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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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Published in: | PloS one 2021-11, Vol.16 (11), p.e0258588-e0258588 |
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description | 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. |
doi_str_mv | 10.1371/journal.pone.0258588 |
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0258588</identifier><identifier>PMID: 34748553</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2021-11, Vol.16 (11), p.e0258588-e0258588</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Zhang et al 2021 Zhang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c490t-39ad6baa9ae62f55f39c176fc0f8df8b540e5ef119b3abeb5e3d8888ba651d43</cites><orcidid>0000-0003-3620-3646 ; 0000-0003-1852-0955</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8575277/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8575277/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34748553$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Martinuzzi, Andrea</contributor><creatorcontrib>Zhang, Xiaohong</creatorcontrib><creatorcontrib>Van Der Schans, C P</creatorcontrib><creatorcontrib>Liu, Yanhui</creatorcontrib><creatorcontrib>Krijnen, W</creatorcontrib><creatorcontrib>Hobbelen, J S M</creatorcontrib><title>Items analysis of the Frailty Index (FI-35): Insight in the contribution of each item to the level of frailty</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - pathology</subject><subject>Aging - physiology</subject><subject>Biology and Life Sciences</subject><subject>China - epidemiology</subject><subject>Cognitive Dysfunction - epidemiology</subject><subject>Cognitive Dysfunction - physiopathology</subject><subject>Emotions - physiology</subject><subject>Female</subject><subject>Frail elderly</subject><subject>Frail Elderly - psychology</subject><subject>Geriatric Assessment</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>People and Places</subject><subject>Physiological aspects</subject><subject>Resistance Training</subject><subject>Sleep - physiology</subject><subject>Social Sciences</subject><subject>Walking - physiology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptks1q3DAUhU1padK0b1CKoZt04alkWbLURSGETmoIdJO9kKWrGQ22NbXkkHn7yuNpyECkhf7O-bgXnSz7jNEKkxp_3_lpHFS32vsBVqiknHL-JrvEgpQFKxF5-2J_kX0IYYcQJZyx99kFqeqKU0ous76J0IdcJdIhuJB7m8ct5OtRuS4e8mYw8JRfr5uC0G8_0jG4zTbmbjiqtB_i6NopOj_MTlB6m7sEzKM_Cjp4hG5-sQvvY_bOqi7Ap9N6lT2sfz3c_i7u_9w1tzf3ha4EigURyrBWKaGAlZZSS4TGNbMaWW4sb2mFgILFWLREtdBSIIan0SpGsanIVdYsWOPVTu5H16vxIL1y8njhx41UY3S6A0lRS7ipEeUGVzjhdKtVjQzTgnDBcGL9XFj7qe3BaEgtq-4Mev4yuK3c-EfJaU3Luk6A6xNg9H8nCFH2LmjoOjWAn4IsqaCUVqycpV8X6Ual0txgfSLqWS5vGMesFFjMFa1eUaVpoHfpS8C6dH9mqBaDHn0II9jn6jGSc5bkKUtyzpI8ZSnZvrzs_Nn0PzzkH9CFyGk</recordid><startdate>20211108</startdate><enddate>20211108</enddate><creator>Zhang, Xiaohong</creator><creator>Van Der Schans, C P</creator><creator>Liu, Yanhui</creator><creator>Krijnen, W</creator><creator>Hobbelen, J S M</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-3620-3646</orcidid><orcidid>https://orcid.org/0000-0003-1852-0955</orcidid></search><sort><creationdate>20211108</creationdate><title>Items analysis of the Frailty Index (FI-35): Insight in the contribution of each item to the level of frailty</title><author>Zhang, Xiaohong ; Van Der Schans, C P ; Liu, Yanhui ; Krijnen, W ; Hobbelen, J S M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-39ad6baa9ae62f55f39c176fc0f8df8b540e5ef119b3abeb5e3d8888ba651d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - pathology</topic><topic>Aging - physiology</topic><topic>Biology and Life Sciences</topic><topic>China - epidemiology</topic><topic>Cognitive Dysfunction - epidemiology</topic><topic>Cognitive Dysfunction - physiopathology</topic><topic>Emotions - physiology</topic><topic>Female</topic><topic>Frail elderly</topic><topic>Frail Elderly - psychology</topic><topic>Geriatric Assessment</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>People and Places</topic><topic>Physiological aspects</topic><topic>Resistance Training</topic><topic>Sleep - physiology</topic><topic>Social Sciences</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Xiaohong</creatorcontrib><creatorcontrib>Van Der Schans, C P</creatorcontrib><creatorcontrib>Liu, Yanhui</creatorcontrib><creatorcontrib>Krijnen, W</creatorcontrib><creatorcontrib>Hobbelen, J S M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Xiaohong</au><au>Van Der Schans, C P</au><au>Liu, Yanhui</au><au>Krijnen, W</au><au>Hobbelen, J S M</au><au>Martinuzzi, Andrea</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Items analysis of the Frailty Index (FI-35): Insight in the contribution of each item to the level of frailty</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-11-08</date><risdate>2021</risdate><volume>16</volume><issue>11</issue><spage>e0258588</spage><epage>e0258588</epage><pages>e0258588-e0258588</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34748553</pmid><doi>10.1371/journal.pone.0258588</doi><orcidid>https://orcid.org/0000-0003-3620-3646</orcidid><orcidid>https://orcid.org/0000-0003-1852-0955</orcidid><oa>free_for_read</oa></addata></record> |
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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 |
title | Items analysis of the Frailty Index (FI-35): Insight in the contribution of each item to the level of frailty |
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