F Gilardi1, A Capanna2, M Ferraro2, P Scarcella2, M C Marazzi3, L Palombi2, G Liotta2. 1. University of Rome Tor Vergata, Department of Biomedicine and Prevention, Rome, Italy - Occupational Medicine, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy. 2. University of Rome Tor Vergata, Department of Biomedicine and Prevention, Rome, Italy. 3. University of L.U.M.S.A., Rome, Italy.
Abstract
INTRODUCTION: Frailty screening and assessment are a fundamental issue in Public Health in order to plan prevention programs and services. METHODOLOGY: By a narrative review of the literature employing the International Narrative Systematic Assessment tool, the authors aims to develop an updated framework for the main procedures and measurement tools to assess frailty in older adults, paying attention to the use in the primary care setting. RESULTS: The study selected 10 reviews published between January 2010 and December 2016 that define some characteristics of the main tools used to measure the frailty. Within the selected reviews only one of the described tools met all the criteria (multidimensionality, quick and easy administration, accurate risk prediction of negative outcomes and high sensitivity and specificity) necessary for a screening tool. CONCLUSION: Accurate risk prediction of negative outcomes could be the appropriate and sufficient criteria to assess a tool aimed to detect frailty in the community-dwelling elderly population. A two-step process (a first short questionnaire to detect frailty and a second longer questionnaire to define the care demand at individual level) could represent the appropriate pathway for planning care services at community level.
INTRODUCTION: Frailty screening and assessment are a fundamental issue in Public Health in order to plan prevention programs and services. METHODOLOGY: By a narrative review of the literature employing the International Narrative Systematic Assessment tool, the authors aims to develop an updated framework for the main procedures and measurement tools to assess frailty in older adults, paying attention to the use in the primary care setting. RESULTS: The study selected 10 reviews published between January 2010 and December 2016 that define some characteristics of the main tools used to measure the frailty. Within the selected reviews only one of the described tools met all the criteria (multidimensionality, quick and easy administration, accurate risk prediction of negative outcomes and high sensitivity and specificity) necessary for a screening tool. CONCLUSION: Accurate risk prediction of negative outcomes could be the appropriate and sufficient criteria to assess a tool aimed to detect frailty in the community-dwelling elderly population. A two-step process (a first short questionnaire to detect frailty and a second longer questionnaire to define the care demand at individual level) could represent the appropriate pathway for planning care services at community level.
Keywords:
Aging of the population; Frailty; Frailty screening; Older adults; Tools for frailty assessment
Authors: G Liotta; O Madaro; P Scarcella; M C Inzerilli; B Frattini; F Riccardi; N Accarino; S Mancinelli; E Terracciano; S Orlando; M C Marazzi Journal: Transl Med UniSa Date: 2020-10-01
Authors: Jossiana Wilke Faller; David do Nascimento Pereira; Suzana de Souza; Fernando Kenji Nampo; Fabiana de Souza Orlandi; Silvia Matumoto Journal: PLoS One Date: 2019-04-29 Impact factor: 3.240