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dc.contributor.authorAttwood, D
dc.contributor.authorStevens, Kara
dc.contributor.authorJones, L
dc.contributor.authorHarris, L
dc.contributor.authorRoberts, F
dc.date.accessioned2019-05-24T09:17:52Z
dc.date.available2019-05-24T09:17:52Z
dc.date.issued2018
dc.identifier.issn2249-4863
dc.identifier.issn2278-7135
dc.identifier.urihttp://hdl.handle.net/10026.1/14206
dc.description.abstract

BACKGROUND: In the United Kingdom, the new NHS contract for primary care mandates that practices use the Electronic Frailty Index (EFI) to screen for frailty and apply clinical judgment, based on knowledge of the patient, to decide whether they have a diagnosis of frailty. EFI has not yet been validated for this purpose. Many primary care clinicians would agree that although not formally investigated, there seems to be a strong association between being housebound or in institutional care and having a diagnosis of frailty. Although being housebound or in institutional care is not commonly coded in primary care computer record systems (IT), this cohort of patients do require home visits if they become unwell. Home visits are coded and it is simple to run a search on primary care IT to generate a list of older people who have received a home over given period. AIM: This study assessed whether being housebound and requiring home visits could form a new screening tool for frailty. DESIGN AND SETTING: Retrospective cohort study from 1/3/15 to 29/2/16. Primary care, South Devon. METHOD: Medical records of 154 patients over 65 years of age were evaluated. Patients were divided into two groups: a group (n = 82) that had received a home visit and a second group consisting of a randomized sample of patients (n = 72) with similar baseline characteristics who had not. Patient records were analyzed by two clinicians to determine whether a frailty syndrome was present. Researchers were blinded to each other's results. An arbitrator determined the frailty status on disagreement. RESULTS: Home visits have a sensitivity of 87.23% [95% confidence interval (CI): 74.35%-95.17%] and specificity of 61.68% (95% CI: 51.78%-70.92%). For frailty, Cohen's Kappa showed fair interobserver reliability. CONCLUSION: This study suggests that home visits are a good screen for frailty; the data are easy to retrieve from primary care IT and could be used as a valid screening tool to assist with identifying frailty in primary care.

dc.format.extent1007-1007
dc.format.mediumPrint
dc.languageen
dc.language.isoeng
dc.publisherMedknow
dc.subjectDomiciliary visit
dc.subjectfrailty
dc.subjecthome visit
dc.subjecthouse call
dc.subjectscreen
dc.subjectscreening tool
dc.titleHome visits: A new screening tool for frailty? A retrospective exploratory study
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/30598948
plymouth.issue5
plymouth.volume7
plymouth.publication-statusPublished
plymouth.journalJournal of Family Medicine and Primary Care
dc.identifier.doi10.4103/jfmpc.jfmpc_159_18
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
dc.publisher.placeIndia
dc.rights.embargodate2024-01-04
dc.identifier.eissn2278-7135
rioxxterms.versionofrecord10.4103/jfmpc.jfmpc_159_18
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review


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