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KMID : 0828520080120040207
Journal of the Korean Geriatrics Society
2008 Volume.12 No. 4 p.207 ~ p.214
Usefulness of the Frailty and Modified Barthel Indexes in the Assessment of Care Grades in Geriatric Long-term Care Service
Kim Won-Suk

Shin Hyung-Ik
Abstract
Background: There are no additional objective tools to double-check the care grades and to assess a subject¡¯s medical status except a statement of the doctor¡¯s view in the assessment of care grades in geriatric long-term care service. Thus, we designed this study to investigate whether the frailty index (FI) and the Korean version of the modified Barthel index (K-MBI) can be useful complementary assessment tools in the assessment of care grades in geriatric long-term care service.

Methods: Data for calculating care approved tim e, FI, and K-MBI were obtained from the interview of 114 homeresidents (elderly >65 years of age) in Sungnam city by educated investigators.

Results: There was a significant positive correlation between FI and care grade (Spearman correlation coefficient=0.547, p<0.001). A significant negative correlation between K-M BI and care grade (Spearman correlation coefficient=-0.811, p<0.001) was demonstrated. The difference between the scores on the FI and K-MBI was significant between the care grades (p<0.001).

Conclusion: The FI and K-MBI had a good correlation with care approved tim e in geriatric long-term care service and were significantly different between the care grades. FI and K-M BI can be useful complementary assessment tools in the assessment of care grades in geriatric long-term care service.
KEYWORD
Frail elderly, A ctivities of daily living, Geriatric assessment, Long-term care
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