Marc Moreno-Ariño1,2, Isabel Torrente Jiménez3,4, Albert Cartanyà Gutiérrez5,4, Joan Carles Oliva Morera6, Ricard Comet3,4. 1. Acute Geriatric Unit and Complex Chronic Patient, Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain. mmorenoar@tauli.cat. 2. Universitat Autònoma de Barcelona, Barcelona, Spain. mmorenoar@tauli.cat. 3. Acute Geriatric Unit and Complex Chronic Patient, Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain. 4. Universitat Autònoma de Barcelona, Barcelona, Spain. 5. Department of Internal Medicine, Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain. 6. Clinical Trials Unit, Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT), Sabadell, Spain.
Abstract
BACKGROUND: Care for the elderly patient is a challenge that geriatricians now share with other medical specialties. Frailty has emerged as a key concept. Due to its simplicity and applicability, the Clinical Frailty Scale (CFS) is gaining increasing acceptance. AIM: Compare the CFS with the Frail-VIG index (IF-VIG), an index based on the accumulation of deficits and developed on the basis of comprehensive geriatric assessment. METHODS: Cross-sectional and single-center study carried out at the Acute Geriatric Unit of a University Hospital. Patients consecutively recruited on admission over a 6-month period (n = 184). The concurrent validity of the CFS was measured by assessing the concordance between the two measurement methods. The degree of association was determined by applying a linear regression model, calculating the Pearson correlation coefficient (r). RESULTS: The prevalence of frailty was 91.8%. A mean IF-VIG score of 0.41 (SD ± 0.14) was found. The two most frequently recorded CFS categories were 6 and 7. An effective correlation was established (r = 0.706, p < 0.001). In the cohort with severe dementia, the association fell (r = 0.442). In the whole population, it rose adding Charlson index score (r = 0.747). CONCLUSIONS: The strong correlation of the CFS with a frailty index supports its use. Incorporating comorbidity into the physical function domains of the CFS improved the correlation. However, the CFS was unsuitable in patients with dementia. To infer prognosis, in categories 6 and 7, the situational diagnosis should be extended with more discriminative tools.
BACKGROUND: Care for the elderly patient is a challenge that geriatricians now share with other medical specialties. Frailty has emerged as a key concept. Due to its simplicity and applicability, the Clinical Frailty Scale (CFS) is gaining increasing acceptance. AIM: Compare the CFS with the Frail-VIG index (IF-VIG), an index based on the accumulation of deficits and developed on the basis of comprehensive geriatric assessment. METHODS: Cross-sectional and single-center study carried out at the Acute Geriatric Unit of a University Hospital. Patients consecutively recruited on admission over a 6-month period (n = 184). The concurrent validity of the CFS was measured by assessing the concordance between the two measurement methods. The degree of association was determined by applying a linear regression model, calculating the Pearson correlation coefficient (r). RESULTS: The prevalence of frailty was 91.8%. A mean IF-VIG score of 0.41 (SD ± 0.14) was found. The two most frequently recorded CFS categories were 6 and 7. An effective correlation was established (r = 0.706, p < 0.001). In the cohort with severe dementia, the association fell (r = 0.442). In the whole population, it rose adding Charlson index score (r = 0.747). CONCLUSIONS: The strong correlation of the CFS with a frailty index supports its use. Incorporating comorbidity into the physical function domains of the CFS improved the correlation. However, the CFS was unsuitable in patients with dementia. To infer prognosis, in categories 6 and 7, the situational diagnosis should be extended with more discriminative tools.
Authors: Rafael Bielza; Cristina Balaguer; Francisco Zambrana; Estefanía Arias; Israel J Thuissard; Ana Lung; Carlos Oñoro; Patricia Pérez; Cristina Andreu-Vázquez; Marta Neira; Noemi Anguita; Carmen Sáez; Eva María Fernández de la Puente Journal: Eur Geriatr Med Date: 2022-04-23 Impact factor: 3.269
Authors: Jordi Amblàs-Novellas; Scott A Murray; Ramon Oller; Anna Torné; Joan Carles Martori; Sébastien Moine; Nadina Latorre-Vallbona; Joan Espaulella; Sebastià J Santaeugènia; Xavier Gómez-Batiste Journal: BMJ Open Date: 2021-04-21 Impact factor: 2.692
Authors: Anna Torné; Emma Puigoriol; Edurne Zabaleta-Del-Olmo; Juan-José Zamora-Sánchez; Sebastià Santaeugènia; Jordi Amblàs-Novellas Journal: Int J Environ Res Public Health Date: 2021-05-13 Impact factor: 3.390