Instruments for the detection of frailty syndrome in older adults: a systematic review

Autor: David do Nascimento Pereira, Fernando Kenji Nampo, Fabiana de Souza Orlandi, Jossiana Wilke Faller, Suzana de Souza, Silvia Matumoto
Rok vydání: 2019
Předmět:
Gerontology
Research Validity
Aging
Standardization
Physiology
Social Sciences
Database and Informatics Methods
0302 clinical medicine
Elderly
Surveys and Questionnaires
Medicine and Health Sciences
Psychology
030212 general & internal medicine
Database Searching
Language
Aged
80 and over
Multidisciplinary
Frailty
Comparability
Research Assessment
SAÚDE DO IDOSO
Systematic review
Scale (social sciences)
Medicine
Engineering and Technology
Construct (philosophy)
Research Article
Systematic Reviews
Science
Frail Elderly
Frailty syndrome
MEDLINE
Equipment
Context (language use)
Research and Analysis Methods
03 medical and health sciences
medicine
Humans
Measurement Equipment
Cognitive Psychology
Biology and Life Sciences
medicine.disease
Geriatrics
Age Groups
People and Places
Cognitive Science
Population Groupings
Physiological Processes
Organism Development
030217 neurology & neurosurgery
Neuroscience
Developmental Biology
Zdroj: Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual)
Universidade de São Paulo (USP)
instacron:USP
PLoS ONE
PLoS ONE, Vol 14, Iss 4, p e0216166 (2019)
Popis: Frailty is a dynamic process in which there is a reduction in the physical, psychological and/or social function associated with aging. The aim of this study was to identify instruments for the detection of frailty in older adults, characterizing their components, application scenarios, ability to identify pre-frailty and clinimetric properties evaluated. The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), under registration number CRD42017039318. A total of 14 electronic sources were searched to identify studies that investigated instruments for the detection of frailty or that presented the construction and/or clinimetric evaluation of the instrument, according to criteria established by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). 96 studies were included in the qualitative synthesis: 51 instruments for the detection of frailty were identified, with predominantly physical domains; 40 were constructed and/or validated for use in the older adult community population, 28 only highlighted the distinction between frail and non-frail individuals and 23 presented three or more levels of frailty. The FRAGIRE, FRAIL Scale, Edmonton Frail Scale and IVCF-20 instruments were the most frequently analyzed in relation to clinimetric properties. It was concluded that: (I) there is a large number of instruments for measuring the same construct, which makes it difficult for researchers and clinicians to choose the most appropriate; (II) the FRAGIRE and CFAI stand out due to their multidimensional aspects, including an environmental assessment; however, (III) the need for standardization of the scales was identified, since the use of different instruments in clinical trials may prevent the comparability of the results in systematic reviews and; (IV) considering the different instruments identified in this review, the choice of researchers/clinicians should be guided by the issues related to the translation and validation for their location and the suitability for their context.
Databáze: OpenAIRE
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