Tacchino Carlotta, Carmisciano Luca, Page Elena, Ottaviani Silvia, Tagliafico Luca, Boccini Alda, Signori Alessio, Giannotti Chiara, Nencioni Alessio, Monacelli Fiammetta
Geriatrics Clinic, Department of Internal Medicine and Medical Specialties (DIMI), University of Genoa, 16132 Genoa, Italy.
IRCCS Ospedale Policlinico San Martino, 16131 Genoa, Italy.
Geriatrics (Basel). 2025 Mar 8;10(2):38. doi: 10.3390/geriatrics10020038.
: The Rapid Geriatric Assessment (RGA) is a tool designed to screen for frailty, sarcopenia, anorexia related to aging, and cognitive impairment. This study aimed to translate and validate the RGA for use among Italian community-dwelling older adults. : This cross-cultural study involved 100 community-dwelling older adults randomly recruited through convenience sampling from general practitioner offices in Genoa (Italy), between January and June 2019. The RGA includes the Simple FRAIL Questionnaire Screening Tool, SARC-F Screening for Sarcopenia, Simplified Nutritional Assessment Questionnaire (SNAQ), and Rapid Cognitive Screening (RCS). These were validated against gold-standard tools: the Abbreviated Comprehensive Geriatric Assessment (aCGA) and Multidimensional Prognostic Index (MPI). Additional assessments included the Timed Up and Go (TUG) and Handgrip test. The validation process included forward-backward translation, synthesis, and consensus by independent reviewers. Psychometric properties, internal consistency (Cronbach alpha), and validity correlations were analyzed. : The RGA demonstrated satisfactory psychometric properties, with internal consistency (Cronbach alpha = 0.59) and significant validity correlations (RGA and aCGA, rho = 0.34, = 0.001; RGA and MPI, rho = 0.49, < 0.001). Discriminant validity was confirmed by significant correlations between specific subitems and reference measures: FRAIL with TUG ( < 0.05), SARC-F with Handgrip strength ( = 0.013), SNAQ with BMI, and RCS with MMSE ( < 0.001). : The Italian version of the RGA is a reliable screening tool for geriatric syndromes in community-dwelling older adults. While it does not replace a CGA, the RGA may identify individuals who may benefit from further evaluation using a complete CGA.
快速老年评估（RGA）是一种用于筛查衰弱、肌肉减少症、与衰老相关的厌食症和认知障碍的工具。本研究旨在翻译并验证RGA，以便在意大利社区居住的老年人中使用。：这项跨文化研究涉及100名社区居住的老年人，他们于2019年1月至6月通过便利抽样从意大利热那亚的全科医生办公室随机招募。RGA包括简易衰弱问卷筛查工具、肌肉减少症的SARC-F筛查、简易营养评估问卷（SNAQ）和快速认知筛查（RCS）。这些工具通过金标准工具进行了验证：简易综合老年评估（aCGA）和多维预后指数（MPI）。额外的评估包括计时起立行走测试（TUG）和握力测试。验证过程包括独立评审员的前后翻译、综合和共识。分析了心理测量特性、内部一致性（克朗巴赫α系数）和效度相关性。：RGA表现出令人满意的心理测量特性，内部一致性（克朗巴赫α系数=0.59）和显著的效度相关性（RGA与aCGA，rho=0.34，p=0.001；RGA与MPI，rho=0.49，p<0.001）。特定子项目与参考测量之间的显著相关性证实了判别效度：衰弱与TUG（p<0.05）、SARC-F与握力（p=0.013）、SNAQ与BMI以及RCS与MMSE（p<0.001）。：RGA的意大利语版本是社区居住老年人老年综合征的可靠筛查工具。虽然它不能替代CGA，但RGA可以识别那些可能从使用完整CGA进行进一步评估中受益的个体。
