Predictive validity of the Short Functional Geriatric Evaluation for mortality, hospitalization and institutionalization in older adults: A retrospective cohort survey

Liotta, Giuseppe; Lorusso, Grazia; Madaro, Olga; Formosa, Valeria; Gentili, Susanna; Riccardi, F; Orlando, Stefano; Scarcella, P; Palombi, Leonardo

doi:10.1016/j.ijnss.2022.12.019

Cited by 1 publication

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“…In fact, we are not simply dealing with a clinical syndrome that evidently exists, but mainly with the risk of negative outcomes that are related to domains that are intertwined. The three constructs emerging from the EFA explain the multidimensionality of frailty, and the final SFGE score is strongly related to the incidence of negative outcomes, namely, death, hospitalisation, and institutionalisation [16]. The SFGE score comprises 40% questions about the social and economic status of the interviewees, which is a high rate compared to other questionnaires investigating frailty in older people.…”

Section: Discussionmentioning

confidence: 99%

“…The SFGE is predictive for adverse events, such as hospitalisation, institutionalisation, and death. SFGE is significantly associated with a risk of death that increases progressively from prefrail to very frail individuals if compared to robust ones [16]. The SFGE is also highly predictive of hospitalisation and institutionalisation, as the risk of these increases with SFGE level.…”

Section: Introductionmentioning

confidence: 91%

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Exploratory Factor Analysis (EFA) of the Short Functional Geriatric Evaluation (SFGE) to Assess the Multidimensionality of Frailty in Community-Dwelling Older Adults

Liotta

Lorusso

Madaro³

et al. 2023

IJERPH

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The Short Functional Geriatric Evaluation (SFGE) is a multidimensional and short questionnaire to assess biopsychosocial frailty in older adults. This paper aims to clarify the latent factors of SFGE. Data were collected from January 2016 to December 2020 from 8800 community-dwelling older adults participating in the “Long Live the Elderly!” program. Social operators administered the questionnaire through phone calls. Exploratory factor analysis (EFA) was carried out to identify the quality of the structure of the SFGE. Principal component analysis was also performed. According to the SFGE score, 37.7% of our sample comprised robust, 24.0% prefrail, 29.3% frail, and 9.0% very frail individuals. Using the EFA, we identified three main factors: psychophysical frailty, the need for social and economic support, and the lack of social relationships. The Kaiser–Meyer–Olkin measure of sampling adequacy was 0.792, and Bartlett’s test of sphericity had a statistically significant result (p-value < 0.001). The three constructs that emerged explain the multidimensionality of biopsychosocial frailty. The SFGE score, 40% of which is social questions, underlines the crucial relevance of the social domain in determining the risk of adverse health outcomes in community-dwelling older adults.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%