The Prevalence of the Frailty Syndrome in a Hospital Setting-Is Its Diagnosis a Challenge? A Comparison of Four Frailty Scales in a Cross-Sectional Study.

Autor: Kasiukiewicz A; Department of Geriatrics, Medical University of Bialystok, 15-089 Bialystok, Poland.; Department of Geriatrics, Marian Zyndram Koscialkowski Hospital of the Ministry of Interior and Administration in Bialystok, 15-471 Bialystok, Poland., Wojszel ZB; Department of Geriatrics, Medical University of Bialystok, 15-089 Bialystok, Poland.; Department of Geriatrics, Marian Zyndram Koscialkowski Hospital of the Ministry of Interior and Administration in Bialystok, 15-471 Bialystok, Poland.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2023 Dec 23; Vol. 13 (1). Date of Electronic Publication: 2023 Dec 23.
DOI: 10.3390/jcm13010086
Abstrakt: The study aimed to assess the prevalence of the frailty syndrome in older patients hospitalized in the geriatric ward depending on the diagnostic criteria used, the feasibility of particular diagnostic scales in hospitalized patients, and their compatibility; 416 patients (81.2 ± 6.91 years) admitted to the Department of Geriatrics of Hospital of the Ministry of the Interior and Administration in Bialystok within eight months were included in the study. Four diagnostic scales were used to identify the frailty syndrome: Fried criteria, 7-point Clinical Frailty Scale (CFS), 40-item Frailty Index (FI), and FRAIL Scale. Depending on the scale, the prevalence of frailty syndrome varied from 26.8% (FRAIL Scale), 52.3% (Clinical Frailty Scale), and 58.1% (Fried criteria) up to 62.9% (Frailty Index). We observed the highest feasibility for CFS (100%) and the lowest for the Fried scale (79.8%). The highest level of agreement was found between the CFS and Frailty Index, with 80.3% consistent ratings (Cohen Kappa 0.6). Patients in the geriatric ward are characterized by a high prevalence of frailty, although it differs depending on the criteria. The most difficult to use in daily practice was the Fried scale, while the Clinical Frailty Scale was determined feasible in all patients.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje