Gutiérrez Jiménez Núria, Satué-Gracia Eva, Contel Joan Carles, Basora Gallisà Josep, Amblàs-Novellas Jordi
UFISS Geriatria i Cronicitat, Hospital Universitari de Bellvitge, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, España; Grupo de Investigación en Cronicidad de la Cataluña Central (C3RG), Facultad de Medicina, Universidad de Vic-Universitat Central de Catalunya (UVIC-UCC), Vic, Barcelona, España.
Unitat de Suport a la recerca Camp de Tarragona-Reus, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Reus, España.
Aten Primaria. 2025 Apr;57(4):103108. doi: 10.1016/j.aprim.2024.103108. Epub 2024 Oct 24.
To evaluate the feasibility, reliability and validity of the VIG-express questionnaire.
Descriptive, observational, cross-sectional and multicenter study.
Catalonia.
24 professionals from 18 centers: 10 from Primary Care, 5 from hospitals acute, 2 intermediate care and 3 residential.
For the feasibility analysis, the administration time -mean and standard deviation (SD)-. The questionnaire was administered twice to the same patient by the same professional (intraobserver agreement), or by two different professionals (interobserver agreement), evaluating the intraclass correlation coefficient (ICC). Discriminant validity was calculated by comparing the responses of subgroup with higher fragility (percentile >75) and subgroup with lower fragility (percentile <25), for each item of the questionnaire.
195 questionnaires were administered, 59 repeatedly, in a group of elderly (mean age of 79 years) and fragile (mean score of 0.33 in the Fragile Index-VIG). The average administration time was 6.52minutes (DE: 6.02). The concordance in the degree of fragility score obtained a ICC of 0.95 (intraobserver) and 0.72 (interobserver). In discriminant validity, the differences in response frequencies between the two subgroups ranged from 1.7 (oncological disease) to 67.1 (medication management), all of which were statistically significant (p<0.05), with the sole exceptions of the presence of oncological and neurological diseases.
The VIG-express questionnaire appears to be a feasible, reliable and valid tool for rapid multidimensional/geriatric assessment.
评估VIG-express问卷的可行性、可靠性和有效性。
描述性、观察性、横断面和多中心研究。
加泰罗尼亚。
来自18个中心的24名专业人员：10名来自初级保健，5名来自医院急症科，2名来自中级护理，3名来自疗养院。
进行可行性分析时，记录管理时间的均值和标准差（SD）。由同一名专业人员对同一患者进行两次问卷调查（观察者内一致性），或由两名不同的专业人员进行问卷调查（观察者间一致性），评估组内相关系数（ICC）。通过比较问卷各项目中脆弱性较高亚组（百分位数>75）和脆弱性较低亚组（百分位数<25）的回答来计算判别效度。
在一组老年患者（平均年龄79岁）和脆弱患者（脆弱指数-VIG平均得分0.33）中发放了195份问卷，其中59份进行了重复发放。平均管理时间为6.52分钟（标准差：6.02）。脆弱程度评分的一致性在观察者内ICC为0.95，观察者间ICC为0.72。在判别效度方面，两个亚组之间的回答频率差异范围为1.7（肿瘤疾病）至67.（药物管理），所有差异均具有统计学意义（p<0.05），唯一例外的是肿瘤和神经系统疾病的存在情况。
VIG-express问卷似乎是一种用于快速多维/老年评估的可行、可靠且有效的工具。
