Electronic Physician最新文献

{"title":"Factors associated with patient satisfaction in teaching hospitals in Zahedan (Iran) in 2017: a two-level regression model","authors":"M. Khosravi, Y. Jahani, M. Mirzaee, A. Payandeh, A. Bahrampour","doi":"10.19082/7325","DOIUrl":"https://doi.org/10.19082/7325","url":null,"abstract":"Background: Since satisfaction is considered the main factor for improving the quality of healthcare organizations, patients’ satisfaction from healthcare services and hospital staff is very important. Objective: The aim of this study was to determine factors associated with patient satisfaction in teaching hospitals. Methods: This cross-sectional study was performed on 440 patients hospitalized in teaching hospitals affiliated with Zahedan University of Medical Sciences in 2017. Patients were selected using stratified sampling from different departments of which the sample size of each department was proportional to the number of patients from each department. The Goldberg General Health Validity Questionnaire that included questions about satisfaction and mental health was completed by patients. The patients’ satisfaction of the hospital was the dependent variable, and mental health, age, gender, education, occupation, type of insurance, marital status, place of residence, length of stay and number of hospitalization were independent variables. The data were analyzed by a linear two-level regression model in Stata 12. Results: The mean age of the patients was 40.79±19.48 years and 51.6% of them were male. The mean score of patient satisfaction (in a range of 0-20) was 14.96±2.47. Age, education, mental health, and interaction between age and mental health had significant effect on satisfaction (p=0.003, p=0.004, p<0.001, p=0.002). The mean score of satisfaction in patients with elementary education was 1.74 less than that of illiterate patients, and the score of satisfaction in patients with higher education was 2.92 less than that of illiterate patients, and the mental health in low age subgroups had a significant effect on patient satisfaction. There was also significant difference in the satisfaction levels of patients between hospital departments (p<0.001). Conclusions: The satisfaction levels of patients in different departments of the hospitals varied. Also, the patients with high mental health had high satisfaction from healthcare services and hospitals.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44432393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Statistical Issues in Randomized Controlled Trials: an editorial","authors":"Umesh Wadgave, M. Khairnar, Yogesh Wadgave","doi":"10.19082/7293","DOIUrl":"https://doi.org/10.19082/7293","url":null,"abstract":"Randomization is the bedrock of randomized controlled trials, which ensures the elimination of selection bias and also to some extent the homogenous distribution of covariates between the intervention arms. Randomization does not always guarantee the baseline balance, and hence makes the statistical analysis more complex. Several published clinical trials have employed test of significance to compare baseline measures between the groups. However, such practice has been criticized by several authors and CONSORT statement also discourages it. This overview discusses various statistical designs that were employed in published trials. Post intervention data (follow up score) comparison between the arms was common practice in published RCTs. However, this approach fails to adjust baseline imbalance. Both Change score and Percentage change methods adjust the baseline imbalance. Both of the approaches give precise estimates when there is a high correlation between baseline and follow-up score. However, when correlation is low they both give biased and less precise estimates of treatment effect. Analysis of covariance (ANCOVA) is a regression method, which maintains high statistical power and gives less biased and more precise estimates of treatment effect regardless of correlation level. Understanding strengths and limitations of different statistical designs of RCTs will prevent statistical errors, which can yield an accurate estimate of treatment effect.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46243857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antiemetic effects of metoclopramide with and without dexamethasone in children with minor head trauma: a single blind randomized clinical trial","authors":"Meisam Moezzi, Ali Delirrooyfard, H. Motamed, M. Mortazavi","doi":"10.19082/7307","DOIUrl":"https://doi.org/10.19082/7307","url":null,"abstract":"Background: Trauma in the head is one of the most common childhood injuries. Children with minor head trauma are at higher risk of intracranial injury (ICI). Vomiting is one of the most common signs after minor head trauma in children, and different treatments are suggested for managing it. Objective: To determine the antiemetic effects of dexamethasone in children with minor head trauma. Methods: This single blind randomized clinical trial study was carried out during the period from September 2015 to August 2016 in Imam Khomeini and Golestan Hospitals in Ahvaz, Iran, on 64 children (2-8 years old) with minor head trauma (Minor head trauma was considered as GCS 14-15) who were admitted to the hospitals’ emergency departments. In the intervention group, metoclopramide (0.15 mg/kg) and dexamethasone (0.15 mg/kg) were injected. In the placebo group, patients received metoclopramide (0.15 mg/kg) and placebo. Nausea severity was measured using Rhodes Index of Nausea and Vomiting. The data were analyzed using SPSS version 19. We used descriptive statistics, Chi-squared, t-test, and ANOVA for the analyses of the data. P-value of less than 0.05 was defined as the level of significance. Results: Finally, 62 patients (mean age of 56.4 and 62% male gender) attended the study and were equally divided into intervention and placebo groups. The Rhodes Index of Nausea and Vomiting on the intervention and placebo groups was 4.9±3.73 and 7.19±3.79, respectively (p=0.021). Conclusion: Collectively, our results indicated that dexamethasone can be used as an effective medication along with metoclopramide to control vomiting in children with minor head trauma. Trial registration: The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct ID: IRCT2016081128944N1. Funding: The authors received no financial support for the research, authorship, and/or publication of this article.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45151692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of pre-operative statin administration on delirium rate after coronary artery bypass grafting (CABG): a prospective cohort study","authors":"M. Golmohammadi, Z. Yekta, B. Askari, Sepideh Rahnema","doi":"10.19082/7299","DOIUrl":"https://doi.org/10.19082/7299","url":null,"abstract":"Background: Statins have recently been suggested to exert protective cerebral effects in patients undergoing cardiac surgery. Objective: The aim of this study was to determine the association between pre-operative statin administration and the rate of post-operative delirium (POD) in patients undergoing coronary artery bypass grafting (CABG). Methods: This prospective cohort study was conducted at Seyedoshohada Hospital (Urmia, Iran) from June 2017 through April 2018. Patients, before undergoing CABG may have two different approaches by clinicians; administrating statins vs. those who do not receive statins. Participants in this study were selected among each of the two approaches. Therefore, Group A (n=200) (exposure group) received statins 10 mg or 20 mg in the preoperative period and Group B (n=200) did not receive statins before admission to hospital. During their intensive care unit (ICU) stay, Confusion Assessment Method (CAM) was performed every 8 hours to assess delirium. The data were analyzed by STATA version 13. The rate of POD were determined across the groups using independent samples t-test and Chi-square tests. Study covariates were adjusted and the association between the outcome of delirium incidence and clinical interventions was examined using multiple logistic regression. Results: Demographic data was similar between the two groups. Of the four hundred patients analyzed, 57 patients (14.5%) had delirium at some time during their cardiovascular ICU stay; nine (4.5%) in the patients group with use of statins and forty-eight (24%) in the patients group without use of statins had POD. There was a significant difference in the occurrence of delirium across the two groups (p=0.001). Incidence of POD in patients ≥ 60 years in Group A was significantly lower than in the patients in Group B, 4.2% and 32.3% respectively (p=0.001). Conclusion: Statin Pretreatment reduces the occurrence of post-operative delirium after coronary artery bypass surgery.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49496957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing dentists’ choices of restorative materials in Saudi Arabia: a web-based online cross-sectional study","authors":"Lujain Hatem Alsughair, E. Youssif","doi":"10.19082/7341","DOIUrl":"https://doi.org/10.19082/7341","url":null,"abstract":"Background: There is a variety of restorative materials, from dental amalgam to the more recent introduction of resin and tooth-colored restorations, which makes choosing the most suitable restorative material a complex task for dentists. Dentists evaluate each case individually and make their selection decision based on several factors which have different degrees of clinical significance. Objective: The aim of this study was to identify the patients’ teeth, and dentist’s factors related to the selection of restorative materials among dentists working in Saudi Arabia. Methods: A web-based cross-sectional survey was conducted using simple random sampling method in Saudi Arabia in 2018. The questionnaire was adopted from other studies, which were pretested using pilot studies to ensure reliability. The questionnaire consisted of demographic data, multiple-choice questions measuring the most commonly used materials and the reasons behind that, along with 5-point Likert-scale questions identifying the attitudes of dentists regarding the factors influencing their choices of restorative materials. The questionnaire was completed by 229 dentists. Using IBM-SPSS version, the data were analyzed in descriptive statistics and Chi square test. A p-value of less than 0.05 was considered statistically significant in examining the study hypotheses. Results: Composite was the most commonly used material to restore primary carious lesions in class I, class II and class V. Conservative preparation was the main reason for using composite (55.9%). Esthetics was the main limitation of using amalgam (52%). The number of male dentists not using amalgam was significantly higher than their female peers (p=0.032). Conclusion: The trend of using composite is increasing in Saudi Arabia and has been reported worldwide in various conditions even in the more challenging circumstances such as large cavities and molars, mainly because its preparation is conservative. However, composite is still not preferred for patients with high caries activity and poor oral hygiene. Further research is required to negotiate more factors such as the material factors and socioeconomic status of the patient.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46962973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Common Mistakes in Statistical Analysis Reporting: an interview with Amy Frances Moore","authors":"Amy Frances Moore","doi":"10.19082/statstical_analysis_interview","DOIUrl":"https://doi.org/10.19082/statstical_analysis_interview","url":null,"abstract":"","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68387425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inter-rater and intra-raters' variability in evaluating complete dentures insertion procedure in senior undergraduates' prosthodontics clinics.","authors":"Manal Alammari,&nbsp;El-Sayed Nawar","doi":"10.19082/7287","DOIUrl":"https://doi.org/10.19082/7287","url":null,"abstract":"Background Direct clinical assessment is the mainstay of evaluation in dentistry education. An effective evaluation method in prosthodontics should be equally valid and consistent; however, this is not attained frequently. A limited number of studies have applied an analytic evaluation in prosthodontics. Objective To compare the intra- and inter-raters’ variability in two evaluation methods: glance and grade (global), and checklist and criteria (analytical). Moreover, to identify the components of the analytical evaluation system and its applicability. Methods This cross-sectional study was carried out on outpatients attending removable prosthodontics clinics affiliated with King Abdulaziz University (Jeddah, Saudi Arabia) from December 2017 to April 2018. Two prosthodontist examiners evaluated a sample of 35 complete denture cases (20 male, 15 female) twice over a period of five months. Inter-rater and intra-rater agreement were computed using reliability test (interclass correlation coefficient ICC). Data were analyzed in IBM SPSS version 23, using paired-samples t-test, weighted kappa, and Wilcoxon signed-rank test. The level of significance was set at p≤0.05. Results The intra-rater agreement for the first and second exposures under global and analytical evaluation methods with Examiner A was outstanding with 90.7% and 99.8% agreement respectively. While with Examiner B, global was lower but still in the acceptable range with about 78.1%, and 96.1% for the analytical evaluation. Inter-rater reliability analysis showed high agreement between the two raters in the first exposure of the analytical evaluation with 97.3%, while it was 87.5% in the global evaluation. This trend goes the same with analytical in the second exposure with 93.2%; however, the second exposure under global evaluation failed the cut off, which is only 56.6% agreement. In evaluation of inter-raters agreement, the second exposure of the global method demonstrated inconsistency between the two examiners (p=0.002), while the analytical second exposure demonstrated more homogeneity (p=0.050). Intra-rater variability between first and second exposure in analytical evaluation was (0.711 for the first rater and 0.677 for the second rater). Intra-rater variability between first and second exposure in global evaluation was (<0.001 for the first rater and 0.075 for the second rater). Conclusion A simple objective and detailed method to evaluate complete denture insertion procedure was developed, and it showed that both intra-rater and inter-rater agreement were excellent for the analytical method that might overcome errors and subjectivity in evaluation that result from the limitations of global method. Results recommend suitability of using the analytical evaluation to improve reliability between raters.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"10 9","pages":"7287-7292"},"PeriodicalIF":0.0,"publicationDate":"2018-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/6d/epj-10-7287.PMC6140989.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36528773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is echocardiographic epicardial fat thickness increased in patients with coronary artery disease? A systematic review and meta-analysis.","authors":"Mohammad Ali Ansari,&nbsp;Mohsen Mohebati,&nbsp;Farid Poursadegh,&nbsp;Mahdi Foroughian,&nbsp;Alireza Sepehri Shamloo","doi":"10.19082/7249","DOIUrl":"https://doi.org/10.19082/7249","url":null,"abstract":"<p><strong>Background: </strong>The relation of epicardial fat thickness (EFT) to coronary artery disease (CAD) has recently been reported in multiple studies. Echocardiography is a safe and relatively inexpensive and accessible approach to assess regional EFT, which can be performed easily in many centers.</p><p><strong>Objective: </strong>To determine the association between echocardiographic EFT and the presence or the absence of CAD.</p><p><strong>Methods: </strong>This was a systematic review and meta-analysis conducted on literature available in electronic databases up to March 2018. The articles measuring EFT by echocardiography in the right ventricular (RV) free wall were included in the study. The quality of the enrolled items was assessed using the Methodological Index for Non-Randomized Studies (MINORS) checklist. The analyses were performed using the Comprehensive Meta-Analysis version 2 software. Cochran's Q test and I² index were used to evaluate heterogeneity.</p><p><strong>Results: </strong>This meta-analysis was performed on 13 studies involving 2,436 patients (1,622 with CAD, and 814 without CAD). The maximum EFT reported by echocardiography was 12.9±2.7 mm in the CAD group and 8.4±2.5 mm in the non-CAD group. The minimum EFT reported by echocardiography was 2.2±1.8 mm in the CAD group and 1.8±1.4 mm in the non-CAD group. The heterogeneity was found among the researched studies (I²=91.8%, p=0.000, Q-value=146.43, df [Q] =12) using the random effect model. The patients with CAD had a significantly higher echocardiographic EFT than those without CAD (SMD=1.03, 95% CI= 0.70-1.37, p=0.000).</p><p><strong>Conclusion: </strong>According to the findings of this meta-analysis, the echocardiographic EFT in the subjects with CAD was significantly higher than that of those without CAD. The measurement of echocardiographic EFT seems to be an acceptable strategy for risk stratification of heart diseases considering ease of use, cost-effectiveness and non-exposure characteristics, compared to other imaging interventions.</p>","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"10 9","pages":"7249-7258"},"PeriodicalIF":0.0,"publicationDate":"2018-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/d7/epj-10-7249.PMC6140987.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36528768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of neurofeedback training on verbal memory, visual memory and self-efficacy in students.","authors":"Mohammad Nazer,&nbsp;Hanifeh Mirzaei,&nbsp;Mohammadreza Mokhtaree","doi":"10.19082/7259","DOIUrl":"https://doi.org/10.19082/7259","url":null,"abstract":"<p><strong>Background: </strong>Memory is the basis for the development of language skills and learning processes, and self-efficacy is one of the most important predictors of academic achievement.</p><p><strong>Objective: </strong>This study aimed to determine the effects of neurofeedback training (NFB) on verbal and visual memory and self-efficacy in students of Rafsanjan University of Medical Sciences.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted on students of Rafsanjan University of Medical Sciences (Rafsanjan, Iran). Twenty-six students without severe neuropsychological disorder, history of epilepsy and drug abuse were selected randomly and divided into two groups. First, the participants completed the Morgan-Jinks Student Efficacy Scale (MJSES) and then were assessed by Kim Karad Visual Memory Test (KKVMT) and Wechsler Memory Scale for verbal memory (WMSVM). The experimental group underwent 15 sessions of neurofeedback training (NFB) for increase in sensorimotor response (SMR) in central zero (Cz) and fronto-central zero (FCz) location at the psychology clinic Rafsanjan University of Medical Sciences. Visual and verbal memory and self-efficacy were assessed by KKVMT, WMSVM and MJSES after completion of sessions and one month later. Posttest and follow-up of the control group were also carried out simultaneously with the experimental group. Data were analyzed in SPSS version 16, using descriptive statistical and repeated measures ANCOVA. The significance level of examining the hypotheses was set at p≤0.05.</p><p><strong>Results: </strong>The Mean±SD of verbal memory in the experimental group in pretest, posttest and follow-up was 20±1.9, 22.58±2.1, 22.41±2.06 respectively (p<0.001, Effect size= 0.53).There were significant changes in short-term (p=0.001, Effect size =0.41) and long-term (p=0.001, Effect size =0.42) visual memory. The changes of mid-term visual memory and self-efficacy in the experimental group were not significant (p=0.135, p=0.062).</p><p><strong>Conclusion: </strong>NFB is effective in improving verbal memory and some dimensions of visual memory. Further studies are needed to achieve better results.</p>","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"10 9","pages":"7259-7265"},"PeriodicalIF":0.0,"publicationDate":"2018-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.19082/7259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36528769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The validation of the PRISMA-7 questionnaire in community-dwelling elderly people living in Antalya, Turkey.","authors":"Hakan Yaman,&nbsp;Zeynep Ünal","doi":"10.19082/7266","DOIUrl":"https://doi.org/10.19082/7266","url":null,"abstract":"<p><strong>Background: </strong>The screening of frailty in older adults is an important issue in the preventive approach in medicine. Frailty is one of the leading causes of morbidity and premature mortality in older adults.</p><p><strong>Objective: </strong>The aim of this study was to validate the PRISMA-7 questionnaire in community-dwelling elderly people living in Antalya, Turkey.</p><p><strong>Methods: </strong>This study was cross-sectional and observational in nature and was conducted in Antalya (Turkey) from February 2016 to April 2017. One hundred fifty patients participated in this study. PRISMA-7 and the CSHA Clinical Frailty Scale were applied to these patients along with a questionnaire on socio-demographics. No translations were available for the PRISMA-7 or the CSHA in Turkish language. The PRISMA-7 and the CSHA Clinical Frailty Scale were translated by two translators to Turkish language; after compilation and agreeing to one Turkish translation, the text was translated back by two translators to English. The translation was then compiled to one text and compared with the original text. After agreement on the translation, both translations were piloted in 10 elderly people. The final form has been applied in this study. Data of the ten piloted patients have not been included into the dataset. Data were analyzed by IBM-SPSS version 22, using descriptive statistics, Pearson product-moment correlation, and receiver operator characteristic (ROC) analysis. The level of significance was set at 0.05.</p><p><strong>Results: </strong>Our study showed that participants were in average vulnerability to frailty. The test-retest reliability score for the PRISMA-7 Scale and for the CSHA Clinical Frailty Scale were (r= 99.2; p<0.001) and (r=97.5; p<0.05), respectively. After using CSHA Clinical Frailty Scale as a reference standard, PRISMA-7 showed that the area under ROC curve (AUC) was 0.903; which is the best accuracy; and medium level for internal consistency (Cronbach's α =0.714) as a measure for reliability. A cut-off point of 4 or higher for PRISMA-7revealed high sensitivity (81.5%) and specificity (88.2%) for frailty.</p><p><strong>Conclusion: </strong>We would recommend PRISMA-7 as a reliable and valid instrument, with high-level accuracy in the screening process of frailty.</p>","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"10 9","pages":"7266-7272"},"PeriodicalIF":0.0,"publicationDate":"2018-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/37/epj-10-7266.PMC6140991.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36528770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}