Prediction of Mortality by the Tilburg Frailty Indicator (TFI)

ObjectiveTo predict mortality with the Tilburg Frailty Indicator (TFI) in a sample of community-dwelling older people, using follow-up 7 years.DesignLongitudinal.Setting and Participants479 Dutch people aged 75 years or older.MeasurementsThe TFI, self-report questionnaire, was used to collect data about total, physical, psychological, social frailty. The municipality Roosendaal (a town Netherlands) provided dates.ResultsTotal, psychological frailty predicted mortality, unadjusted hazard ratios 1.295, 1.168, 1.194, areas under receiver operating characteristic curves 0.664, 0.671, 0.567, respectively. After adjustment for age gender, were 0.704, 0.702, 0.652, Analyses individual components TFI show that difficulty walking unexplained weight loss mortality.Conclusions ImplicationsThis study has shown predictive validity people. Our demonstrated physical mortality. Of components, consistently For identifying frailty, integral instrument is recommended because its have proven their value predicting adverse outcomes example, increase health care use lower quality life.