https://doi.org/10.4081/gc.2022.10388
Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project
Submitted: 29 January 2022
Accepted: 10 February 2022
Published: 18 March 2022
Accepted: 10 February 2022
Abstract Views: 2154
PDF: 347
HTML: 11
HTML: 11
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The multidimensional prognostic index (MPI) is a comprehensive geriatric assessment (CGA) tool exploring the multiple domains of older subject. The knowledge and the diffusion of self-assessment tools for identifying frailty in general medicine is still limited. The aim of our study is to determine the prevalence of frailty using a multidimensional frailty screening tool (SELFY-MPI) in a cohort of older adults, belonging to the general practitioner’s (GPs) experience. In the frame of a national educational program organized by the Italian Geriatric Hospital and Community Society (SIGOT), expert geriatricians carried-out local courses addressed to GPs, focused on multidimensional approach in primary care. A cross-sectional study of the SELFY-MPI, based on eight different domains, in the general practitioners’ outpatient clinic was performed among 50 GPs. SELFY-MPI risk score was used for dividing the participants in robust, pre-frail, or frail. A total of 526 participants (mean age: 77.7 years; females=55.3%) fulfilled the SELFY-MPI. The participants were, on average, independent in the activities of daily living, had a good mobility, but they reported some cognitive difficulties, and they can be considered at risk of malnutrition. A high prevalence of comorbidities and polypharmacotherapy was also present. The 20.2% of the sample lived alone, suggesting a potential social frailty. The mean SELFY-MPI score was 0.26 0.17: therefore, 21.67% of the participants were categorized as pre-frail, and 3.99% as frail. Pre-frailty and frailty are common in GPs experience. SELFY-MPI is a feasible screening tool for multidimensional frailty in the GPs clinical practice.
Siontis GC, Tzoulaki I, Ioannidis JP. Predicting death: an empirical evaluation of predictive tools for mortality. Archiv Intern Med 2011;171:1721-6.
DOI: https://doi.org/10.1001/archinternmed.2011.334
Gill TM. The central role of prognosis in clinical decision making. JAMA 2012;307:199-200.
DOI: https://doi.org/10.1001/jama.2011.1992
Pilotto A, Cella A, Pilotto A, et al. Three decades of comprehensive geriatric assessment: evidence coming from different healthcare settings and specific clinical conditions. J Am Med Direct Assoc 2017;18:192.e1-e11.
DOI: https://doi.org/10.1016/j.jamda.2016.11.004
Pilotto A, Ferrucci L, Franceschi M, et al. Development and validation of a multidimensional prognostic index for one-year mortality from comprehensive geriatric assessment in hospitalized older patients. Rejuven Res 2008;11:151-61.
DOI: https://doi.org/10.1089/rej.2007.0569
Pilotto A, Custodero C, Maggi S, et al. A multidimensional approach to frailty in older people. Ageing Res Rev 2020;60:101047.
DOI: https://doi.org/10.1016/j.arr.2020.101047
Zora S, Custodero C, Pers Y-M, et al. Impact of the chronic disease self-management program (CDSMP) on self-perceived frailty condition: the EU-EFFICHRONIC project. Ther Adv Chronic Dis 2021;12:20406223211056722.
DOI: https://doi.org/10.1177/20406223211056722
Avila-Funes J, Gutierrez-Robledo L, de Leon-Rosales SP. Validity of height and weight self-report in Mexican adults: results from the national health and aging study. J Nutr Health Aging 2004;8:355-61.
Nunes DP, Duarte YAdO, Santos JLF, Lebrão ML. Screening for frailty in older adults using a self-reported instrument. Rev Saude Publ 2015;49.
DOI: https://doi.org/10.1590/S0034-8910.2015049005516
Pialoux T, Goyard J, Lesourd B. Screening tools for frailty in primary health care: a systematic review. Geriatr Gerontol Internat 2012;12:189-97.
DOI: https://doi.org/10.1111/j.1447-0594.2011.00797.x
Zora S, Guerrero KLQ, Veronese N, et al. Implementation of the SELFY-MPI in five European Countries: a multicenter international feasibility study. Geriatric Care 2019;5(3).
DOI: https://doi.org/10.4081/gc.2019.8502
Cella A, Ferrari A, Rengo G, et al. Agreement of a short form of the self-administered multidimensional prognostic index (SELFY-MPI-SF): a useful tool for the self-assessment of frailty in community-dwelling older people. Clin Interv Aging 2020;15:493.
DOI: https://doi.org/10.2147/CIA.S241721
Pilotto A, Veronese N, Quispe Guerrero KL, et al. Development and validation of a self-administered multidimensional prognostic index to predict negative health outcomes in community-dwelling persons. Rejuven Res 2019;22:299-305.
DOI: https://doi.org/10.1089/rej.2018.2103
Mahoney FI. Functional evaluation: the Barthel index. Maryland State Med J 1965;14:61-5.
DOI: https://doi.org/10.1037/t02366-000
Patricia P. Katz for the Association of Rheumatology Health Professionals Outcomes Measures Task Force: Measures of adult general functional status: The Barthel Index, Katz Index of Activities of Daily Living, Health Assessment Questionnaire (HAQ), MACTAR Patient Preference Disability Questionnaire, and Modified Health Assessment Questionnaire (MHAQ). Arthrit Care Res 2003;49:S15-27.
DOI: https://doi.org/10.1002/art.11415
Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179-86.
DOI: https://doi.org/10.1093/geront/9.3_Part_1.179
Goeppinger J, Doyle M, Murdock B, et al. Self-administered function measures: the impossible dream. Arthritis Rheum 1985;28:145.
Brown J, Pengas G, Dawson K, et al. Self administered cognitive screening test (TYM) for detection of Alzheimer’s disease: cross sectional study. BMJ 2009;338.
DOI: https://doi.org/10.1136/bmj.b2030
Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment Short-Form (MNA®-SF): A practical tool for identification of nutritional status. JNHA J Nutr Health Aging 2009;13:782-8.
DOI: https://doi.org/10.1007/s12603-009-0214-7
Donini LM, Marrocco W, Marocco C, Lenzi A. Validity of the self-mini nutritional assessment (Self-MNA) for the evaluation of nutritional risk. A cross-sectional study conducted in general practice. JNHA J Nutr Health Aging 2018;22:44-52.
DOI: https://doi.org/10.1007/s12603-017-0919-y
Linn BS, Linn MW, Gurel L. Cumulative illness rating scale. J Am Geriatr Soc 1968;16:622-6.
DOI: https://doi.org/10.1111/j.1532-5415.1968.tb02103.x
Veronese N, Custodero C, Cella A, et al. Prevalence of multidimensional frailty and pre-frailty in older people in different settings: a systematic review and meta-analysis. Ageing Res Rev 2021:101498.
DOI: https://doi.org/10.1016/j.arr.2021.101498
Canevelli M, Cesari M, van Kan GA. Frailty and cognitive decline: how do they relate? Curr Opin Clin Nutr Metab Care 2015;18:43-50.
DOI: https://doi.org/10.1097/MCO.0000000000000133
Comijs HC, Dik MG, Aartsen MJ, et al. The impact of change in cognitive functioning and cognitive decline on disability, well-being, and the use of healthcare services in older persons. Dementia Geriatr Cognit Disord 2005;19:316-23.
DOI: https://doi.org/10.1159/000084557
Laur CV, McNicholl T, Valaitis R, Keller HH. Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition. Appl Physiol Nutr Metab 2017;42:449-58.
DOI: https://doi.org/10.1139/apnm-2016-0652
Volpato S, Custureri R, Puntoni M, et al. Effects of oral amino acid supplementation on Multidimensional Prognostic Index in hospitalized older patients: a multicenter randomized, double-blind, placebo-controlled pilot study. Clin Intervent Aging 2018;13:633.
DOI: https://doi.org/10.2147/CIA.S154998
Veronese N, Stubbs B, Noale M, et al. Polypharmacy is associated with higher frailty risk in older people: an 8-year longitudinal cohort study. J Am Med Direct Assoc 2017;18:624-8.
DOI: https://doi.org/10.1016/j.jamda.2017.02.009
How to Cite
Pilotto, A., Maggi, S., Ferrari, A., Rengo, G., Solfrizzi, V., Zora, S., Brignoli, O., Lora Aprile, P., Fascella, G., Dominguez, L. J., Veronese, N., Cella, A., & the SELFY-MPI SIGOT Project, on behalf of . (2022). Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project. Geriatric Care, 8(1). https://doi.org/10.4081/gc.2022.10388
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Janet Sultana, Giorgio Basile, Gianluca Trifiro', Measuring frailty in population-based healthcare databases: multi-dimensional prognostic indices for the improvement of geriatric care , Geriatric Care: Vol. 2 No. 1 (2016)
- Maurizio Gallucci, Secondary prevention in cognitive frailty: the Treviso Dementia Registry , Geriatric Care: Vol. 2 No. 2 (2016)
- Filippo Luca Fimognari, Andrea Corsonello, Alberto Pilotto, Massimo Rizzo, Valentina Bambara, Giovanna Cristiano, Alberto Ferrari, on behalf of the PIACE-SIGOT Study Group Investigators, Community acquired pneumonia in the elderly: the Pneumonia in Italian Acute Care for Elderly units (PIACE) study protocol by the Italian Society of Hospital and Community Geriatrics (SIGOT) , Geriatric Care: Vol. 2 No. 3 (2016)
- Francesco Cacciatore, Carlo Gaudiosi, Francesca Mazzella, Anna Scognamiglio, Irene Mattucci, Mauro Carone, Nicola Ferrara, Pasquale Abete, Pneumonia and hospitalizations in the elderly , Geriatric Care: Vol. 3 No. 1 (2017)
- Nicola Veronese, Anna Fazzari, Maela Caudal, Maria Cristina Polidori, Eva Topinkova, Francesco Mattace Raso, Marina Barbagelata, Mario Barbagallo, Alberto Pilotto, The role of comprehensive geriatric assessment in older patients affected by knee osteoarthritis: a systematic review , Geriatric Care: Vol. 8 No. 3 (2022)
- Andrea Giusti, Antonella Barone, Monica Razzano, Rita Raiteri, Andrea Del Rio, Viviana Bassoli, Ernesto Palummeri, Mauro Oliveri, Alberto Pilotto, Optimal setting and care organization in the management of older adults with hip fracture: a narrative review , Geriatric Care: Vol. 1 No. 1 (2015)
- Nicola Veronese, Vanni Stangherlin, Paola Mantoan, Marco Chiavalin, Florina Tudor, Gianfranco Pozzobon, Frailty and risk of mortality and hospitalization in nursing home residents affected by COVID-19 , Geriatric Care: Vol. 7 No. 1 (2021)
You may also start an advanced similarity search for this article.