Background and Aim: Several measurements were taken for frailty classification in geriatric population. âFrailty indexâ is based on âdeficits in health,â but it is still not available in Italian version. Thus, the aim of the present work was to validate a version of âfrailty indexâ for the Italian geriatric community. Methods: The validation of Italian frailty index (IFi) is based on a cohort study that enrolled 1077 non-disabled outpatients aged 65 years or older (81.3 ± 6.5 years) in Naples (Italy). IFi has been expressed as a ratio of deficits present/deficits considered after a comprehensive geriatric assessment. IFi was stratified in light, moderate and severe frailty. Mortality, disability (considering an increase in ADL lost â¥1 from the baseline) and hospitalization were considered at 3, 6, 12, 18 and 24 months of follow-up. Area under curve (AUC) was evaluated for both Friedâs and IFi frailty index. Result: At the end of follow-up, mortality increased from 1.0 to 30.3%, disability from 40.9 to 92.3% and hospitalization from 0.0 to 59.0% (pÂ
The Italian version of the âfrailty indexâ based on deficits in health: a validation study
Testa, Gianluca;Cacciatore, Francesco
2017-01-01
Abstract
Background and Aim: Several measurements were taken for frailty classification in geriatric population. âFrailty indexâ is based on âdeficits in health,â but it is still not available in Italian version. Thus, the aim of the present work was to validate a version of âfrailty indexâ for the Italian geriatric community. Methods: The validation of Italian frailty index (IFi) is based on a cohort study that enrolled 1077 non-disabled outpatients aged 65 years or older (81.3 ± 6.5 years) in Naples (Italy). IFi has been expressed as a ratio of deficits present/deficits considered after a comprehensive geriatric assessment. IFi was stratified in light, moderate and severe frailty. Mortality, disability (considering an increase in ADL lost â¥1 from the baseline) and hospitalization were considered at 3, 6, 12, 18 and 24 months of follow-up. Area under curve (AUC) was evaluated for both Friedâs and IFi frailty index. Result: At the end of follow-up, mortality increased from 1.0 to 30.3%, disability from 40.9 to 92.3% and hospitalization from 0.0 to 59.0% (pÂI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.