Hilmer Sarah N, Perera Vidya, Mitchell Sarah, Murnion Bridin P, Dent Jonathan, Bajorek Beata, Matthews Slade, Rolfson Darryl B
Department of Aged Care , Royal North Shore Hospital, St Leonards, Australia.
Australas J Ageing. 2009 Dec;28(4):182-8. doi: 10.1111/j.1741-6612.2009.00367.x.
Develop a measure of frailty for older acute inpatients to be performed by non-geriatricians.
The Reported Edmonton Frail Scale (REFS) was adapted from the Edmonton Frail Scale for use with Australian acute inpatients. With acute patients aged over 70 years admitted to an Australian teaching hospital, we validated REFS against the Geriatrician's Clinical Impression of Frailty (GCIF), measures of cognition, comorbidity and function, and assessed inter-rater reliability.
REFS was moderately correlated with GCIF (n = 105, R = 0.61, P < 0.01), Mini-Mental State Examination impairment (n = 61, R = 0.49, P < 0.001), Charlson Comorbidity Index (n = 59, R = 0.51, P < 0.001) and Katz Daily Living Scale (n = 59, R = 0.51, P < 0.001). Inter-rater reliability of REFS administered by two researchers without medical training was excellent (kappa = 0.84, n = 31).
In this cohort of older acute inpatients, REFS is a valid, reliable test of frailty, and may be a valuable research tool to assess the impact of frailty on prognosis and response to therapy.
开发一种由非老年医学专家对老年急性住院患者进行衰弱评估的方法。
报告版埃德蒙顿衰弱量表（REFS）改编自埃德蒙顿衰弱量表，用于澳大利亚急性住院患者。对于入住澳大利亚一家教学医院的70岁以上急性患者，我们将REFS与老年医学专家的衰弱临床印象（GCIF）、认知、共病和功能测量指标进行了验证，并评估了评分者间信度。
REFS与GCIF（n = 105，R = 0.61，P < 0.01）、简易精神状态检查障碍（n = 61，R = 0.49，P < 0.001）、查尔森共病指数（n = 59，R = 0.51，P < 0.001）和卡茨日常生活量表（n = 59，R = 0.51，P < 0.001）呈中度相关。由两名未经医学培训的研究人员实施的REFS评分者间信度极佳（kappa = 0.84，n = 31）。
在这个老年急性住院患者队列中，REFS是一种有效、可靠的衰弱测试，可能是评估衰弱对预后和治疗反应影响的有价值的研究工具。
