Liquori et al reported the AGILE tool for detecting multidimensional frailty in an older adult. It is derived from the Italian Frailty Index (IFi). The authors are from multiple institutions in Italy.
Patient selection: adult >= 65 years
Items:
(1) feel that everything is an effort
(2) need help going up or down stairs
(3) low grip strength on a hand-held dynamometer (<= 30 kg male; <= 20 kg female)
(4) deficit in temporal orientation (unable to give exact date)
(5) delayed recall deficit (using bread-house-cat)
(6) feels depressed
(7) weight loss > 4.5 kg over the past year
(8) need help in eating
(9) need financial help from family members
(10) need physical help from family members
|
Response
|
Points
|
|
no
|
0
|
|
yes
|
1
|
Frailty domains:
(1) physical: items 1, 2 3
(2) mental: items 4, 5, 6
(3) nutritional: 7 and 8
(4) socio-economic: 9 and 10
total score =
= SUM(points for all of the items)
Interpretation:
• minimum score: 0
• maximum score: 10
|
Total Score
|
Disability
|
|
2 to 3 (2.4 +/- 0.6)
|
light
|
|
4 to 7 (5.6 +/- 1.0)
|
moderate
|
|
>= 8 (8.3 +/- 0.5)
|
severe
|
Performance:
• The area under the ROC curve for mortality is 0.73 and for disability is 0.72.
