PMID- 33330532
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240330
IS  - 2296-858X (Print)
IS  - 2296-858X (Electronic)
IS  - 2296-858X (Linking)
VI  - 7
DP  - 2020
TI  - Integrated Care for Older People Screening Tool for Measuring Intrinsic Capacity: 
      Preliminary Findings From ICOPE Pilot in China.
PG  - 576079
LID - 10.3389/fmed.2020.576079 [doi]
LID - 576079
AB  - Objectives: The World Health Organization (WHO) proposed the Integrated Care for 
      Older People (ICOPE) screening tool to identify older people with priority 
      conditions associated with declines in intrinsic capacity (IC). We aimed to 
      determine the clinical utility of the WHO ICOPE screening tool in a Chinese 
      population. Method: A total of 376 adults aged 68.65 +/- 11.41 years participated 
      in the study. IC was assessed with the WHO ICOPE screening tool, covering five 
      domains: cognitive, locomotor, sensory, vision, and psychological capacity. We 
      assessed the activities of daily living (ADL); instrumental activities of daily 
      living (IADL); the Fried frailty phenotype; FRAIL scale; Strength, Assistance 
      With Walking, Rising From chair, Climbing Stairs, and Falls (SARC-F) scale; 
      Mini-mental State Examination (MMSE); Geriatric Depression Scale (GDS); social 
      frailty; and quality of life. Results: There were 260 (69.1%) participants who 
      showed declines in one or more IC dimensions. The percentages of decline in 
      mobility, cognition, vitality, hearing, vision, and psychological capacity were 
      25.3, 46.8, 16.2, 15.4, 11.7, and 12.0%, respectively. IC decreased with 
      increasing age. After adjusting for age, sex, and multimorbidity, participants 
      with declines in IC were more likely to be older, frail, and disabled. They also 
      had worse physical, mental, and overall health. There was a higher prevalence of 
      declines in IC in participants with frailty. After adjusting for age, IC was 
      positively correlated with walking speed, resilience score, and MMSE score and 
      negatively correlated with frailty, SARC-F score, IADL score, GDS score, and 
      physical and mental fatigue. The IC score was not associated with body 
      composition variables such as fat-free mass, body fat percentage, or visceral fat 
      area. Higher IC was associated with better quality of life. The area under the 
      curve of the receiver operating characteristic (AUC-ROC) for the ICOPE screening 
      tool vs. Fried phenotype, FRAIL, ADL disability, IADL disability, and SARC-F were 
      0.817, 0.843, 0.954, 0.912, and 0.909, respectively. Conclusion: Our research 
      affirms that the ICOPE screening tool is useful to identify adults with poor 
      physical and mental function in a Chinese sample. This tool may assist in 
      identifying declines in IC in an integrative care model and help slow down 
      function decline and onset of care dependence.
CI  - Copyright (c) 2020 Ma, Chhetri, Zhang, Liu, Chen, Li and Chan.
FAU - Ma, Lina
AU  - Ma L
AD  - Department of Geriatrics, National Research Center for Geriatric Medicine, Xuanwu 
      Hospital, Capital Medical University, Beijing, China.
FAU - Chhetri, Jagadish K
AU  - Chhetri JK
AD  - Department of Neurology and Neurobiology, Xuanwu Hospital, Capital Medical 
      University, Beijing, China.
FAU - Zhang, Yaxin
AU  - Zhang Y
AD  - Department of Geriatrics, National Research Center for Geriatric Medicine, Xuanwu 
      Hospital, Capital Medical University, Beijing, China.
FAU - Liu, Pan
AU  - Liu P
AD  - Department of Geriatrics, National Research Center for Geriatric Medicine, Xuanwu 
      Hospital, Capital Medical University, Beijing, China.
FAU - Chen, Yumeng
AU  - Chen Y
AD  - Department of Geriatrics, National Research Center for Geriatric Medicine, Xuanwu 
      Hospital, Capital Medical University, Beijing, China.
FAU - Li, Yun
AU  - Li Y
AD  - Department of Geriatrics, National Research Center for Geriatric Medicine, Xuanwu 
      Hospital, Capital Medical University, Beijing, China.
FAU - Chan, Piu
AU  - Chan P
AD  - Department of Geriatrics, National Research Center for Geriatric Medicine, Xuanwu 
      Hospital, Capital Medical University, Beijing, China.
AD  - Department of Neurology and Neurobiology, Xuanwu Hospital, Capital Medical 
      University, Beijing, China.
LA  - eng
PT  - Journal Article
DEP - 20201130
PL  - Switzerland
TA  - Front Med (Lausanne)
JT  - Frontiers in medicine
JID - 101648047
PMC - PMC7734133
OTO - NOTNLM
OT  - frailty
OT  - integrated care
OT  - intrinsic capacity
OT  - older adults
OT  - screening
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2020/12/18 06:00
MHDA- 2020/12/18 06:01
PMCR- 2020/11/30
CRDT- 2020/12/17 05:54
PHST- 2020/06/25 00:00 [received]
PHST- 2020/10/30 00:00 [accepted]
PHST- 2020/12/17 05:54 [entrez]
PHST- 2020/12/18 06:00 [pubmed]
PHST- 2020/12/18 06:01 [medline]
PHST- 2020/11/30 00:00 [pmc-release]
AID - 10.3389/fmed.2020.576079 [doi]
PST - epublish
SO  - Front Med (Lausanne). 2020 Nov 30;7:576079. doi: 10.3389/fmed.2020.576079. 
      eCollection 2020.