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Diagnosis of Frailty in Geriatric Patients: Is the Pictorial Fit Frail Scale an Appropriate Screening tool in Hospital Settings?
Maryam Chehrehgosha , Mahtab Alizadeh-Khoei , Nasser Behnampour , Farshad Sharifi , Reza Fadayevatan , Reyhaneh Aminalroaya
Associate Professor of Gerontology, Faculty Member of Geriatrics Department, School of Social Welfare University of Social Welfare and Rehabilitation Sciences, Tehran, Iran , 1092.reza@gmail.com
Abstract:   (164 Views)
Background: Frailty is accompanied by serious health complications in the elderly, especially during hospitalization. Visual scales have been designed for quick and easy evaluation of frailty in different cultures and settings. Therefore, this study aimed to define the accuracy of the Pictorial Fit Frail Scale (PFFS) for frailty screening in the hospitalized elderly in Iran.
Method: This cross-sectional study was conducted on 304 hospitalized participants, aged 65-85 years old and admitted into Ziaeian Hospital from August to December 2019. All participants were assessed through the Minimum Data Set-Home Care, the Pictorial Fit Frail Scale, and a QOL instrument at the time of admission. Spearman’s correlation coefficient, and ROC analysis performed by using SPSS, at P<0.05.
Results: The highest correlation obtained by FI and PFFS (0.770). The optimal cut-points, for PFFS according to FI ≤ 0.08 (robust vs. pre-frail) was obtained 0.10 with sensitivity and specificity 100.00% and the best cut point for PFFS based on FI ≥ 0.25 (pre-frail vs. frail) was obtained 0.29 with sensitivity and specificity 100.00%.
Conclusion: It seems the PFFS like FI-MDS could detect frailty subjects in hospitalized older adults.
Keywords: Frailty, Pictorial Fit Frail Scale, MDS-specific frailty index, Hospital, Cut point, ROC
     
Type of Study: Original Article | Subject: Health
Received: 2020/08/15 | Accepted: 2020/10/12
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Caspian Journal of Internal Medicine
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