Heterogeneity amongst different diagnostic tools in frailty screening

Redín-Sagredo, M J; Herce, Pablo Aldaz; Herrero, A Casas; Gutiérrez-Valencia, Marta; Martínez‐Velilla, Nicolás

doi:10.23938/assn.0642

Cited by 6 publications

(8 citation statements)

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“…The combination of multiple protocols for any evaluation decreased the risk of false negative occurrence (5) . By contrast, a recent study (27) showed that TUG was an effective tool in identifying frailty.…”

Section: Discussionmentioning

confidence: 80%

“…The absence of a correlation between EFE and gender differ with research reviews that indicate that females are more prone to develop Frailty Syndrome (25,26) , as well as finding that elderly women presented a higher occurrence of weight loss, fatigue, muscle weakness and low level of physical activity (23) . Additionally, females are 3 to 4.6 times more likely to develop frailty when compared to males (27) . The results presented here differed from a study with a sample group made up exclusively of elderly women, finding a higher prevalence in the group classified as frail paired with a significant increase in the vulnerable condition (10) , also highlighting that frailty compromises quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…Advances in frailty research attest to the influence of gender and age, as well as further conditions regarding the dynamics and living situation of elderly people. While phenotype mappings of the Brazilian elderly population has been the subject of some studies, a systematic review found this to still be a controversial area of investigation, due to the different lines of research and diverse protocols (27) . Regardless, there is a consensus that functional disability, risk of falls and negative self-perception of health were common elements in some studies.…”

Section: Discussionmentioning

confidence: 99%

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Frailty syndrome and risks for falling in the elderly community

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et al. 2022

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Purpose To identify the prevalence of Frailty Syndrome in the elderly and the relationship with risk of falling. Methods Descriptive, cross-sectional, and analytical clinical study. One hundred and one volunteers over 60 years old were submitted to audiological evaluation, Dynamic Gait Index - Brazilian brief (DGI), Timed Up and Go (TUG) and Edmonton Fragility Scale (EFE) that verified, respectively, hearing thresholds, frailty syndrome, functional and dynamic balance, and risk of falling. The simple percentual distribution, the Wilcoxon´s test and the Bivariate Correlation with Pearson's coefficient were used for statistical analysis. Limits equal to or less than 1.0 and 5.0% were adopted. Results EFE identified 22.8% of volunteers as fragile and 22.8% as vulnerable. DGI and TUG found 34.6% and 84.1% of at risk for falls, respectively. Significant correlations between EFE and DGI (p <0.01), EFE and TUG (p <0.01), and DGI and TUG (p <0.01) were observed. Pearson's coefficient between EFE and DGI, EFE and TUG, and DGI and TUG were -0.26, -0.41, and 0.46, respectively. An association between DGI and TUG and age (p <0.01) was identified. No correlation between EFE and sex or age was found. Conclusion Frailty and pre-frailty were identified in a significant segment of the volunteers, especially in the oldest subjects. Functional and dynamic balance were moderately correlated with frailty, which demonstrated that frailty syndrome increases the risk of falls.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Frailty syndrome and risks for falling in the elderly community

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Menezes

Melo

et al. 2022

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“…A ausência de correlação entre EFE e sexo discordou de revisões que apontaram que o sexo feminino está mais propenso ao desenvolvimento da Síndrome da Fragilidade (25,26) e foi demonstrado que idosas apresentaram maior frequência de perda de peso, fadiga, fraqueza muscular e baixo nível de atividade física (23) , ainda mais, de 3 a 4,6 vezes mais chances de desenvolver fragilidade quando comparado ao sexo masculino (27) . Os resultados aqui apresentados foram divergentes de estudo com uma amostra exclusivamente composta por idosas que apontou a prevalência maior na faixa classificada como frágil e um aumento importante na condição vulnerável (10) , e destacou que a fragilidade compromete a qualidade de vida.…”

Section: Discussionunclassified

“…Estudos (25,26) certificaram que idosos categorizados como não frágeis apresentaram tempo de execução no TUG menor que os de grupos frágeis ou pré-frágeis, e que foi consonante com os resultados aqui analisados.…”

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Síndrome da fragilidade e riscos para quedas em idosos da comunidade

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RESUMO Objetivo Identificar a prevalência da Síndrome da Fragilidade em idosos e suas relações com o risco para quedas. Método Estudo clínico descritivo, transversal e analítico. Cento e um voluntários com mais de 60 anos, foram submetidos à avaliação audiológica, Dynamic Gait Index – Brazilian brief (DGI), Timed Up and Go(TUG) e Escala de Fragilidade de Edmonton (EFE) que determinaram, respectivamente, os limiares auditivos, síndrome da fragilidade, equilíbrio funcional e dinâmico e risco para quedas. Utilizou-se a distribuição percentual simples, o teste de Wilcoxon e de Correlação Bivariada com coeficiente de Pearson para a análise estatística. Foram adotados limites iguais inferiores a 1,0 e 5,0%. Resultados A EFE identificou 22,8% dos voluntários como frágeis e 22,8% como vulneráveis. O DGI e o TUG classificaram 34,6 e 84,1% de riscos para quedas. Ocorreu correlação significativa entre a EFE e o DGI (p<0,01), a EFE e o TUG (p<0,01) e o DGI e TUG (p<0,01). O coeficiente de Pearson entre EFE e o DGI, entre o EFE e o TUG e DGI e TUG foram -0,26, -0,41 e 0,46 respectivamente. Ocorreu associação entre DGI e TUG e idade (p<0,01). Não houve correlação entre a EFE com sexo e idade. Conclusão A fragilidade e pré-fragilidade foi identificada em uma parcela expressiva dos voluntários, sobretudo nos mais longevos. O equilíbrio funcional e o dinâmico se correlacionaram moderamente com fragilidade, o que demonstrou que a Síndrome da fragilidade aumenta o risco para quedas.

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Should we screen for colorectal cancer in people aged 75 and over? A systematic review - collaborative work of the French geriatric oncology society (SOFOG) and the French federation of digestive oncology (FFCD)

et al. 2023

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Background We have done a systematic literature review about CRC Screening over 75 years old in order to update knowledge and make recommendations. Methods PUBMED database was searched in October 2021 for articles published on CRC screening in the elderly, and generated 249 articles. Further searches were made to find articles on the acceptability, efficacy, and harms of screening in this population, together with the state of international guidelines. Results Most benefit-risk data on CRC screening in the over 75 s derived from simulation studies. Most guidelines recommend stopping cancer screening at the age of 75. In private health systems, extension of screening up to 80–85 years is, based on the life expectancy and the history of screening. Screening remains effective in populations without comorbidity given their better life-expectancy. Serious adverse events of colonoscopy increase with age and can outweigh the benefit of screening. The great majority of reviews concluded that screening between 75 and 85 years must be decided case by case. Conclusion The current literature does not allow Evidence-Based Medicine propositions for mass screening above 75 years old. As some subjects over 75 years may benefit from CRC screening, we discussed ways to introduce CRC screening in France in the 75–80 age group. IRB An institutional review board composed of members of the 2 learned societies (SOFOG and FFCD) defined the issues of interest, followed the evolution of the work and reviewed and validated the report.

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Heterogeneity amongst different diagnostic tools in frailty screening

Abstract: artículos originales0 Heterogeneidad en el cribado poblacional de la fragilidad Heterogeneity amongst different diagnostic tools in frailty screening

Cited by 6 publications

References 18 publications

Frailty syndrome and risks for falling in the elderly community

Frailty syndrome and risks for falling in the elderly community

Síndrome da fragilidade e riscos para quedas em idosos da comunidade

Should we screen for colorectal cancer in people aged 75 and over? A systematic review - collaborative work of the French geriatric oncology society (SOFOG) and the French federation of digestive oncology (FFCD)

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