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
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