Gilardi F, Capanna A, Ferraro M, Scarcella P, Marazzi M C, Palombi L, Liotta G
University of Rome Tor Vergata, Department of Biomedicine and Prevention, Rome, Italy - Occupational Medicine, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
University of Rome Tor Vergata, Department of Biomedicine and Prevention, Rome, Italy.
Ann Ig. 2018 Mar-Apr;30(2):128-139. doi: 10.7416/ai.2018.2204.
Frailty screening and assessment are a fundamental issue in Public Health in order to plan prevention programs and services.
By a narrative review of the literature employing the International Narrative Systematic Assessment tool, the authors aims to develop an updated framework for the main procedures and measurement tools to assess frailty in older adults, paying attention to the use in the primary care setting.
The study selected 10 reviews published between January 2010 and December 2016 that define some characteristics of the main tools used to measure the frailty. Within the selected reviews only one of the described tools met all the criteria (multidimensionality, quick and easy administration, accurate risk prediction of negative outcomes and high sensitivity and specificity) necessary for a screening tool.
Accurate risk prediction of negative outcomes could be the appropriate and sufficient criteria to assess a tool aimed to detect frailty in the community-dwelling elderly population. A two-step process (a first short questionnaire to detect frailty and a second longer questionnaire to define the care demand at individual level) could represent the appropriate pathway for planning care services at community level.
为了规划预防项目和服务，衰弱筛查与评估是公共卫生领域的一个基本问题。
通过运用国际叙述性系统评估工具对文献进行叙述性综述，作者旨在为评估老年人衰弱的主要程序和测量工具制定一个更新的框架，同时关注其在初级保健环境中的应用。
该研究选取了2010年1月至2016年12月期间发表的10篇综述，这些综述界定了用于测量衰弱的主要工具的一些特征。在所选综述中，所描述的工具只有一种满足筛查工具所需的所有标准（多维性、快速简便的管理、对负面结果的准确风险预测以及高敏感性和特异性）。
对负面结果进行准确的风险预测可能是评估旨在检测社区居住老年人群体衰弱的工具的适当且充分的标准。一个两步流程（第一步是用于检测衰弱的简短问卷，第二步是用于在个体层面确定护理需求的较长问卷）可能是规划社区层面护理服务的合适途径。
