Predictive Capacity of the Integrated Care for Older People Screening Tool for Intrinsic Capacity Impairments: Results From the INSPIRE-T Cohort
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Published:2024-04-27
Issue:7
Volume:79
Page:
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ISSN:1079-5006
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Container-title:The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences
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language:en
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Short-container-title:
Author:
Giudici Kelly Virecoulon1ORCID, de Souto Barreto Philipe12, Guyonnet Sophie12, Beard John R3ORCID, Takeda Catherine1, Cantet Christelle12, Andrieu Sandrine14, Vellas Bruno12, , Guyonnet Sophie, Vellas Bruno, Brigitte Lauréane, Milhet Agathe, Paez Elodie, Muller Emeline, Le Floch Sabine, Takeda Catherine, Faisant Catherine, Lala Françoise, van Kan Gabor Abellan, Steinmeyer Zara, Piau Antoine, Macaron Tony, Angioni Davide, Ousset Pierre-Jean, Comté Mélanie, Daniaud Nathalie, Boissou-Parachaud Fanny, Andrieu Sandrine, Cantet Christelle, Rolland Yves, de Souto Barreto Philipe, Pillard Fabien, Faruch Marie, Payoux Pierre, Takeda Catherine, Tavassoli Neda, Dorard Marie, Razat Bénédicte, Champigny Camille, Guyonnet Sophie, Dray Cédric, Pradère Jean-Philippe, Parini Angelo, Santin Yohan, Langin Dominique, Gourdy Pierre, Martinez Laurent, Bouloumié Anne, Parini Angelo, Fazilleau Nicolas, Liblau Roland, Guéry Jean-Charles, Simon Michel, Gaudenzio Nicolas, Bostan Luciana, El Costa Hicham, Jabrane Ferrat Nabila, Valet Philippe, Dray Cedric, Ader Isabelle, Planat Valérie, Payoux Pierre, Peran Patrice, Delpierre Cyrille, Andrieu Sandrine, Rampon Claire, Davezac Noelie, Guiard Bruno, Vergnolles Nathalie, Motta Jean-Paul, Djelabi Sara, Floch Pauline, Sarry Jean-Emmanuel, Coley Nicola, Guyonnet Sophie, Andrieu Sandrine
Affiliation:
1. Gerontopole of Toulouse, Institute of Aging, Toulouse University Hospital (CHU Toulouse) , Toulouse , France 2. CERPOP UMR1295, University of Toulouse III, Inserm, UPS , Toulouse , France 3. International Longevity Center USA, Mailman School of Public Health, Columbia University , New York, New York , USA 4. Department of Epidemiology and Public Health, Toulouse University Hospital (CHU Toulouse) , Toulouse , France
Abstract
Abstract
Background
The Integrated Care for Older People (ICOPE) approach was developed by the World Health Organization (WHO) aiming to shift the traditional focus of care based on diseases to a function- and person-centered approach, focused on maintaining and monitoring intrinsic capacity (IC). This study aimed to investigate the ability of the ICOPE screening tool to identify older people with clinically meaningful impairments in IC domains.
Methods
This cross-sectional analysis included 603 older adults, participants (mean age 74.7 [SD = 8.8] years, women 59.0%) of the INSPIRE Translational (INSPIRE-T) cohort. Responses at screening were compared to results of the subsequent in-depth assessment (ie, Mini-Mental State Examination, Mini Nutritional Assessment, Short Physical Performance Battery, Patient Health Questionnaire-9, and clinical investigation of vision problems) to determine its predictive capacity for impairments at the IC domains (ie, cognition, psychological, sensory (vision), vitality, and locomotion).
Results
The ICOPE screening items provided very high sensitivity for identifying abnormality in vision (97.2%) and varied from 42.0% to 69.6% for the other domains. High specificity (>70%) was observed for all the IC domains, except for vision (2.7%).
Conclusions
The ICOPE screening tool can be a useful instrument enabling the identification of older people with impairments in IC domains, but studies with different populations are needed. It should be considered as a low-cost and simple screening tool in clinical care.
Funder
Pyrénées-Méditerranée European Regional Development Fund Alzheimer Prevention in Occitania and Catalonia EDENIS KORIAN Pfizer
Publisher
Oxford University Press (OUP)
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