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自主管理的多维预测指数的简短形式的验证:SELFY-BRIEF-MPI项目
Wanda Morganti1, Nicola Veronese2, Marina Barbagelata1
1Department of Geriatric Care, Orthogeriatrics and Rehabilitation, Ente Ospedaliero Galliera Hospital, 16128 Genoa, Italy.
Journal of clinical medicine
|September 28, 2023
概括
一个新的简短工具,SELFY-BRIEF-MPI,准确地选老年人的脆弱性. 它与标准的多维预测指数 (MPI) 强烈一致,使其在临床实践中变得有用.
科学领域:
- 老年学是指老年学的学科.
- 临床老年病学 临床老年病学
- 健康评估工具 健康评估工具
背景情况:
- 临床实践需要有效的工具来识别老年人的脆弱风险.
- 基于综合老年评估 (CGA) 的多维预后指数 (MPI) 是可靠的脆弱性指标.
- 现有的MPI版本缺乏简洁性和自我管理,限制了它们的临床实用性.
研究的目的:
- 评估缩写的SELFY-BRIEF-MPI与标准MPI之间的一致性.
- 验证SELFY-BRIEF-MPI作为一种用于老年人群中多维脆弱性查的工具.
主要方法:
- 一项涉及105名意大利四家医院65岁以上的门诊和住院患者的研究.
- 标准MPI和简称SELFY-BRIEF-MPI的分数的比较.
- 统计分析包括相关性,布兰德-阿尔特曼图表和接收器操作特征 (ROC) 曲线分析以确定准确性.
主要成果:
- 与标准MPI相比,SELFY-BRIEF-MPI显示出强烈的相关性 (R = 0.86) 和非显著的差异.
- 只有4.76%的测量超出了协议的范围.
- 在识别脆弱个体时,SELFY-BRIEF-MPI显示出最佳准确性 (AUC = 0.90),得分为0.60,提供最佳灵敏度/特异性.
结论:
- SELFY-BRIEF-MPI是一个有效可靠的缩写工具,用于选多维脆弱性.
- 它与标准MPI的强烈一致性支持其在临床环境中用于快速脆弱性评估.
- 这种简短的,自我管理的工具可以改善早期识别和管理老年人的虚弱.
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