The Korean version of the FRAIL scale: clinical feasibility and validity of assessing the frailty status of Korean elderly
The Korean Journal of Internal Medicine
;
: 594-600, 2016.
Article
in English
| WPRIM
| ID: wpr-48491
ABSTRACT
BACKGROUND/AIMS:
The fatigue, resistance, ambulation, illnesses, and loss of weight (FRAIL) scale is a screening tool for frailty status using a simple 5-item questionnaire. The aim of this study was to evaluate the clinical feasibility and validity of the Korean version of the FRAIL (K-FRAIL) scale.METHODS:
Questionnaire items were translated and administered to 103 patients aged ≥ 65 years who underwent a comprehensive geriatric assessment at the Seoul National University Bundang Hospital. In this cross-sectional study, the K-FRAIL scale was compared with the domains and the multidimensional frailty index of the comprehensive geriatric assessment. We also assessed the time required to complete the scale.RESULTS:
The participants' mean age was 76.8 years (standard deviation [SD], 6.1), and 55 (53.4%) were males. The mean overall frailty index was 0.19 (SD, 0.17). For K-FRAIL-robust, prefrail, and frail patients, the mean frailty indices were 0.09, 0.18, and 0.34, respectively (p for trend < 0.001). A higher degree of impairment in the K-FRAIL scale was associated with worse nutritional status, poor physical performance, functional dependence, and polypharmacy. The number of items with impairment in the K-FRAIL scale was positively associated with the frailty index (B = 3.73, p < 0.001). The K-FRAIL scale could differentiate vulnerability from robustness with a sensitivity of 0.90 and a specificity of 0.33. Of all patients, 75 (72.8%) completed the K-FRAIL scale within < 3 minutes.CONCLUSIONS:
The K-FRAIL scale is correlated with the frailty index and is a simple tool to screen for frailty in a clinical setting.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Geriatric Assessment
/
Mass Screening
/
Nutritional Status
/
Cross-Sectional Studies
/
Walking
/
Sensitivity and Specificity
/
Polypharmacy
/
Diagnosis
/
Fatigue
/
Seoul
Type of study:
Diagnostic study
/
Observational study
/
Prevalence study
/
Risk factors
/
Screening study
Limits:
Aged
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
The Korean Journal of Internal Medicine
Year:
2016
Type:
Article
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