Predictive validity of the Brazilian version of the Tilburg Frailty Indicator for adverse health outcomes in older adults

Lívia Maria Santiago, Robbert J.J. Gobbens, Marcel A.L.M. van Assen, Cleber Nascimento Carmo, Daniele Bittencourt Ferreira, Inês Echenique Mattos

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose: This study aimed to determine the predictive value of the Brazilian Tilburg Frailty Indicator (TFI) for adverse health outcomes (falls, hospitalization, disability and death), in a follow-up period of twelve months. Methods: This longitudinal study was carried out with a sample of people using primary health care services in Rio de Janeiro, Brazil. At baseline the sample consisted of 963 people aged 60 years and older. A subset of all respondents participated again one year later (n = 640, 66.6% response rate). We used the TFI, the Katz's scale for assessing ADL disability and the Lawton Scale for assessing IADL disability. Falls, hospitalization and death were also assessed using a questionnaire. Results: The prevalence of frailty was 44.2% and the mean score of the TFI was 4.4 (SD = 3.0). There was a higher risk of loss in functional capacity in ADL (OR = 3.03, CI95% 1.45–6.29) and in IADL (OR = 1.51, CI95% 1.05–2.17), falls (OR = 2.08, CI95% 1.21–3.58), hospitalization (OR = 1.83, CI95% 1.10–3.06), and death (HR = 2.73, CI95% 1.04–7.19) for frail when compared to non-frail elderly, in the bivariate analyses. Controlling for the sociodemographic variables, the frailty domains together improved the prediction of hospitalization, falls and loss in functional capacity in ADL, but not loss in functional capacity in IADL. Conclusion: The TFI is a good predictor of adverse health outcomes among elderly users of primary care services in Brazil and appears an adequate and easy to administer tool for monitoring their health conditions.

Original languageEnglish
Pages (from-to)114-119
Number of pages6
JournalArchives of Gerontology and Geriatrics
Volume76
DOIs
Publication statusPublished - 1 May 2018

Funding

This work was supported by the INOVA-ENSP program of the National School of Public Health - Oswaldo Cruz Foundation, Brazil (2013).

Keywords

  • Adverse health outcomes
  • Elderly people
  • Frailty
  • TFI

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