Measurement Properties of the Groningen Frailty Indicator in Home-Dwelling and Institutionalized Elderly People

Peters, Lilian L.; Boter, Han; Buskens, Erik; Slaets, Joris P. J.

doi:10.1016/j.jamda.2012.04.007

Cited by 271 publications

(249 citation statements)

References 39 publications

Supporting

Mentioning

235

Contrasting

Unclassified

Order By: Relevance

“…The baseline characteristics of the remaining 63 patients are displayed in Table 1 and results of the GFI in Supplementary Table 2. Median age of included patients was 75 years (range 66-92) and 35% were women; 65% of patients were married, 27% was widower and 8% was unmarried. Median Charlson comorbidity index was 1 (range 0-6) and patients used a median of eight types of prescription medications (range [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Median eGFR at inclusion was 16 mL/min (range 5-34).…”

Section: Resultsmentioning

confidence: 99%

“…The Groningen Frailty Indicator (GFI) has been proven to be a valuable and reliable instrument in predicting frailty among elderly. 13,14 In geriatric oncology, several frailty screening tools are used to help identifying vulnerable patients, 15 including the GFI. 16,17 As patients with advanced renal failure experience a symptom burden and impairment of quality of life similar to that of patients with terminal malignancy, such tools could perhaps also be used to screen for potentially frail elderly among geriatric ESRD patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Groningen frailty indicator in older patients with end-stage renal disease

et al. 2015

View full text Add to dashboard Cite

Background: Currently over 55% of end-stage renal disease (ESRD) patients are aged 60 years and patients 475 years represent the fastest growing segment of the dialysis population. We aimed to assess whether the Groningen frailty indicator (GFI) can be used to distinguish fit older ESRD patients, likely able to tolerate and benefit from dialysis, from frail older patients who need further evaluation with a geriatrician's comprehensive assessment. Methods: All patients aged 65 years visiting the pre-dialysis unit at the Gelre hospital between 2007 and 2013 were included and underwent the GFI (n ¼ 65). Patients with GFI 4 (frail) were referred for geriatric consultation (n ¼ 13). Results of the GFI and nephrologists' evaluation were compared with geriatrician's assessment. Survival rates and outcomes after one year of follow up were recorded. Results: Twenty patients (32%) were identified as frail. Of the problems identified by the geriatrician in 13 patients, 55% were not reported in the nephrologists' notes. The first year after inclusion, 30% of patients with a GFI 4 died, compared to 9% of fit patients (p ¼ 0.04). Moreover, 90% of frail patients had been hospitalized one or more times, compared to 53% in the fit group (p ¼ 0.005). Conclusion: Although the GFI can be a useful instrument to identify ESRD patients at risk, both the GFI and the nephrologists' assessment failed to identify specific geriatric impairments. Further research is needed to develop a specific frailty indicator for ESRD patients and to determine the value and effect of a comprehensive geriatric assessment in ESRD patients.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Groningen frailty indicator in older patients with end-stage renal disease

et al. 2015

View full text Add to dashboard Cite

show abstract

“…These variables potentially influence the frailty of the elderly. Based on the Gobbens frailty theory model, 20 a panel discussion and existing elder frailty appraisal tools, 14,15,17,21 we selected 81 items. The answers "yes" and "no" were used to evaluate the items (0 ¼ yes, 1 ¼ no).…”

Section: Scale Designmentioning

confidence: 99%

Development of a frailty scale for elderly people in China

Zhang¹,

Yang²,

Zhang³

et al. 2017

Chinese Nursing Research

View full text Add to dashboard Cite

a b s t r a c tObjective: The aim of this study was to develop a frailty scale for the elderly in China and to examine its reliability and validity. Methods: The method of convenient sampling was used to select 375 elderly individuals in different communities of Tianjin, China. EuroQol-5D was used to evaluate the criterion validity. Cronbach's a coefficients, correlation analysis, exploratory factor analysis, criterion-related validity, and internal consistency were used to evaluate the reliability and validity of the scale. To evaluate the testeretest reliability, 30 old people were re-evaluated after 2 weeks. Results: The final version of the frailty scale (FI-35) consisted of 35 items. Eleven factors were extracted by a principal factor analysis and varimax rotation, with a cumulative contribution of 86.00%. Eleven dimensions were positively correlated (r ¼ 0.130e0.541, P < 0.01). Cronbach's a coefficient was 0.952, and the alpha coefficients of 11 dimensions ranged from 0.730 to 0.992. The testeretest reliability was 0.874 for the total scale. The split-half reliability of the scale was 0.808. Structural equation modeling was used to perform a confirmatory factor analysis, and various parameters were all acceptable. Conclusions: FI-35 met the requirement of scale development and showed good reliability and validity; thus, it can be used as an efficient frailty measurement tool for Chinese elderly.

show abstract

“…In general, GPs have an internalised concept of 'vitality' and 'vulnerability; those who are vulnerable are characterised by increased prevalence of diseases and disorders, a poorer prognosis, disability of various kinds, and multiple simultaneous problems. 15,16 Furthermore, the level of vitality is a continuous scale and the perspectives of the GPs seemed to vary along this. The majority of people will be somewhere between these two extremes.…”

Section: Strengths and Limitationsmentioning

confidence: 99%