Reliability of fr-AGILE tool to evaluate multidimensional frailty in hospital settings for older adults with COVID-19.

Autor: Curcio, Francesco, De Vita, Alessio, Gerundo, Gerardo, Puzone, Brunella, Flocco, Veronica, Cante, Teresa, Medio, Pietro, Cittadini, Antonio, Gentile, Ivan, Cacciatore, Francesco, Testa, Gianluca, Liguori, Ilaria, Abete, Pasquale
Předmět:
Zdroj: Aging Clinical & Experimental Research; Apr2022, Vol. 34 Issue 4, p939-944, 6p
Abstrakt: Aims: The study assesses the reliability of fr-AGILE, a validated rapid tool used for the evaluation of multidimensional frailty in older adults hospitalized with COVID-19. Methods: Two different staff members independently assessed the presence of frailty in 144 patients aged ≥ 65 years affected by COVID-19 using the fr-AGILE tool. The internal consistency of fr-AGILE was evaluated by examining the item-total correlations and the Kuder–Richardson (KR) formula. The inter-rater reliability was evaluated using linear weighted kappa. Results: Multidimensional frailty severity increases with age and is associated to higher use of non-invasive ventilation (p = 0.025), total severity score on chest tomography (p = 0.001) and in-hospital mortality (p = 0.032). Fr-AGILE showed good internal consistency (KR-20 = 0.742) and excellent inter-rater reliability (weighted kappa = 0.752 and 0.878 for frailty score and frailty degree, respectively). Conclusions: fr-AGILE tool can quickly identify and quantify multidimensional frailty in hospital settings for older patient affected by COVID-19. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index