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Frail-VIG index: a concise frailty evaluation tool for rapid geriatric assessment

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dc.contributor Universitat de Vic - Universitat Central de Catalunya. Facultat de Ciències de la Salut i el Benestar
dc.contributor.author Amblàs-Novellas, Jordi
dc.contributor.author Martori, Joan Carles
dc.contributor.author Espaulella, Joan
dc.contributor.author Oller, Ramon
dc.contributor.author Molist-Brunet, Núria
dc.contributor.author Inzitari, Marco
dc.contributor.author Romero-Ortuno, Roman
dc.date.accessioned 2018-03-06T14:10:10Z
dc.date.available 2018-03-06T14:10:10Z
dc.date.created 2018
dc.date.issued 2018
dc.identifier.citation Amblàs-Novellas, J.; Martori, J.C.; Espaulella, J.; Oller, R. ; Molist-Brunet, N.; Inzitari, M.; Romero-Ortuno, R. (2018). Frail-VIG index: a concise frailty evaluation tool for rapid geriatric assessment. BMC Geriatrics, (18) 29, 2-12 es
dc.identifier.issn 1471-2318
dc.identifier.uri http://hdl.handle.net/10854/5368
dc.description.abstract Background: Demographic changes have led to an increase in the number of elderly frail persons and, consequently, systematic geriatric assessment is more important than ever. Frailty Indexes (FI) may be particularly useful to discriminate between various degrees of frailty but are not routinely assessed due, at least in part, to the large number of deficits assessed (from 30 to 70). Therefore, we have developed a new, more concise FI for rapid geriatric assessment (RGA)—the Frail-VIG index (“VIG” is the Spanish/Catalan abbreviation for Comprehensive Geriatric Assessment), which contains 22 simple questions that assess 25 different deficits. Here we describe this FI and report its ability to predict mortality at 24 months. Methods: Prospective, observational, longitudinal study of geriatric patients followed for 24 months or until death. The study participants were patients (n = 590) admitted to the Acute Geriatric Unit at the at the University Hospital of Vic (Barcelona) during the year 2014. Participants were classified into one of seven groups based on their Frail-VIG score (0–0.15; 0.16–0.25; 0.26–0.35; 0.36–0.45; 0.46–0.55; 0.56–0.65; and 0.66–1). Survival curves for these groups were compared using the log-rank test. ROC curves were used to assess the index’s capacity to predict mortality at 24 months. Results: Mean (standard deviation) patient age was 86.4 (5.6) years. The 24-month mortality rate was 57.3% for the whole sample. Significant between-group (deceased vs. living) differences (p < 0.05) were observed for most index variables. Survival curves for the seven Frail-VIG groups differed significantly (X2 = 433.4, p < 0.001), with an area under the ROC curve (confidence interval) of 0.90 (0.88–0.92) at 12 months and 0.85 (0.82–0.88) at 24 months. Administration time for the Frail-VIG index ranged from 5 to 10 min. Conclusions: The Frail-VIG index, which requires less time to administer than previously validated FIs, presents a good discriminative capacity for the degree of frailty and a high predictive capacity for mortality in the present cohort. Although more research is needed to confirm the validity of this instrument in other populations and settings, the Frail-VIG may provide clinicians with a RGA method and also a reliable tool to assess frailty in routine practice. es
dc.format application/pdf
dc.format.extent 12 p. es
dc.language.iso eng es
dc.publisher BioMed Central es
dc.rights Aquest document està subjecte a aquesta llicència Creative Commons es
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ es
dc.subject.other Persones grans dependents es
dc.subject.other Mortalitat es
dc.subject.other Geriatria es
dc.title Frail-VIG index: a concise frailty evaluation tool for rapid geriatric assessment es
dc.type info:eu-repo/semantics/article es
dc.identifier.doi https://doi.org/10.1186/s12877-018-0718-2
dc.rights.accesRights info:eu-repo/semantics/openAccess es
dc.type.version info:eu-repo/publishedVersion es
dc.indexacio Indexat a WOS/JCR es
dc.indexacio Indexat a SCOPUS es

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