Reliability of Frail and Barthel Tests for Detecting Frailty in Palliative Oncological Patients in a Home Hospitalization Unit: A Comparative Study

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León Ramón, Susana and Navarro Flores, Emmanuel and Losa Iglesias, Marta Elena and Becerro de Bengoa Vallejo, Ricardo and Jiménez Cebrián, Ana María and Romero Morales, Carlos and Palomo López, Patricia and López López, Daniel (2022) Reliability of Frail and Barthel Tests for Detecting Frailty in Palliative Oncological Patients in a Home Hospitalization Unit: A Comparative Study. Life, 12 (2). p. 286. ISSN 2075-1729

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Official URL: https://doi.org/10.3390/life12020286




Abstract

Cancer is a condition that can increase the risk of frailty. In addition, palliative oncological patients in home hospitalization can find their activities of daily living affected. The main objective was to measure the degree of frailty in the oncological population in home hospitalization comparing Barthel and Frail-VIG Indexes. This is a descriptive cross-sectional study. A sample of oncological patients in home hospitalization (n = 50) that included 27 men and 23 women were recruited, and disability due to frailty was measured using the VIG frailty index and the Barthel scale for Activities of Daily Living (ADLs). Spearman’s correlation coefficients were categorized as weak (rs ≤ 0.40), moderate (0.41 ≤ rs ≥ 0.69) or robust (0.70 ≤ rs ≥ 1.00), with a strong indirect correlation between the domains using the toilet, transferring and wandering on the Frail-VIG scale with an r (s) value −0.810 (p < 0.001), −0.831 (p < 0.001) and −0.805 (p < 0.001), respectively, and a moderate indirect correlation for the domains of eating −0.718 (p < 0.001), dressing −0.770 (p < 0.001) and urination −0.704 (<0.001). The Frail-VIG index above 0.35 points, that is, from moderate to severe, does not affect ADLs except in the nutritional dimension in a palliative oncological population in home hospitalization. The preliminary outcomes obtained should be considered to determine the impact of nutritional status with regard to ADLs in palliative oncological patients in a home hospitalization unit.


Item Type:Article
Uncontrolled Keywords:frailty; palliative care; cancer; home care; frail-VIG index
Subjects:Medical sciences > Medicine > Oncology
Medical sciences > Nursing > Nursing
ID Code:73361
Deposited On:07 Jul 2022 15:17
Last Modified:08 Jul 2022 07:31

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