O-23: Adequacy and feasibility of frailty assessment scales for the elderly in Primary Care: The Frailtools Project

摘要

Introduction: The Frailtools Project is a multicenter observational and prospective study in five European countries designed to analyze the usefulness of several frailty tools in terms of feasibility and prediction of adverse events (death, falls, hospital admissions (HA) and emergency room (ER) at 6, 12 and 18 months) in different clinical setting. Results correspond to Primary Care setting. Methods: Inclusion criteria: ≥ 75 years and sign informed consent. Exclusion criteria: Barthel index < 90 or Mini Mental State Examination (MMSE) score < 20. Demographic data, clinical, functional and cognitive status was assessed. Frailty detection scales included Frailty Phenotype, FRAIL, Rockwood-35, Clinical Frailty Scale, SHARE-FI, Gerontopole Frailty Screening Tool and the Short Form Frailty Trait Scale. Time expended and the feasibility was measured. Results: 381 patients have been included, mean age: 80; 59% were women. Global frailty prevalence: 17.6%. Feasibility: Frailty phenotype (98.5%), Rockwood-35 (< 80% items) (99.7%), SHARE-FI (99.5%), FRAIL (99.7%), CFS (99.4%), Gerontopole (96.2%) and FTS3 (90.6%). The mean time expended (min): Fried scale: 3.7, Rockwood-35: 9.8, SHARE-FI: 2.1, FRAIL: 1.3, CFS: 0.4, Gerontopole: 1.1 and FTS3: 1.5. Follow up 6M: 280 patients, 12M: 295 patients and 18M: 182 patients. Fried's scale was the scale that best predicted adverse events: HA12M (OR: 4.32), 18M (OR: 3), ER12M (OR: 4.33), Worsening Lawton Index 12M (OR: 2.67), Worsening Barthel Index 12M (OR: 2.65), 18M (OR: 4.5), Worsening MMSE Score 18M (OR: 3.8). Conclusions: Global fragility prevalence was 18%. All scales were completed by more than 90%. Fried scale predicted more adverse events.