Table 5. Subgroups of hospitalized older patients where different frailty indexes showed a significant different predictive discriminatory power for one-year all-cause mortality.* .
Frailty index | AUC | SE | 95% | Contrast p-value | |||
1 vs 2 | 1 vs 3 | 1 vs 4 | |||||
1 – MPI | 0.7086 | 0.0199 | 0.67–0.75 | ||||
ADL 6-5 | 2 – FI-SOF | 0.6553 | 0.0210 | 0.61–0.70 | 0.0007 | 0.0004 | 0.0015 |
(N = 714) | 3 - FI-CD | 0.6581 | 0.0209 | 0.62–0.70 | |||
4 - FI-CGA | 0.6667 | 0.0208 | 0.63–0.71 | ||||
1 – MPI | 0.7277 | 0.0169 | 0.69–0.76 | ||||
IADL 8-6 | 2 – FI-SOF | 0.6569 | 0.0181 | 0.62–0.69 | <0.0001 | <0.0001 | 0.0003 |
(N = 1038) | 3 - FI-CD | 0.6820 | 0.0176 | 0.65–0.72 | |||
4 - FI-CGA | 0.6897 | 0.0178 | 0.65–0.72 | ||||
1 – MPI | 0.7490 | 0.0170 | 0.71–0.78 | ||||
SPMSQ 0-3 | 2 – FI-SOF | 0.7012 | 0.0178 | 0.67–0.74 | 0.0001 | 0.0012 | 0.0007 |
(N = 1503) | 3 - FI-CD | 0.7279 | 0.0175 | 0.69–0.76 | |||
4 - FI-CGA | 0.7237 | 0.0176 | 0.69–0.76 | ||||
1 – MPI | 0.7492 | 0.0163 | 0.72–0.78 | ||||
CIRS≥3 | 2 – FI-SOF | 0.6814 | 0.0173 | 0.65–0.71 | <0.0001 | <0.0001 | 0.0002 |
(N = 1257) | 3 - FI-CD | 0.7202 | 0.0167 | 0.69–0.75 | |||
4 - FI-CGA | 0.7197 | 0.0170 | 0.69–0.75 | ||||
1 – MPI | 0.7374 | 0.0218 | 0.69–0.78 | ||||
MNA<17 | 2 – FI-SOF | 0.6833 | 0.0234 | 0.64–0.73 | 0.0007 | 0.0651 | 0.0669 |
(N = 534) | 3 - FI-CD | 0.7164 | 0.0221 | 0.67–0.76 | |||
4 - FI-CGA | 0.7146 | 0.0224 | 0.67–0.76 | ||||
1 – MPI | 0.7069 | 0.0306 | 0.65–0.77 | ||||
Number of drugs ≥7 | 2 – FI-SOF | 0.6473 | 0.0321 | 0.58–0.71 | 0.0197 | 0.3952 | 0.0073 |
(N = 463) | 3 - FI-CD | 0.6972 | 0.0313 | 0.63–0.76 | |||
4 - FI-CGA | 0.6712 | 0.0317 | 0.61–0.73 |
AUC: areas under curve; SE: standard error; CI: confidence interval; ADL: activities of daily living; MPI: Multidimensional Prognostic Index; FI-SOF: Frailty Index derived from the Study of Osteoporotic Fractures; FI-CD: Frailty Index based on cumulative deficits; FI-CGA: Frailty Index based on a Comprehensive Geriatric Assessment; IADL: instrumental activities of daily living; SPMSQ: Short Portable Mental Status Questionnaire; CIRS: Cumulative Illness Rating Scale;
MNA: Mini Nutritional Assessment.
*AUCs were assessed by crude and adjusted logistic regression models, accounting for clustering due to centre effect.