NDLI: Reproducibility and responsiveness of the Frailty Index and Frailty Phenotype in older hospitalized patients

Content Provider	Springer Nature : BioMed Central
Author	Feenstra, Marlies Oud, Frederike M.M. Jansen, Carolien J. Smidt, Nynke van Munster, Barbara C. de Rooij, Sophia E.
Abstract	Background There is growing interest for interventions aiming at preventing frailty progression or even to reverse frailty in older people, yet it is still unclear which frailty instrument is most appropriate for measuring change scores over time to determine the effectiveness of interventions. The aim of this prospective cohort study was to determine reproducibility and responsiveness properties of the Frailty Index (FI) and Frailty Phenotype (FP) in acutely hospitalized medical patients aged 70 years and older. Methods Reproducibility was assessed by Intra-Class Correlation Coefficients (ICC), standard error of measurement (SEM) and smallest detectable change (SDC); Responsiveness was assessed by the standardized response mean (SRM), and area under the receiver operating characteristic curve (AUC). Results At baseline, 243 patients were included with a median age of 76 years (range 70–98). The analytic samples included 192 and 187 patients in the three and twelve months follow-up analyses, respectively. ICC of the FI were 0.85 (95 % confidence interval [CI]: 0.76; 0.91) and 0.84 (95% CI: 0.77; 0.90), and 0.65 (95% CI: 0.49; 0.77) and 0.77 (95% CI: 0.65; 0.84) for the FP. SEM ranged from 5 to 13 %; SDC from 13 to 37 %. SRMs were good in patients with unchanged frailty status (< 0.50), and doubtful to good for deteriorated and improved patients (0.43–1.00). AUC’s over three months were 0.77 (95% CI: 0.69; 0.86) and 0.71 (95% CI: 0.62; 0.79) for the FI, and 0.68 (95% CI: 0.58; 0.77) and 0.65 (95% CI: 0.55; 0.74) for the FP. Over twelve months, AUCs were 0.78 (95% CI: 0.69; 0.87) and 0.82 (95% CI: 0.73; 0.90) for the FI, and 0.78 (95% CI: 0.69; 0.87) and 0.75 (95% CI: 0.67; 0.84) for the FP. Conclusions The Frailty Index showed better reproducibility and responsiveness properties compared to the Frailty Phenotype among acutely hospitalized older patients.
Related Links	https://bmcgeriatr.biomedcentral.com/counter/pdf/10.1186/s12877-021-02444-y.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14712318
DOI	10.1186/s12877-021-02444-y
Journal	BMC Geriatrics
Issue Number	1
Volume Number	21
Language	English
Publisher	BioMed Central
Publisher Date	2021-09-17
Access Restriction	Open
Subject Keyword	Geriatrics Gerontology Aging Rehabilitation Frail Psychometric properties Measurement properties Reliability Internal Medicine Geriatric care Geriatrics/Gerontology
Content Type	Text
Resource Type	Article
Subject	Geriatrics and Gerontology
Journal Impact Factor	3.4/2023
5-Year Journal Impact Factor	4.1/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Screening for frailty in primary care: a systematic review of the psychometric properties of the frailty index in community-dwelling older people

Prevalence and predictors of vitamin D-deficiency in frail older hospitalized patients

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

Role of frailty on cardiac rehabilitation in hospitalized older patients.

Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study

Pain measurement in the older people: evaluation of the psychometric properties of the Geriatric Pain Measure (GPM-24) – Polish version

The psychometric properties of the Chinese version—reintegration to normal living index (C-RNLI) for identifying participation restriction among community-dwelling frail older people

Effects of the frailty phenotype on post-operative complications in older surgical patients: a systematic review and meta-analysis

Reliability and validity of the Chinese version of the trauma-specific frailty index (TSFI) for geriatric trauma patients

Reproducibility and responsiveness of the Frailty Index and Frailty Phenotype in older hospitalized patients

Similar Documents

Screening for frailty in primary care: a systematic review of the psychometric properties of the frailty index in community-dwelling older people

Prevalence and predictors of vitamin D-deficiency in frail older hospitalized patients

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

Role of frailty on cardiac rehabilitation in hospitalized older patients.

Factors affecting missed nursing care in hospitalized frail older adults in the medical wards: a qualitative study

Pain measurement in the older people: evaluation of the psychometric properties of the Geriatric Pain Measure (GPM-24) – Polish version

The psychometric properties of the Chinese version—reintegration to normal living index (C-RNLI) for identifying participation restriction among community-dwelling frail older people

Effects of the frailty phenotype on post-operative complications in older surgical patients: a systematic review and meta-analysis

Reliability and validity of the Chinese version of the trauma-specific frailty index (TSFI) for geriatric trauma patients

Reproducibility and responsiveness of the Frailty Index and Frailty Phenotype in older hospitalized patients