Functional Assessment Instrument Attributes
Description:
Frailty in older adults: evidence for a phenotype. BACKGROUND: Frailty is considered highly prevalent in old age and to confer high risk for falls, disability, hospitalization, and mortality. Frailty has been considered synonymous with disability, comorbidity, and other characteristics, but it is recognized that it may have a biologic basis and be a distinct clinical syndrome. A standardized definition has not yet been established. CONCLUSIONS: This study provides a potential standardized definition for frailty in community-dwelling older adults and offers concurrent and predictive validity for the definition. It also finds that there is an intermediate stage identifying those at high risk of frailty. Finally, it provides evidence that frailty is not synonymous with either comorbidity or disability, but comorbidity is an etiologic risk factor for, and disability is an outcome of, frailty. This provides a potential basis for clinical assessment for those who are frail or at risk, and for future research to develop interventions for frailty based on a standardized ascertainment of frailty.
Author/Sponsor:
Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. and Fried LP, Tangen CM, Walston J, et al.
Prevalence:
Frequency/Level of use, dissemination, how widespread is the usage of the instrument?
Population:
For what population was the instrument designed?
Subject:
Who is the instrument administered to?
Provider Setting:
Where is the instrument used i.e. admission to nursing home, referral to home care, etc?
Derived:
Is this insrument derived from or a component of another instrument?
Validity and Reliability Testing:
Is the methodology of the instrument open to peer review?
Specific vs Multiple Domain:
What domains does the instrument assess? List CCD topics that the instrument covers.
Verbal or Observation based:
Is subject just asked questions or do they have to do some activity (i.e. get up and go assessment)?
Are calculated scores included:
An algorithm may calculate one or more scores based on elements of the assessment.
Extended use:
Is the instrument being used outside the original target population?
Versions:
Are there different versions of the tool? Sometimes the different versions have different # of questions.
Public Domain:
Is the instrument in the public domain (Y/N)?
References:
https://continuityofcaretaskgroup.pbwiki.com/f/Frailty%20Assessment%20abstract%20and%20background.doc
Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. Journals of Gerontology Series A-Biological Sciences & Medical Sciences. Mar 2001;56(3):M146-156. Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. Journals of Gerontology Series A-Biological Sciences & Medical Sciences. Mar 2004;59(3):255-263.
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