (CI 95%: 0.591–0.791). Each CGA’s test was associated with the ST total score. The five key-question showed a potential discriminating power in the CGA’s tests of the corresponding domains. The fall-related question of the ST was significantly associated with the Short Physical Performance Battery total score (OR: 0.839, CI 95%: 0.766–0.918), a proxy of the risk of falling. The results suggest that the ST can capture the complexity of frailty. The ST showed a good discriminating power, and it can guide a second-level assessment to key frailty domains and/or clinical pathways. The ST is a valid and easy-to-use instrument for the screening of frailty.
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DOI：
10.1097/xeb.0000000000000194
发表时间：
2019-06-01
影响因子：
--
作者：
Cardoso, Ana F.;Bobrowicz-Campos, Elzbieta;Apostolo, Joao
通讯作者：
Apostolo, Joao
DOI：
10.3390/ijerph15030490
发表时间：
2018-03-10
影响因子：
--
作者：
Makizako H;Shimada H;Doi T;Tsutsumimoto K;Hotta R;Nakakubo S;Makino K;Lee S
通讯作者：
Lee S
影响因子：
2.6
作者：
Kelley, K;Clark, B;Sitzia, J
通讯作者：
Sitzia, J
DOI：
10.1111/j.1532-5415.1999.tb03848.x
发表时间：
1999-07-01
影响因子：
6.3
作者：
Hoyl, MT;Alessi, CA;Rubenstein, LZ
通讯作者：
Rubenstein, LZ
影响因子：
20.4
作者：
Mandrekar, Jayawant N.
通讯作者：
Mandrekar, Jayawant N.