PMID- 31322141
OWN - NLM
STAT- MEDLINE
DCOM- 20200123
LR  - 20200123
IS  - 2340-3527 (Electronic)
IS  - 1137-6627 (Linking)
VI  - 42
IP  - 2
DP  - 2019 Aug 23
TI  - [Heterogeneity amongst different diagnostic tools in frailty screening].
PG  - 169-178
LID - 10.23938/ASSN.0642 [doi]
AB  - BACKGROUND: Frailty means a state of vulnerability with a predisposition to 
      adverse health outcomes, closely related to age and a consequent loss of 
      functional capability. Early detection is important for initiating measures to 
      slow its progression. Primary Health Care (PHC) occupies a privileged place in 
      this. However, we do not possess a gold standard tool for its detection. Our aim 
      is to analyse the prevalence of frailty in PHC and define the most useful 
      diagnostic tool for this area. METHODS: Cross-sectional study with 225 people 
      were selected from a population of 4,252 people aged over 75 years-old, from 
      three different basic health zones of Navarre. Four different diagnostic tests 
      for frailty were conducted: the Fried phenotype, the Short Physical Performance 
      Battery (SPPB), the Timed Up-to-Go test (TUG) and the Gait Speed test (GS). 
      Patients who were unable to finish any of the tests weren't included in the 
      subsequent analysis. RESULTS: Fifty-one percent of participants were men, with 
      mean age 80.5 years-old, 80% were taking more than five daily drugs, 8.4% had 
      cognitive impairment, and 31.1 and 41.3% were independent for basic and 
      instrumental activities, respectively, of daily living. The frailty prevalence 
      was 8.3% for Fried phenotype, 13.7% for SPPB, 46.2% for TUG and 52.2% for Gait 
      Speed. CONCLUSION: Great heterogeneity in the prevalence of frailty was shown 
      depending on the tool employed. As a reliable, fast and simple tool for early 
      detection of frailty is needed in PHC, based on our results and the 
      particularities of PHC, we propose TUG or GS as good early predictors of this 
      decline.
FAU - Redin-Sagredo, M J
AU  - Redin-Sagredo MJ
AD  - Centro de Salud de San Juan. Servicio Navarro de Salud. Pamplona.. 
      mj.redsag@gmail.com.
FAU - Aldaz Herce, P
AU  - Aldaz Herce P
FAU - Casas Herrero, A
AU  - Casas Herrero A
FAU - Gutierrez-Valencia, M
AU  - Gutierrez-Valencia M
FAU - Martinez-Velilla, N
AU  - Martinez-Velilla N
LA  - spa
PT  - Journal Article
TT  - Heterogeneidad en el cribado poblacional de la fragilidad.
DEP - 20190823
PL  - Spain
TA  - An Sist Sanit Navar
JT  - Anales del sistema sanitario de Navarra
JID - 9710381
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cross-Sectional Studies
MH  - Female
MH  - *Frail Elderly
MH  - Frailty/*diagnosis/epidemiology
MH  - Gait Analysis/methods
MH  - Humans
MH  - Male
MH  - Mass Screening/*methods
MH  - Physical Functional Performance
MH  - Prevalence
MH  - Primary Health Care/*methods
MH  - Spain
MH  - Walking Speed/physiology
EDAT- 2019/07/20 06:00
MHDA- 2020/01/24 06:00
CRDT- 2019/07/20 06:00
PHST- 2019/07/20 06:00 [pubmed]
PHST- 2020/01/24 06:00 [medline]
PHST- 2019/07/20 06:00 [entrez]
AID - 10.23938/ASSN.0642 [doi]
PST - epublish
SO  - An Sist Sanit Navar. 2019 Aug 23;42(2):169-178. doi: 10.23938/ASSN.0642.