Development and validation of the electronic screening index of frailty.
Background primary care screening for frailty status is recommended in clinical guidelines, but is impeded by doctor and nurse workloads and the lack of valid, easy-to-use and time-saving screening tools. Aim to develop and validate a new electronic tool (the electronic screening index of frailty, e...
| Publicado en: | Age & Ageing Vol. 51; no. 7; pp. 1 - 9 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=158324093&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 158324093 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2022 vid: 51 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 158324093 10.1093/ageing/afac161 ppf: 1 ppct: 8 formats: tig: atl: Development and validation of the electronic screening index of frailty. aug: au: Serra-Prat, Mateu Lavado, Àngel Cabré, Mateu Burdoy, Emili Palomera, Elisabet Papiol, Mònica Parera, Joan Marc affil: Research Unit , Consorci Sanitari del Maresme, Mataró, Barcelona, Spain CIBER Liver and Digestive Diseases (CIBEREHD) , CIBEREHD, ISCIII, Madrid, Spain Information Management Unit , Consorci Sanitari del Maresme, Mataró, Barcelona, Spain Internal Medicine Department , Hospital of Mataró, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain Primary Care Department , Consorci Sanitari del Maresme, Mataró, Barcelona, Spain Documentation Unit , Consorci Sanitari del Maresme, Mataró, Barcelona, Spain) su: Medical screening Retrospective studies Experimental design Frail elderly Nosology Confidence intervals Research methodology Research methodology evaluation Content mining Automation Descriptive statistics Electronic health records Odds ratio Algorithms sug: subj: Medical screening Retrospective studies All Other Miscellaneous Ambulatory Health Care Services Experimental design Frail elderly Nosology Confidence intervals Research methodology Research methodology evaluation Content mining Automation Descriptive statistics Electronic health records Odds ratio Algorithms ab: Background primary care screening for frailty status is recommended in clinical guidelines, but is impeded by doctor and nurse workloads and the lack of valid, easy-to-use and time-saving screening tools. Aim to develop and validate a new electronic tool (the electronic screening index of frailty, e-SIF) using routinely available electronic health data to automatically and massively identify frailty status in the population aged ≥65 years. Methods the e-SIF was developed in three steps: selection of clinical conditions; establishment of ICD-10 codes, criteria and algorithms for their definition; and electronic tool design and data extraction, transformation and load processes. The validation phase included an observational cohort study with retrospective data collection from computerised primary care medical records. The study population included inhabitants aged ≥65 years corresponding to three primary care centres (n = 9,315). Evaluated was the relationship between baseline e-SIF categories and mortality, institutionalisation, hospitalisation and health resource consumption after 2 years. Results according to the e-SIF, which includes 42 clinical conditions, frailty prevalence increases with age and is slightly greater in women. The 2-year adjusted hazard ratios for pre-frail, frail and very frail subjects, respectively, were as follows: 2.23 (95% CI: 1.74–2.85), 3.34 (2.44–4.56) and 6.49 (4.30–9.78) for mortality; 2.80 (2.39–3.27), 5.53 (4.59–6.65) and 9.14 (7.06–11.8) for hospitalisation; and 1.02 (0.70–1.49), 1.93 (1.21–3.08) and 2.69 (1.34–5.40) for institutionalisation. Conclusions the e-SIF shows good agreement with mortality, institutionalisation, hospitalisation and health resource consumption, indicating satisfactory validity. More studies in larger populations are needed to corroborate our findings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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