Assessing Frailty in the General Medical Clinic of a Tertiary Hospital in Northern Malaysia: The FRAIL Scale or the Clinical Frailty Scale.

Autor: Thiam CN; Department of Medicine, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia.; Clinical Research Centre, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia., Ooi CY; Clinical Research Centre, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia., Seah YK; Clinical Research Centre, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia., Chuan DR; Clinical Research Centre, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia., Looi I; Department of Medicine, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia.; Clinical Research Centre, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia., Ch'ng ASH; Department of Medicine, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia.; Clinical Research Centre, Seberang Jaya Hospital, Perai, Pulau Pinang, Malaysia.
Jazyk: angličtina
Zdroj: Current gerontology and geriatrics research [Curr Gerontol Geriatr Res] 2021 Aug 02; Vol. 2021, pp. 7570592. Date of Electronic Publication: 2021 Aug 02 (Print Publication: 2021).
DOI: 10.1155/2021/7570592
Abstrakt: Background: Frailty potentially influences clinicians' decision making on treatment provided they can select the appropriate assessment tools. This study aims to investigate the difference between the FRAIL scale and the Clinical Frailty Scale (CFS) in assessing frailty among community-dwelling older adults attending the General Medical Clinic (GMC) in Seberang Jaya Hospital, Penang, Malaysia.
Methods: The medical records of 95 older patients (age ≥ 65) who attended the GMC from 16 December 2019 to 10 January 2020 were reviewed. Frailty was identified using the FRAIL scale and the CFS. Patient characteristics were investigated for their association with frailty and their difference in the prevalence of frailty by the FRAIL scale and CFS.
Results: The CFS identified nonsignificant higher prevalence of frailty compared to the FRAIL scale (21/95; 22.1% vs. 17/95; 17.9%, ratio of prevalence = 1.235, p =0.481). Minimal agreement was found between the FRAIL scale and the CFS (Kappa = 0.272, p < 0.001). Three out of 5 components of the FRAIL scale (resistance, ambulation, and loss of weight) were associated with frailty by the CFS. Higher prevalence of frailty was identified by the CFS in those above 70 years of age. The FRAIL scale identified more patients with frailty in ischaemic heart disease patients.
Conclusion: Patient characteristics influenced the choice of the frailty assessment tool. The FRAIL scale and the CFS may complement each other in providing optimized care to older patients who attended the GMC.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2021 Chiann Ni Thiam et al.)
Databáze: MEDLINE
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