scholarly journals Items analysis of the Frailty Index (FI-35): Insight in the contribution of each item to the level of frailty

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0258588
Author(s):  
Xiaohong Zhang ◽  
C. P. Van Der Schans ◽  
Yanhui Liu ◽  
W. Krijnen ◽  
J. S. M. Hobbelen
Keyword(s):  
Entire Range ◽  
Frailty Index ◽  
Descriptive Statistics ◽  
Assessment Instrument ◽  
Item Score ◽  
Frailty Assessment ◽  
Functional Measures ◽  
Sample Characteristics ◽  
Frailty Score

Background The FI-35 is a valid multidimensional Chinese frailty assessment instrument. Like other scales, functional measures rely on the information the total score provides. Our research aimed to analyze the contribution of each item. Methods Descriptive statistics were used to summarize the sample characteristics. The expected item score (EIS) was used to determine how the items contribute to the generic measure of frailty. Results This study showed that most of the EIS curves increased across the entire range of frailty levels, and most of the items discriminate relatively well over the entire frailty range. Items differentially contributed to the total frailty score and differentially discriminated between frailty levels. Conclusions Although nearly all items monotonically increased with frailty levels, there were large differences between items in their ability to differentiate between persons being either weakly, moderately or highly frail.

scholarly journals Large retrospective analysis on frailty assessment in primary care: electronic Frailty Index versus frailty coding

2019 ◽  
Vol 26 (1) ◽  
pp. e000024
Author(s):  
Pablo Millares-Martin
Keyword(s):  
Primary Care ◽  
Retrospective Analysis ◽  
Significant Variation ◽  
Frailty Index ◽  
Patient Data ◽  
Descriptive Statistics ◽  
Clinical Validation ◽  
Frailty Assessment ◽  
Group Data ◽  
Spss Software

BackgroundPrimary care in UK is expected to use tools such as the electronic Frailty Index (eFI) to identify patients with frailty, which should be then validated and coded accordingly.AimTo assess the influence of organisation and software on how eFI score and direct clinical validation occurs across practices in Leeds.MethodThe ‘minimum necessary’ anonymised patient data required for the study (recorded eFI scores and frailty codes – mild, moderate or severe – with their dates of entry) was requested to the Health and Care Hub of the NHS Leeds Clinical Commissioning Group. Data from 44 185 patients from 104 practices using two different clinical software were collected. Descriptive statistics was carried out using SPSS software.Results42 593 patients had a frailty code, 8881 had an eFI code. 7341 had both types of entry, and correlation between eFI and coded level of frailty was as expected high (85.3%), but there was statistically significant variation depending on practice and software used. When results did not match, there was a tendency to overstate, to code a level of frailty above the value to be assigned based on the numeric value of eFI, and it was more so on those practices using SystmOne software compared with those using EMIS Web.ConclusionsAlthough correlation was generally good, the variability encountered would indicate the need for training and also for software improvements to reduce current disparity and facilitate validation, so frailty level is adequately recorded.

scholarly journals Investigating Organizational Commitment as the Outcome of Job Satisfaction: A Study of Banking Sector of Pakistan

2012 ◽  
Vol 2 (4) ◽  
pp. 146 ◽  
Author(s):  
Maryam Saeed Hashmi ◽  
Dr. Imran Haider Naqvi
Keyword(s):  
Job Satisfaction ◽  
Organizational Commitment ◽  
Banking Sector ◽  
Theory And Practice ◽  
Descriptive Statistics ◽  
Sample Characteristics ◽  
Intrinsic Job Satisfaction ◽  
The Relationship ◽  
Positive Effect

This study aims to elaborate the role of job satisfaction in committing employees with organization. This study tested the effect of both components of job satisfaction (intrinsic and extrinsic) of on organizational commitment in banking sector of Pakistan. Data was gathered from employees working in banks of Pakistan. The study has uses descriptive statistics (mean and standard deviation) to identify sample characteristics and inferential statistics (multiple linear regression) to find out the relationship between variables. Results showed the significant and positive effect of both components of job satisfaction on organizational commitment. This study is a contribution to theory and practice with an increased understanding on importance of job satisfaction in committing the employees with the organization.   Keywords: Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, Organizational Commitment  

scholarly journals Frailty and Exercise Training: How to Provide Best Care after Cardiac Surgery or Intervention for Elder Patients with Valvular Heart Disease

2018 ◽  
Vol 2018 ◽  
pp. 1-36 ◽  
Author(s):  
Egle Tamuleviciute-Prasciene ◽  
Kristina Drulyte ◽  
Greta Jurenaite ◽  
Raimondas Kubilius ◽  
Birna Bjarnason-Wehrens
Keyword(s):  
Heart Disease ◽  
Exercise Training ◽  
Muscle Mass ◽  
Valvular Heart Disease ◽  
Daily Living ◽  
Frailty Index ◽  
Psychosocial Health ◽  
Clinical Frailty Scale ◽  
Frailty Assessment ◽  
Elder Patients

The aim of this literature review was to evaluate existing evidence on exercise-based cardiac rehabilitation (CR) as a treatment option for elderly frail patients with valvular heart disease (VHD). Pubmed database was searched for articles between 1980 and January 2018. From 2623 articles screened, 61 on frailty and VHD and 12 on exercise-based training for patients with VHD were included in the analysis. We studied and described frailty assessment in this patient population. Studies reporting results of exercise training in patients after surgical/interventional VHD treatment were analyzed regarding contents and outcomes. The tools for frailty assessment included fried phenotype frailty index and its modifications, multidimensional geriatric assessment, clinical frailty scale, 5-meter walking test, serum albumin levels, and Katz index of activities of daily living. Frailty assessment in CR settings should be based on functional, objective tests and should have similar components as tools for risk assessment (mobility, muscle mass and strength, independence in daily living, cognitive functions, nutrition, and anxiety and depression evaluation). Participating in comprehensive exercise-based CR could improve short- and long-term outcomes (better quality of life, physical and functional capacity) in frail VHD patients. Such CR program should be led by cardiologist, and its content should include (1) exercise training (endurance and strength training to improve muscle mass, strength, balance, and coordination), (2) nutrition counseling, (3) occupational therapy (to improve independency and cognitive function), (4) psychological counseling to ensure psychosocial health, and (5) social worker counseling (to improve independency). Comprehensive CR could help to prevent, restore, and reduce the severity of frailty as well as to improve outcomes for frail VHD patients after surgery or intervention.

The Influence of Surgical Intervention and Sagittal Alignment on Frailty in Adult Cervical Deformity

2019 ◽  
Author(s):  
Frank A Segreto ◽  
Peter Gust Passias ◽  
Avery E Brown ◽  
Samantha R Horn ◽  
Cole A Bortz ◽  
...  
Keyword(s):  
Linear Regression ◽  
Surgical Intervention ◽  
Sagittal Alignment ◽  
Descriptive Analysis ◽  
Frailty Index ◽  
Linear Regression Analysis ◽  
Linear Regression Models ◽  
Cervical Deformity ◽  
Postoperative Changes ◽  
Frailty Score

Abstract BACKGROUND Frailty is a relatively new area of study for patients with cervical deformity (CD). As of yet, little is known of how operative intervention influences frailty status for patients with CD. OBJECTIVE To investigate drivers of postoperative frailty score and variables within the cervical deformity frailty index (CD-FI) algorithm that have the greatest capacity for change following surgery. METHODS Descriptive analysis of the cohort were performed, paired t-tests determined significant baseline to 1 yr improvements of factors comprising the CD-FI. Pearson bivariate correlations identified significant associations between postoperative changes in overall CD-FI score and CD-FI score components. Linear regression models determined the effect of successful surgical intervention on change in frailty score. RESULTS A total of 138 patients were included with baseline frailty scores of 0.44. Following surgery, mean 1-yr frailty score was 0.27. Of the CD-FI variables, 13/40 (32.5%) were able to improve with surgery. Frailty improvement was found to significantly correlate with baseline to 1-yr change in CBV, PI-LL, PT, and SVA C7-S1. HRQL CD-FI components reading, feeling tired, feeling exhausted, and driving were the greatest drivers of change in frailty. Linear regression analysis determined successful surgical intervention and feeling exhausted to be the greatest significant predictors of postoperative change in overall frailty score. CONCLUSION Complications, correction of sagittal alignment, and improving a patient's ability to read, drive, and chronic exhaustion can significantly influence postoperative frailty. This analysis is a step towards a greater understanding of the relationship between disability, frailty, and surgery in CD.

scholarly journals DETECTION OF COGNITIVE FRAILTY WITH THE COMPREHENSIVE FRAILTY ASSESSMENT INSTRUMENT

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1006-1006
Author(s):  
E.E. DeRoeck ◽  
N. De Witte ◽  
S. Dury ◽  
M. Bjerke ◽  
P. De Deyn ◽  
...  
Keyword(s):  
Assessment Instrument ◽  
Cognitive Frailty ◽  
Frailty Assessment

scholarly journals Detecting Prefrailty: Comparing Subjective Frailty Assessment and the Paulson–Lichtenberg Frailty Index

2020 ◽  
Vol 6 ◽  
pp. 233372142090423
Author(s):  
Yi-Ling Hu ◽  
Pragnesh Patel ◽  
Heather Fritz
Keyword(s):  
Confidence Interval ◽  
Frailty Index ◽  
Fair Agreement ◽  
Frailty Assessment ◽  
Level Of Agreement ◽  
Geriatric Nurses

We examined the level of agreement between subjective frailty assessments (SFA) and frailty classifications derived from the validated Paulson–Lichtenberg Frailty Index (PLFI). Clinic patients ( n = 202) were classified as healthy, prefrail, or frail first by screening using the PLFI and later by two geriatric nurses and two geriatricians according to SFA. Of the 202 participants (mean age = 76.7 ± 8.6), 52 (26%) were prefrail and 57 (28%) were frail based on the PLFI. Geriatrician SFA aligned with the PLFI in 43.0% of prefrail and 65.7% of frail cases. Nurse SFA aligned with the PLFI in 43.9% of prefrail and 17.0% of frail cases. There was slight-to-fair agreement between SFA and PLFI (geriatrician: Cohen’s κ = .23; 95% confidence interval (CI) = [.11, .35], p < .001; nurse: Cohen’s κ = .20; 95% CI = [.08, .33], p = .001). Clinician SFA did not align well with PLFI classifications.

scholarly journals The comprehensive frailty assessment instrument: Development, validity and reliability

2013 ◽  
Vol 34 (4) ◽  
pp. 274-281 ◽  
Author(s):  
Nico De Witte ◽  
Robbert Gobbens ◽  
Liesbeth De Donder ◽  
Sarah Dury ◽  
Tine Buffel ◽  
...  
Keyword(s):  
Instrument Development ◽  
Assessment Instrument ◽  
Validity And Reliability ◽  
Frailty Assessment

Epigenetic Age Acceleration and Change in Frailty in MOBILIZE Boston

2022 ◽  
Author(s):  
Benjamin Seligman ◽  
Sarah D Berry ◽  
Lewis A Lipsitz ◽  
Thomas G Travison ◽  
Douglas P Kiel
Keyword(s):  
Dna Methylation ◽  
Smoking Status ◽  
Frailty Index ◽  
450K Array ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Epigenetic Age ◽  
Epigenetic Age Acceleration ◽  
Frailty Score

Abstract Age-associated changes in DNA methylation have been implicated as one mechanism to explain the development of frailty, however previous cross-sectional studies of epigenetic age acceleration (eAA) and frailty have had inconsistent findings. Few longitudinal studies have considered the association of eAA with change in frailty. We sought to determine the association between eAA and change in frailty in the MOBILIZE Boston cohort. Participants were assessed at two visits 12-18 months apart. Intrinsic, extrinsic, GrimAge, and PhenoAge eAA were assessed from whole blood DNA methylation at baseline using the Infinium 450k array. Frailty was assessed by a continuous frailty score based on the frailty phenotype and by frailty index (FI). Analysis was by correlation and linear regression with adjustment for age, sex, smoking status, and BMI. 395 participants with a frailty score and 431 with a FI had epigenetic and follow-up frailty measures. For the frailty score and FI cohorts, respectively, mean (SD) ages were 77.8 (5.49) and 77.9 (5.47), 232 (58.7%) and 257 (59.6%) were female. All participants with epigenetic data identified as white. Baseline frailty score was not correlated with intrinsic or extrinsic eAA, but was correlated with PhenoAge and, even after adjustment for covariates, GrimAge. Baseline FI was correlated with extrinsic, GrimAge, and PhenoAge eAA with and without adjustment. No eAA measure was associated with change in frailty, with or without adjustment. Our results suggest that no eAA measure was associated with change in frailty. Further studies should consider longer periods of follow-up and repeated eAA measurement.

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