Real-life intrinsic capacity screening data from the ICOPE-Care program.

Area of Science:

• Gerontology
• Primary Care
• Public Health

Background:

• The Integrated Care for Older People (ICOPE) program utilizes intrinsic capacity (IC) screening.
• Real-world data on IC domain clustering, changes, and clinical utility are limited.

Purpose of the Study:

• To analyze IC domain clusters in older adults using primary care data.
• To assess the clinical utility of ICOPE screening for risk stratification.

Main Methods:

• Analysis of primary healthcare screening data from over 20,000 French adults aged 60+.
• Identification of intrinsic capacity (IC) domain clusters.
• Comparison of functional outcomes (frailty, ADL, IADL) across clusters.

Main Results:

• Four distinct IC impairment clusters were identified: 'Low impairment', 'Cognition+Locomotion+Hearing+Vision', 'All IC impaired', and 'Psychology+Vitality+Vision'.
• Individuals in clusters other than 'Low impairment' showed increased likelihood of frailty and limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL).
• The 'All IC impaired' cluster exhibited the strongest association with adverse functional outcomes.

Conclusions:

• ICOPE screening is a potentially valuable tool for stratifying patient risk in primary care.
• A higher number of impaired IC domains at screening correlates with a greater probability of functional decline.
• This study provides real-world evidence supporting the use of ICOPE for identifying at-risk older adults.