Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project
The multidimensional prognostic index (MPI) is a comprehensive geriatric assessment (CGA) tool exploring the multiple domains of older subject. The knowledge and the diffusion of self-assessment tools for identifying frailty in general medicine is still limited. The aim of our study is to determine...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-03-01
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| Series: | Geriatric Care |
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| Online Access: | https://www.pagepressjournals.org/index.php/gc/article/view/10388 |
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| author | Alberto Pilotto Stefania Maggi Alberto Ferrari Giuseppe Rengo Vincenzo Solfrizzi Sabrina Zora Ovidio Brignoli Pierangelo Lora Aprile Giuseppe Fascella Ligia J. Dominguez Nicola Veronese Alberto Cella on behalf of the SELFY-MPI SIGOT Project |
| author_facet | Alberto Pilotto Stefania Maggi Alberto Ferrari Giuseppe Rengo Vincenzo Solfrizzi Sabrina Zora Ovidio Brignoli Pierangelo Lora Aprile Giuseppe Fascella Ligia J. Dominguez Nicola Veronese Alberto Cella on behalf of the SELFY-MPI SIGOT Project |
| author_sort | Alberto Pilotto |
| collection | DOAJ |
| description |
The multidimensional prognostic index (MPI) is a comprehensive geriatric assessment (CGA) tool exploring the multiple domains of older subject. The knowledge and the diffusion of self-assessment tools for identifying frailty in general medicine is still limited. The aim of our study is to determine the prevalence of frailty using a multidimensional frailty screening tool (SELFY-MPI) in a cohort of older adults, belonging to the general practitioner’s (GPs) experience. In the frame of a national educational program organized by the Italian Geriatric Hospital and Community Society (SIGOT), expert geriatricians carried-out local courses addressed to GPs, focused on multidimensional approach in primary care. A cross-sectional study of the SELFY-MPI, based on eight different domains, in the general practitioners’ outpatient clinic was performed among 50 GPs. SELFY-MPI risk score was used for dividing the participants in robust, pre-frail, or frail. A total of 526 participants (mean age: 77.7 years; females=55.3%) fulfilled the SELFY-MPI. The participants were, on average, independent in the activities of daily living, had a good mobility, but they reported some cognitive difficulties, and they can be considered at risk of malnutrition. A high prevalence of comorbidities and polypharmacotherapy was also present. The 20.2% of the sample lived alone, suggesting a potential social frailty. The mean SELFY-MPI score was 0.26 0.17: therefore, 21.67% of the participants were categorized as pre-frail, and 3.99% as frail. Pre-frailty and frailty are common in GPs experience. SELFY-MPI is a feasible screening tool for multidimensional frailty in the GPs clinical practice.
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| first_indexed | 2024-12-10T08:20:36Z |
| format | Article |
| id | doaj.art-cffc6eedd0624654a4ebc99b1d8f7e2a |
| institution | Directory Open Access Journal |
| issn | 2465-1109 2465-1397 |
| language | English |
| last_indexed | 2024-12-10T08:20:36Z |
| publishDate | 2022-03-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Geriatric Care |
| spelling | doaj.art-cffc6eedd0624654a4ebc99b1d8f7e2a2022-12-22T01:56:21ZengPAGEPress PublicationsGeriatric Care2465-11092465-13972022-03-018110.4081/gc.2022.10388Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT projectAlberto Pilotto0Stefania Maggi1Alberto Ferrari2Giuseppe Rengo3Vincenzo Solfrizzi4Sabrina Zora5Ovidio Brignoli6Pierangelo Lora Aprile7Giuseppe Fascella8Ligia J. Dominguez9Nicola Veronese10Alberto Cella11on behalf of the SELFY-MPI SIGOT ProjectDepartment Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Genova; Department of Interdisciplinary Medicine, University of Bari Aldo Moro, BariNational Research Council (CNR), Neuroscience Department, Aging Branch, Padova3C Salute - Impresa Sociale scs, Reggio EmiliaDivision of Geriatrics, Department of Translational Medical Sciences, Federico II University of Napoli, NapoliDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, BariDepartment Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, GenovaGeneral Practitioner Department of Primary Care, ATS BresciaGeneral Practitioner Department of Primary Care, ATS BresciaGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, PalermoGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, PalermoGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, PalermoDepartment Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Genova The multidimensional prognostic index (MPI) is a comprehensive geriatric assessment (CGA) tool exploring the multiple domains of older subject. The knowledge and the diffusion of self-assessment tools for identifying frailty in general medicine is still limited. The aim of our study is to determine the prevalence of frailty using a multidimensional frailty screening tool (SELFY-MPI) in a cohort of older adults, belonging to the general practitioner’s (GPs) experience. In the frame of a national educational program organized by the Italian Geriatric Hospital and Community Society (SIGOT), expert geriatricians carried-out local courses addressed to GPs, focused on multidimensional approach in primary care. A cross-sectional study of the SELFY-MPI, based on eight different domains, in the general practitioners’ outpatient clinic was performed among 50 GPs. SELFY-MPI risk score was used for dividing the participants in robust, pre-frail, or frail. A total of 526 participants (mean age: 77.7 years; females=55.3%) fulfilled the SELFY-MPI. The participants were, on average, independent in the activities of daily living, had a good mobility, but they reported some cognitive difficulties, and they can be considered at risk of malnutrition. A high prevalence of comorbidities and polypharmacotherapy was also present. The 20.2% of the sample lived alone, suggesting a potential social frailty. The mean SELFY-MPI score was 0.26 0.17: therefore, 21.67% of the participants were categorized as pre-frail, and 3.99% as frail. Pre-frailty and frailty are common in GPs experience. SELFY-MPI is a feasible screening tool for multidimensional frailty in the GPs clinical practice. https://www.pagepressjournals.org/index.php/gc/article/view/10388Multidimensional prognostic indexprimary carefrailty. |
| spellingShingle | Alberto Pilotto Stefania Maggi Alberto Ferrari Giuseppe Rengo Vincenzo Solfrizzi Sabrina Zora Ovidio Brignoli Pierangelo Lora Aprile Giuseppe Fascella Ligia J. Dominguez Nicola Veronese Alberto Cella on behalf of the SELFY-MPI SIGOT Project Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project Geriatric Care Multidimensional prognostic index primary care frailty. |
| title | Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project |
| title_full | Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project |
| title_fullStr | Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project |
| title_full_unstemmed | Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project |
| title_short | Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project |
| title_sort | multidimensional frailty in older people in general practitioners clinical practice the selfy mpi sigot project |
| topic | Multidimensional prognostic index primary care frailty. |
| url | https://www.pagepressjournals.org/index.php/gc/article/view/10388 |
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