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
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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.
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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
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