Rose Michael, Yang Allan, Welz Martina, Masik Anna, Staples Margaret
Cabrini Medical Centre, Melbourne, Victoria, Australia.
Monash Department of Medicine, Monash University, Melbourne, Victoria, Australia.
Australas J Ageing. 2018 Dec;37(4):305-308. doi: 10.1111/ajag.12533. Epub 2018 Apr 10.
The Reported Edmonton Frail Scale (REFS) uses clock drawing as a measure of cognition. However, many patients in the acute hospital setting present with an inability to clock-draw. We considered an alternative method for assessing cognition based on a history of cognitive impairment.
We created a modified version of the REFS (mod-REFS), utilising the same domains as the REFS, in which a screening question of cognition substitutes the clock-drawing task. Data were collected from a prospective cohort study.
Of 181 participants, frailty measured with either the REFS or the mod-REFS found equivalence. A comparison between clock drawing and cognitive question scores demonstrated a complete agreement for 152 patients (84%), a reduction in cognition score for 25 (14%) and an increase for 4 (2%).
We suggest the mod-REFS will improve the frailty assessment in the acute hospital setting, overcoming the limitations associated with clock drawing.
报告的埃德蒙顿衰弱量表（REFS）使用画钟测试作为认知功能的一项测量指标。然而，许多急症医院的患者无法完成画钟测试。我们考虑基于认知障碍病史评估认知功能的另一种方法。
我们创建了REFS的一个修改版本（mod-REFS），采用与REFS相同的领域，其中用一个认知筛查问题替代画钟测试任务。数据来自一项前瞻性队列研究。
在181名参与者中，使用REFS或mod-REFS测量的衰弱程度相当。画钟测试得分与认知问题得分的比较显示，152名患者（84%）完全一致，25名患者（14%）认知得分降低，4名患者（2%）得分升高。
我们认为mod-REFS将改善急症医院环境中的衰弱评估，克服与画钟测试相关的局限性。
