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Frailty in the elderly: screening possibilities in Primary Health Care

Edmar Geraldo Ribeiro, Isabel Yovana Quispe Mendoza, Marco Túlio Gualberto Cintra, Maria Aparecida Camargos Bicalho, Gilberto de Lima Guimarães, Edgar Nunes de Moraes

2021Revista Brasileira de Enfermagem19 citationsDOIOpen Access PDF

Abstract

OBJECTIVES: to evaluate two instruments for screening frailty in the elderly in Primary Health Care. METHODS: this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman's correlation. RESULTS: the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments. CONCLUSIONS: when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.

Topics & Concepts

Observational studyMedicineGerontologyKappaFrailty IndexCorrelationCohen's kappaVulnerability (computing)Spearman's rank correlation coefficientPrimary health careScale (ratio)StatisticsEnvironmental healthInternal medicineMathematicsGeometryComputer scienceQuantum mechanicsLinguisticsPhilosophyPopulationComputer securityPhysicsFrailty in Older AdultsHealth, Nursing, Elderly CareGeriatric Care and Nursing Homes
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