Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

Wyszukujesz frazę "Landi, Francesco" wg kryterium: Autor


Tytuł:
The ability of eight frailty instruments to identify adverse outcomes across different settings : the FRAILTOOLS project
Autorzy:
Rodriguez-Laso, Angel
Landi, Francesco
Gryglewska, Barbara
Carnicero, Jose Antonio
Checa-Lopez, Marta
Vellas, Bruno
Oviedo-Briones, Myriam
Rodriguez Artalejo, Fernando
Sinclair, Alan J.
Rodriguez-Manas, Leocadio
Opis:
Background: To compare the performance of eight frailty instruments to identify relevant adverse outcomes for older people across different settings over a 12 month follow-up. Methods: Observational longitudinal prospective study of people aged 75 + years enrolled in different settings (acute geriatric wards, geriatric clinic, primary care clinics, and nursing homes) across five European cities. Frailty was assessed using the following: Frailty Phenotype, SHARE-FI, 5-item Frailty Trait Scale (FTS-5), 3-item FTS (FTS-3), FRAIL scale, 35-item Frailty Index (FI-35), Gérontopôle Frailty Screening Tool, and Clinical Frailty Scale. Adverse outcomes ascertained at follow-up were as follows: falls, hospitalization, increase in limitation in basic (BADL) and instrumental activities of daily living (IADL), and mortality. Sensitivity, specificity, and capacity to predict adverse outcomes in logistic regressions by each instrument above age, gender, and multimorbidity were calculated. Results: A total of 996 individuals were followed (mean age 82.2 SD 5.5 years, 61.3% female). In geriatric wards, the FI-35 (69.1%) and the FTS-5 (67.9%) showed good sensitivity to predict death and good specificity to predict BADL worsening (70.3% and 69.8%, respectively). The FI-35 also showed good sensitivity to predict BADL worsening (74.6%). In nursing homes, the FI-35 and the FTSs predicted mortality and BADL worsening with a sensitivity > 73.9%. In geriatric clinic, the FI-35, the FTS-5, and the FRAIL scale obtained specificities > 85% to predict BADL worsening. No instrument achieved high enough sensitivity nor specificity in primary care. All the instruments predict the risk for all the outcomes in the whole sample after adjusting for age, gender, and multimorbidity. The associations of these instruments that remained significant by setting were for BADL worsening in geriatric wards [FI-35 OR = 5.94 (2.69–13.14), FTS-3 = 3.87 (1.76–8.48)], nursing homes [FI-35 = 4.88 (1.54–15.44), FTS-5 = 3.20 (1.61–6.38), FTS-3 = 2.31 (1.27–4.21), FRAIL scale = 1.91 (1.05–3.48)], and geriatric clinic [FRAIL scale = 4.48 (1.73–11.58), FI-35 = 3.30 (1.55–7.00)]; for IADL worsening in primary care [FTS-5 = 3.99 (1.14–13.89)] and geriatric clinic [FI-35 = 3.42 (1.56–7.49), FRAIL scale = 3.27 (1.21–8.86)]; for hospitalizations in primary care [FI-35 = 3.04 (1.25–7.39)]; and for falls in geriatric clinic [FI-35 = 2.21 (1.01–4.84)]. Conclusions: No single assessment instrument performs the best for all settings and outcomes. While in inpatients several commonly used frailty instruments showed good sensitivities (mainly for mortality and BADL worsening) but usually poor specificities, the contrary happened in geriatric clinic. None of the instruments showed a good performance in primary care. The FI-35 and the FTS-5 showed the best profile among the instruments assessed.
Dostawca treści:
Repozytorium Uniwersytetu Jagiellońskiego
Artykuł
Tytuł:
Setting competencies and standards for a European Leadership Program in Geriatric Medicine : "the European Academy for Medicine of Ageing (EAMA) reloaded"
Autorzy:
Bonin-Guillaume, Sylvie
Hylen Ranhoff, Anette
Andersen-Ranberg, Karen
Munzer, Thomas
Dapp, Ulrike
Roller-Wirnsberger, Regina Elisabeth
Grodzicki, Tomasz
Mieiro, Louis
Conroy, Simon
Martinez-Velilla, Nicolas
van Deelen, Robertus
Landi, Francesco
Van Den Noortgate, Nele
Singler, Katrin
Eldholm, Rannveig Sakshaug
Opis:
Background The European Academy for Medicine of Ageing (EAMA) was founded in 1995 as an “Advanced Postgraduate Course in Geriatric Medicine”, in order to train future key opinion leaders in geriatric medicine. Recent changes across European Healthcare systems have changed the needs for leadership competences for geriatricians. Therefore, it became mandatory to further develop EAMA’s learning objectives catalogue. Materials and methods Following a comprehensive needs assessment among students and visiting professors of the EAMA, a template containing seven key domains derived from the needs assessment was developed. EAMA professors had the chance to feedback learning objectives aligned with the seven domains. Feedbacks were transcribed into a first draft of a learning objectives catalogue during this meeting. This first draft was reflected with EAMA network members (former EAMA students) and finalized following a second focus group among board members. Results 24 learning objectives which cover the spectrum of knowledge, skills and attitudes necessary to develop leadership roles in geriatric medicine are included in the new EAMA learning objectives catalogue. Rate of agreement achieved in open ratings was > 90% for all selected items among the board members. Conclusions The recently developed learning objectives catalogue of EAMA presented within this publication reflects a clear shift from knowledge-based education and training towards a comprehensive programme design for leadership development.
Dostawca treści:
Repozytorium Uniwersytetu Jagiellońskiego
Artykuł

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies