Simplification of the Barthel scale for screening for frailty and severe dependency in polypathological patients


Por: Bernabeu-Wittel, M, Diez-Manglano, J, Nieto-Martin, D, Ramirez-Duque, N, Ollero-Baturone, M, Abella-Vazquez, L, Aguayo-Canela, M, Albert-Coll, M, Aleman, A, Aligue, J, Gil-Ortega, J, Baron-Franco, B, Bernabeu-Wittel, M, de la Calle-Cabrera, C, Cassani-Garza, M, Castillo-Blasco, M, Diez, F, Diez-Manglano, J, Escalera-Zalvide, A, Feliu-Mazaria, L, Fernandez-Miera, M, Fernandez-Moyano, A, Formiga, F, Forteza-Rey, J, Fuertes-Martin, A, Galindo-Ocana, J, Giner, P, Godoy, M, Gomez-Lesmes, S, Llorente-Cancho, H, Luque-Amado, C, Machin-Lazaro, J, Maiz-Jimenez, M, Martinez, F, Martinez, T, Martos, F, Massa, B, Medina, J, Medrano-Gonzalez, F, Perez-Barquero, M, Mora-Rufete, A, Morales, C, Moreno-Gavino, L, Muela-Molinero, A, Murcia J, Nieto-Martin, M, Valeiro, I, Ollero-Baturone, M, Pinilla, B, Ramirez-Duque, N, Ramos-Cantos, C, Rincon-Gomez, M, Rodriguez-Benedito, M, Rodriguez-Martinez, V, Romero-Jimenez, M, Ruiz, S, Ruiz-Cantero, A, Sacanella, E, Sanchez-Ledesma, M, Sanjose-Laporte, A, Sanroman, C, Soria-Lopez, M, Tejera-Concepcion, A, Tenllado-Doblas, P, Ternavasio, G, Villegas-Bruguera, E and Investigadores Proyecto PROFUND

Publicada: 1 nov 2019
Categoría: Medicine (miscellaneous)

Resumen:
Objectives: To analyze the sensitivity, specificity and positive predictive (PPV) and negative predictive (NPV) values of each measure of the Barthel index (BI) compared with the full questionnaire for polypathological patients (PPPs). Methods: Multicentre cross-sectional study. We considered 2 cut-off points for the BI (>= 90 points for screening frailty and <60 points for diagnosing severe dependence). For each measure and combination of 2 measures, we calculated the sensitivity, specificity, PPV and NPV with respect to the full BI. Results: The mean BI of the 1632 included PPPs (mean age, 77.9 +/- 9.8 years; 53% men) was 69 +/- 31 (<90 for 58.7% and <60 for 31.4% of the patients). The "feeding" measure achieved the highest NPV, for a BI >= 60 and >= 90 points (87% and 99.6%, respectively). The "walking" and "going up and down stairs" measures achieved the highest PPV, for a BI >= 60 and >= 90 (99.2%/99.5% and 81%/92%), respectively. The combination of the 2 measures increased the PPV to 95% and 99.6%, respectively. Conclusions: PPPs in hospital settings have a high rate of functional impairment. The measure for feeding achieved the highest NPV and can therefore be employed for diagnosing severe dependence. The combination of the measures for walking and going up and down stairs achieved the highest PPV and can therefore be employed to propose frailty screening for PPPs. (C) 2019 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.

Filiaciones:
Bernabeu-Wittel, M:
 Hosp Univ Virgen Rocio, Unidad Clin Med Interna, Seville, Spain

 Inst Salud Carlos III, Red Invest Serv Salud Enfermedades Cronicas REDIS, Madrid, Spain

 Hosp Virgen Rocio, Seville, Spain

Diez-Manglano, J:
 Hosp Royo Villanova, Med Interna Serv, Zaragoza, Spain

 Hosp Royo Villanova, Zaragoza, Spain

Nieto-Martin, D:
 Hosp Univ Virgen Rocio, Unidad Clin Med Interna, Seville, Spain

 Inst Salud Carlos III, Red Invest Serv Salud Enfermedades Cronicas REDIS, Madrid, Spain

Ramirez-Duque, N:
 Hosp Univ Virgen Rocio, Unidad Clin Med Interna, Seville, Spain

 Hosp Virgen Rocio, Seville, Spain

Ollero-Baturone, M:
 Hosp Univ Virgen Rocio, Unidad Clin Med Interna, Seville, Spain

 Hosp Virgen Rocio, Seville, Spain

Abella-Vazquez, L:
 Hosp Nuestra Sra Candelaria, Tenerife, Spain

Aguayo-Canela, M:
 Hosp Virgen Macarena, Seville, Spain

Albert-Coll, M:
 Hosp Manacor, Mallorca, Spain

Aleman, A:
 Hosp Morales Meseguer, Murcia, Spain

Aligue, J:
 Hosp Manresa, Barcelona, Spain

Gil-Ortega, J:
 Hosp Valle De Hebron, Barcelona, Spain

Baron-Franco, B:
 Hosp Juan Ramon Jimenez, Huelva, Spain

Bernabeu-Wittel, M:
 Hosp Univ Virgen Rocio, Unidad Clin Med Interna, Seville, Spain

 Inst Salud Carlos III, Red Invest Serv Salud Enfermedades Cronicas REDIS, Madrid, Spain

 Hosp Virgen Rocio, Seville, Spain

de la Calle-Cabrera, C:
 Hosp Univ, Salamanca, Spain

Cassani-Garza, M:
 Hosp Virgen Rocio, Seville, Spain

Castillo-Blasco, M:
 Hosp Dr Moliner, Valencia, Spain

Diez, F:
 Hosp Torrecardenas, Almeria, Spain

Diez-Manglano, J:
 Hosp Royo Villanova, Med Interna Serv, Zaragoza, Spain

 Hosp Royo Villanova, Zaragoza, Spain

Escalera-Zalvide, A:
 Hosp Juan Ramon Jimenez, Huelva, Spain

Feliu-Mazaria, L:
 Hosp Gen Palma, Mallorca, Spain

Fernandez-Miera, M:
 Hosp Marques Valdecilla, Santander, Spain

Fernandez-Moyano, A:
 Hosp San Juan Dios Aljarafe, Seville, Spain

Formiga, F:
 Hosp Bellvitge Princeps Espanya, Barcelona, Spain

Forteza-Rey, J:
 Hosp Son Dureta, Mallorca, Spain

Fuertes-Martin, A:
 Hosp Univ, Salamanca, Spain

Galindo-Ocana, J:
 Hosp Virgen Rocio, Seville, Spain

Giner, P:
 Hosp San Cecilio, Granada, Spain

Godoy, M:
 Hosp Serrania, Malaga, Spain

Gomez-Lesmes, S:
 Hosp Univ, Salamanca, Spain

Llorente-Cancho, H:
 Hosp Univ, Salamanca, Spain

Luque-Amado, C:
 Hosp Serrania, Malaga, Spain

Machin-Lazaro, J:
 Hosp Guadalajara, Guadalajara, Jalisco, Mexico

Maiz-Jimenez, M:
 Hosp Serrania, Malaga, Spain

Martinez, F:
 Hosp Virgen Macarena, Seville, Spain

Martinez, T:
 Hosp Juan Ramon Jimenez, Huelva, Spain

Martos, F:
 Hosp Benalmadena, Malaga, Spain

Massa, B:
 Hosp Villajoyosa, Alicante, Spain

Medina, J:
 Hosp 12 Octubre, Madrid, Spain

Medrano-Gonzalez, F:
 Hosp Albacete, Albacete, Spain

Perez-Barquero, M:
 Hosp Reina Sofia, Cordoba, Spain

:
 Hosp Gen Elche, Alicante, Spain

Morales, C:
 Hosp Manresa, Barcelona, Spain

Moreno-Gavino, L:
 Hosp Virgen Rocio, Seville, Spain

Muela-Molinero, A:
 Hosp Leon, Leon, Spain

Murcia J:
 Hosp Gen Alicante, Alicante, Spain

Nieto-Martin, M:
 Hosp Virgen Rocio, Seville, Spain

Valeiro, I:
 Hosp Univ, Salamanca, Spain

Ollero-Baturone, M:
 Hosp Univ Virgen Rocio, Unidad Clin Med Interna, Seville, Spain

 Hosp Virgen Rocio, Seville, Spain

Pinilla, B:
 Hosp Gregorio Maranon, Madrid, Spain

Ramirez-Duque, N:
 Hosp Univ Virgen Rocio, Unidad Clin Med Interna, Seville, Spain

 Hosp Virgen Rocio, Seville, Spain

Ramos-Cantos, C:
 Hosp Axarquia, Malaga, Spain

Rincon-Gomez, M:
 Hosp Virgen Rocio, Seville, Spain

Rodriguez-Benedito, M:
 Hosp Gen Requena, Valencia, Spain

Rodriguez-Martinez, V:
 Hosp Torrecardenas, Almeria, Spain

Romero-Jimenez, M:
 Hosp Infanta Elena, Huelva, Spain

Ruiz, S:
 Hosp Inca, Mallorca, Spain

Ruiz-Cantero, A:
 Hosp Serrania, Malaga, Spain

Sacanella, E:
 Hosp Clin Barcelona, Barcelona, Spain

Sanchez-Ledesma, M:
 Hosp Univ, Salamanca, Spain

Sanjose-Laporte, A:
 Hosp Valle De Hebron, Barcelona, Spain

Sanroman, C:
 Hosp Axarquia, Malaga, Spain

Soria-Lopez, M:
 Clin Virgen Vega, Murcia, Spain

Tejera-Concepcion, A:
 Hosp Nuestra Sra Candelaria, Tenerife, Spain

Tenllado-Doblas, P:
 Hosp Dr Moliner, Valencia, Spain

Ternavasio, G:
 Hosp Univ, Salamanca, Spain

Villegas-Bruguera, E:
 Hosp Maig, Barcelona, Spain
ISSN: 00142565





REVISTA CLINICA ESPANOLA
Editorial
EDICIONES DOYMA S A, TRAV DE GRACIA 17-21, 08021 BARCELONA, SPAIN, España
Tipo de documento: Article
Volumen: 219 Número: 8
Páginas: 433-439
WOS Id: 000495774400003
ID de PubMed: 31126711

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