Translation and validation of the Korean version of the clinical frailty scale in older patients

被引：18

作者：

Ko, Ryoung-Eun ^{[1
]}

Moon, Seong Mi ^{[2
]}

Kang, Danbee ^{[3
,4
]}

Cho, Juhee ^{[3
,4
,5
]}

Chung, Chi Ryang ^{[1
]}

Lee, Yunhwan ^{[6
,7
]}

Hong, Yun Soo ^{[8
,9
,10
]}

Lee, So Hee ^{[11
]}

Lee, Jung Hee ^{[12
]}

Suh, Gee Young ^{[1
,13
]}

机构：

[1] Sungkyunkwan Univ, Samsung Med Ctr, Dept Crit Care Med, Sch Med, 81 Irwon Ro, Seoul 06351, South Korea

[2] Sungkyunkwan Univ, Samsung Changwon Hosp, Dept Med, Div Pulm & Crit Care Med,Sch Med, Chang Won, South Korea

[3] Samsung Med Ctr, Ctr Clin Epidemiol, Seoul, South Korea

[4] Sungkyunkwan Univ, Dept Clin Res Design & Evaluat, SAIHST, Seoul, South Korea

[5] Johns Hopkins Univ, Dept Epidemiol, Bloomberg Sch Publ Heath, Baltimore, MD USA

[6] Ajou Univ, Dept Prevent Med & Publ Hlth, Sch Med, Suwon, South Korea

[7] Ajou Univ, Inst Aging, Med Ctr, Suwon, South Korea

[8] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA

[9] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Med, Baltimore, MD USA

[10] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD USA

[11] Samsung Med Ctr, Outpatient Nursing Team, Seoul, South Korea

[12] Samsung Med Ctr, Med Intens Care Unit, Seoul, South Korea

[13] Sungkyunkwan Univ, Sch Med, Div Pulm & Crit Care Med, Dept Med,Samsung Med Ctr, Seoul, South Korea

来源：

BMC GERIATRICS | 2021年 / 21卷 / 01期

关键词：

Clinical frailty scale; Frailty; Translation; Validation; Korean;

D O I：

10.1186/s12877-021-02008-0

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

BackgroundFrailty is a multidimensional syndrome that leads to an increase in vulnerability. Previous studies have suggested that frailty is associated with poor health-related outcomes. For frailty screening, the Clinical Frailty Scale (CFS) is a simple tool that is widely used in various translated versions. We aimed to translate the CSF into Korean and evaluated its contents and concurrent validity.MethodsTranslations and back-translations of the CFS were conducted independently. A multidisciplinary team decided the final CFS-K. Between August 2019 and April 2020, a total of 100 outpatient and inpatient participants aged >= 65years were enrolled prospectively. The clinical characteristics were evaluated using the CFS-K. The CFS-K scores were compared with those of other frailty screening tools using Pearson's correlation coefficient and Spearman's rank correlation. The area under curve (AUC) for identifying the Eastern Cooperative Oncology Group Performance Status (ECOG PS) grade 3 or more was calculated for the CFS-K and other screening tools.ResultsThe mean age of the participants was 76.5years (standard deviation [SD], 7.0), and 63 (63%) participants were male. The mean CFS-K was 4.8 (SD, 2.5). Low body mass index (p= 0.013) and low score on the Korean version of the Mini-Mental State Examination (p< 0.001) were significantly associated with high CFS-K scores, except for those assigned to scale 9 (terminally ill). The CFS-K showed a significant correlation with other frailty screening tools (R=0.7742-0.9190; p< 0.01), except in the case of those assigned to scale 9 (terminally ill). In comparison with other scales, the CFS-K identified ECOG PS grade 3 or more with the best performance (AUC=0.99). Patients assigned to scale 9 on the CFS-K (terminally ill) had similar frailty scores to those assigned to scale 4 (vulnerable) or 5 (mildly frail).ConclusionsIn conclusion, the CFS-K is a valid scale for measuring frailty in older Korean patients. The CFS-K scores were significantly correlated with the scores of other scales. To evaluate the predictive and prognostic value of this scale, further larger-scale studies in various clinical settings are warranted.

引用

页数：8

共 39 条

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