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10.1186/s12877-017-0604-3 http://scihub22266oqcxt.onion/10.1186/s12877-017-0604-3 C5590146!5590146!28882127     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 280.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMC+Geriatr 2017 ; 17 (ä): ä Nephropedia Template TP {{tp|p=28882127|t=2017. Derivation of a frailty index from the resident assessment instrument ? home care adapted for Switzerland: a study based on retrospective data analysis |pdf=|usr=}}{{28882127}} gab.com Text Derivation of a frailty index from the resident assessment instrument home care adapted for Switzerland: a study based on retrospective data analysis JO: BMC Geriatr http://www.kidney.de/pget.php?&tw=1&pmid=28882127 #FOAvip Background: The screening of frail individuals at risk for functional health decline and adverse health outcomes lies in the evolving agenda of home care providers. Such a screening can be based on a frailty index (FI) derived from data collected with interRAI instruments used in clinical routines to define care plans. The objective of this study was to assess the feasibility of deriving an FI from the Resident Assessment Instrument ? Home Care adapted for Switzerland (Swiss RAI-HC). Methods: Data were collected by the Geneva Institution for Homecare and Assistance in clinical routines. The sample consisted of 3714 individuals aged 65 or older (67.7% females) who had each received a Swiss RAI-HC upon admission in the year of 2015. The FI was derived from 52 variables identified and scored according to published guidelines. Adverse health outcomes were either assessed during follow-up assessments (falls, hospitalizations) or documented from administrative records (mortality). Results: The results showed that the FI was distributed normally, with a mean of 0.24 (± 0.13), an interquartile range of 0.16, and values of 0.04 at percentile 1 and 0.63 at percentile 99. The effect of Age was significant (R2 = 0.011) with a slope of ? = 0.002, 95% CI = [0.001?0.002]. Sex as well as the Age × Sex interaction were not significant. The FI predicted deaths (OR = 9.99, 95% CI = [3.20?29.99]), hospitalizations (OR = 3.40, 95% CI = [1.78?6.32]), and falls (OR = 5.00, 95% CI = [2.68?9.38]). Conclusions: The results support the feasibility of an FI derivation from the Swiss RAI-HC, hence replicating previous demonstrations based on interRAI instruments. The results also replicated findings showing that the FI is a good predictor of adverse health outcomes. Yet, the results suggest that home care recipients demonstrate a frailty pattern different from the one reported in community dwellers but comparable to clinical samples. Further work is needed to assess the characteristics of the proposed index in community-dwelling, non-clinical samples for comparability with the existing literature and external validation Trial registration: ClinicalTrials.govNCT03139162. Retrospectively registered May 2, 2017. Electronic supplementary material: The online version of this article (10.1186/s12877-017-0604-3) contains supplementary material, which is available to authorized users. Twit Text FOAVip Derivation of a frailty index from the resident assessment instrument home care adapted for Switzerland: a study based on retrospective data analysis ????BMC Geriatr http://www.kidney.de/pget.php?&tw=1&pmid=28882127 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28882127 #FOAvip English Wikipedia <ref>{{Cite pmid|28882127}}</ref> Derivation of a frailty index from the resident assessment instrument ? home care adapted for Switzerland: a study based on retrospective data analysis #MMPMID28882127 Ludwig C; Busnel C BMC Geriatr 2017[]; 17 (ä): ä PMID28882127show ga Background: The screening of frail individuals at risk for functional health decline and adverse health outcomes lies in the evolving agenda of home care providers. Such a screening can be based on a frailty index (FI) derived from data collected with interRAI instruments used in clinical routines to define care plans. The objective of this study was to assess the feasibility of deriving an FI from the Resident Assessment Instrument ? Home Care adapted for Switzerland (Swiss RAI-HC). Methods: Data were collected by the Geneva Institution for Homecare and Assistance in clinical routines. The sample consisted of 3714 individuals aged 65 or older (67.7% females) who had each received a Swiss RAI-HC upon admission in the year of 2015. The FI was derived from 52 variables identified and scored according to published guidelines. Adverse health outcomes were either assessed during follow-up assessments (falls, hospitalizations) or documented from administrative records (mortality). Results: The results showed that the FI was distributed normally, with a mean of 0.24 (± 0.13), an interquartile range of 0.16, and values of 0.04 at percentile 1 and 0.63 at percentile 99. The effect of Age was significant (R2 = 0.011) with a slope of ? = 0.002, 95% CI = [0.001?0.002]. Sex as well as the Age × Sex interaction were not significant. The FI predicted deaths (OR = 9.99, 95% CI = [3.20?29.99]), hospitalizations (OR = 3.40, 95% CI = [1.78?6.32]), and falls (OR = 5.00, 95% CI = [2.68?9.38]). Conclusions: The results support the feasibility of an FI derivation from the Swiss RAI-HC, hence replicating previous demonstrations based on interRAI instruments. The results also replicated findings showing that the FI is a good predictor of adverse health outcomes. Yet, the results suggest that home care recipients demonstrate a frailty pattern different from the one reported in community dwellers but comparable to clinical samples. Further work is needed to assess the characteristics of the proposed index in community-dwelling, non-clinical samples for comparability with the existing literature and external validation Trial registration: ClinicalTrials.govNCT03139162. Retrospectively registered May 2, 2017. Electronic supplementary material: The online version of this article (10.1186/s12877-017-0604-3) contains supplementary material, which is available to authorized users. äDerivation of a frailty index from the resident assessment instrument (epmc).pdf DeepDyve Pubget Overpricing