Validation and comparison of instruments to identify frail patientes in primary care settings: Study protocol

Autor: Gabor Abellan, Eugenio Contreras-Fernández, Estefanía Carrasco, M Antonia Nava del Val, Yolanda de Mesa Berenguer, Teresa Téllez-Santana, Andoni Bueno, M Carmen Saucedo Figueredo, Itziar Vergara, Raúl Quirós-López, Francisco Rivas-Ruiz, Mónica Machón, Alonso Montiel-Luque, Ana Isabel Díez Ruiz, Jazmina Núñez, Kalliopi Vrotsou
Přispěvatelé: Bodescot, Myriam, Unidad de Investigación APOSIs Gipuzkoa [Donostia-San Sebastian, Espagne], Instituto Biodonostia [Donostia-San Sebastian, Espagne], Red de Investigación en Servicios de Salud en Enfermedades Crónicas [Donostia-San Sebastian, Espagne] (REDISSEC), Agencia Sanitaria Costa del Sol [Marbella, Málaga, Espagne], Distrito de Atención Primaria Costa del Sol [Mijas, Málaga, Espagne], Centro de Salud Beraun, OSI Donostialdea [Renteria, Espagne], Unidad de Gestión Clínica de La Lobilla [Estepona, Málaga, Espagne], Unidad Gestión Clínica Los Boliches [Fuengirola, Málaga, Espagne], Unidad de Gestión Clínica San Miguel [Torremolinos, Málaga, Espagne], Neuro-Oncology Group [San Sebastian, Espagne], Biodonostia Institute [San Sebastian, Espagne], Gérontopôle, Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps (LEASP), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM), This study was supported by grants from the Instituto de Salud Carlos III jointly funded by the European Fund for Regional Development - FEDER, files PI14/01905 and PI14/01003., Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-CHU Toulouse [Toulouse], Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: BMC Health Services Research
BMC Health Services Research, 2016, 16, pp.354. ⟨10.1186/s12913-016-1540-1⟩
BMC Health Services Research, BioMed Central, 2016, 16, pp.354. ⟨10.1186/s12913-016-1540-1⟩
ISSN: 1472-6963
DOI: 10.1186/s12913-016-1540-1⟩
Popis: International audience; BACKGROUND:In the last few years several indices and tools, aimed at identifying frail subjects in various care settings have been developed. However, to date none of them has been incorporated into usual practice in the primary care setting. The purposes of this study are: 1) to evaluate the predictive capacity of the Tilburg Frailty Indicator (TFI), the Gérontopôle Frailty Screening Tool (GFST) and the KoS model together with two biomarker levels (SOX2 and p16INK4a) for adverse events related to frailty; 2) to determine differences in the use of healthcare services according to frailty.METHODS/DESIGN:Prospective multicentre cohort study with a 2-year follow-up. The study will be performed in primary care centres of Gipuzkoa and Costa del Sol, both located in Spain. Autonomous, non-institutionalized individuals aged 70 and over that agree to participate in this study will constitute the study population. A total of 900 individuals will be randomly selected from the healthcare administrative data bases of the participating health services. Data will be collected at baseline and at 1 and 2 years. The main independent variables assessed at baseline will be TFI outcomes, GFST and the KoS model, together with the expression of SOX2 and p16INK4a levels. During follow-up, loss of autonomy, the occurrence of death and consumption of healthcare resources will be assessed.DISCUSSION:The main focus of this work is the identification and evaluation of several instruments constructed under different rationales to identify frail subjects in primary care settings. The resulting outcomes have potential for direct application to the primary care practice. Early identification of the onset of functional impairment of elderly is an essential, still unresolved aspect in the prevention of dependence in the scope of primary care.
Databáze: OpenAIRE
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