title: Tracking tool for frailty: ABCDEF.
abstract: The aging population leads to psychological, medical and social reflection for optimal care of the elderly, especially characterized by a frailty state. The frailty is the cause of morbi-mortality require screening to anticipate these complications. The objective was to evaluate the statistical performance and feasibility of the tool "ABCDEF" to screen frailty defined by Fried's criteria. A prospective multicenter study including 300 ambulatory elderly consultants was conducted. ABCDEF appears feasible without major prior training or special equipment by any doctor or caregiver during an assessment in 98% of consultants. His sensitivity to detect frailty, is of 75% and specificity of 64%. The frailty tracking threshold is 3 criteria (6). Its negative predictive value is interesting because it eliminates the hypothesis of frailty in 91% of cases. This tracking tool requires, when abnormal, further geriatric assessment. It provides a standardized and normative approach to describe frailty whose frequency is high in people older than 80 and whose consequences are major.
authors.affiliation: Service de médecine interne gériatrique, CHU Rouen, Rouen, France.
authors.forename: Laetitia
authors.initials: L
authors.lastname: Amalou
authors.affiliation: Service de médecine interne gériatrique, CHU Rouen, Rouen, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Roca
authors.affiliation: Service de médecine interne gériatrique, CHU Rouen, Rouen, France.
authors.forename: Florent
authors.initials: F
authors.lastname: François
authors.affiliation: Service de médecine interne gériatrique, CHU Rouen, Rouen, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Druesne
authors.affiliation: Service de médecine interne gériatrique, CHU Rouen, Rouen, France.
authors.forename: Romuald
authors.initials: R
authors.lastname: Langlois
authors.affiliation: Service de médecine interne gériatrique, CHU Rouen, Rouen, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Pesqué
authors.affiliation: Service de médecine interne gériatrique, CHU Rouen, Rouen, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Chassagne
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D016330:Frail Elderly / Q000523:psychology* / Q000706:statistics & numerical data*; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D008403:Mass Screening; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
keywords: elderly; frailty; geriatric assessment; screening