Assessing the reliability and feasibility of frailty screening tools among hospitalised older adults

Background The 29-item Frail-Physical, Psychological and Social (Frail-PPS) and the 14-item Frailty Assessment Measure (FAM) were developed in Singapore to identify risk of frailty among community dwelling older adults and validated for use among hospitalised older adults. Objectives This study aime...

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Veröffentlicht in:Proceedings of Singapore Healthcare 2023-11, Vol.32
Hauptverfasser: Lim, Siew Hoon, Malhotra, Rahul, Østbye, Truls, Ang, Shin Yuh, Ng, Xin Ping, Agus, Nurliyana, Binte Sunari, Raden Nurheryany, Aloweni, Fazila
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container_title Proceedings of Singapore Healthcare
container_volume 32
creator Lim, Siew Hoon
Malhotra, Rahul
Østbye, Truls
Ang, Shin Yuh
Ng, Xin Ping
Agus, Nurliyana
Binte Sunari, Raden Nurheryany
Aloweni, Fazila
description Background The 29-item Frail-Physical, Psychological and Social (Frail-PPS) and the 14-item Frailty Assessment Measure (FAM) were developed in Singapore to identify risk of frailty among community dwelling older adults and validated for use among hospitalised older adults. Objectives This study aimed to establish the interrater reliability and feasibility of the two screening tools ‒ FAM and Frail-PPS, for assessing frailty among hospitalized older adults. Methods The FAM and Frail-PPS were administered during the initial nursing assessment by nurses to 62 patients aged 65 years and older within 24 h of admission. Interrater reliability, convergent validity and intraclass correlation coefficients (ICCs) were established. Feasibility was determined by the time of administration. Results ICCs for Frail-PPS and FAM were 0.95 and 0.95 respectively. A positive correlation was established (r = 0.97). The administration time for Frail-PPS averaged 6.7 min, and 3.3 min for FAM. Conclusions The FAM, with its high reliability and convergent validity, as well as shorter administration time, may be the preferred screening tool for use in acute care settings.
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Objectives This study aimed to establish the interrater reliability and feasibility of the two screening tools ‒ FAM and Frail-PPS, for assessing frailty among hospitalized older adults. Methods The FAM and Frail-PPS were administered during the initial nursing assessment by nurses to 62 patients aged 65 years and older within 24 h of admission. Interrater reliability, convergent validity and intraclass correlation coefficients (ICCs) were established. Feasibility was determined by the time of administration. Results ICCs for Frail-PPS and FAM were 0.95 and 0.95 respectively. A positive correlation was established (r = 0.97). The administration time for Frail-PPS averaged 6.7 min, and 3.3 min for FAM. Conclusions The FAM, with its high reliability and convergent validity, as well as shorter administration time, may be the preferred screening tool for use in acute care settings.</description><identifier>ISSN: 2010-1058</identifier><identifier>EISSN: 2059-2329</identifier><identifier>DOI: 10.1177/20101058231215167</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Frailty ; Hospitalization ; Inpatient care ; Medical screening ; Older people</subject><ispartof>Proceedings of Singapore Healthcare, 2023-11, Vol.32</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). 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Objectives This study aimed to establish the interrater reliability and feasibility of the two screening tools ‒ FAM and Frail-PPS, for assessing frailty among hospitalized older adults. Methods The FAM and Frail-PPS were administered during the initial nursing assessment by nurses to 62 patients aged 65 years and older within 24 h of admission. Interrater reliability, convergent validity and intraclass correlation coefficients (ICCs) were established. Feasibility was determined by the time of administration. Results ICCs for Frail-PPS and FAM were 0.95 and 0.95 respectively. A positive correlation was established (r = 0.97). The administration time for Frail-PPS averaged 6.7 min, and 3.3 min for FAM. 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subjects Frailty
Hospitalization
Inpatient care
Medical screening
Older people
title Assessing the reliability and feasibility of frailty screening tools among hospitalised older adults
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