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Geriatr Psychol Neuropsychiatr Vieil ; 14(3): 287-95, 2016 Sep 01.
Article in English | MEDLINE | ID: mdl-27485209

ABSTRACT

The aging population leads to psychological, medical and social reflection for optimal care of the elderly, especially characterized by a frailty state. The frailty is the cause of morbi-mortality require screening to anticipate these complications. The objective was to evaluate the statistical performance and feasibility of the tool "ABCDEF" to screen frailty defined by Fried's criteria. A prospective multicenter study including 300 ambulatory elderly consultants was conducted. ABCDEF appears feasible without major prior training or special equipment by any doctor or caregiver during an assessment in 98% of consultants. His sensitivity to detect frailty, is of 75% and specificity of 64%. The frailty tracking threshold is 3 criteria (6). Its negative predictive value is interesting because it eliminates the hypothesis of frailty in 91% of cases. This tracking tool requires, when abnormal, further geriatric assessment. It provides a standardized and normative approach to describe frailty whose frequency is high in people older than 80 and whose consequences are major.


Subject(s)
Frail Elderly/psychology , Frail Elderly/statistics & numerical data , Geriatric Assessment/methods , Aged , Aged, 80 and over , Feasibility Studies , Female , Humans , Male , Mass Screening , Predictive Value of Tests , Reproducibility of Results , Sensitivity and Specificity
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