Items analysis of the Frailty Index (FI-35): Insight in the contribution of each item to the level of frailty

The FI-35 is a valid multidimensional Chinese frailty assessment instrument. Like other scales, functional measures rely on the information the total score provides. Our research aimed to analyze the contribution of each item. Descriptive statistics were used to summarize the sample characteristics....

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Bibliographic Details
Published in:PloS one 2021-11, Vol.16 (11), p.e0258588-e0258588
Main Authors: Zhang, Xiaohong, Van Der Schans, C P, Liu, Yanhui, Krijnen, W, Hobbelen, J S M
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aging - pathology
Aging - physiology
Biology and Life Sciences
China - epidemiology
Cognitive Dysfunction - epidemiology
Cognitive Dysfunction - physiopathology
Emotions - physiology
Female
Frail elderly
Frail Elderly - psychology
Geriatric Assessment
Health aspects
Humans
Male
Medicine and Health Sciences
Middle Aged
People and Places
Physiological aspects
Resistance Training
Sleep - physiology
Social Sciences
Walking - physiology
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Summary:The FI-35 is a valid multidimensional Chinese frailty assessment instrument. Like other scales, functional measures rely on the information the total score provides. Our research aimed to analyze the contribution of each item. Descriptive statistics were used to summarize the sample characteristics. The expected item score (EIS) was used to determine how the items contribute to the generic measure of frailty. This study showed that most of the EIS curves increased across the entire range of frailty levels, and most of the items discriminate relatively well over the entire frailty range. Items differentially contributed to the total frailty score and differentially discriminated between frailty levels. Although nearly all items monotonically increased with frailty levels, there were large differences between items in their ability to differentiate between persons being either weakly, moderately or highly frail.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0258588