已报道的埃德蒙顿虚弱量表的新型改良版。
Novel modification of the Reported Edmonton Frail Scale.
作者信息
Rose Michael, Yang Allan, Welz Martina, Masik Anna, Staples Margaret
机构信息
Cabrini Medical Centre, Melbourne, Victoria, Australia.
Monash Department of Medicine, Monash University, Melbourne, Victoria, Australia.
出版信息
Australas J Ageing. 2018 Dec;37(4):305-308. doi: 10.1111/ajag.12533. Epub 2018 Apr 10.
OBJECTIVES
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.
METHODS
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.
RESULTS
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%).
CONCLUSION
We suggest the mod-REFS will improve the frailty assessment in the acute hospital setting, overcoming the limitations associated with clock drawing.
目的
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。
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。
结果
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。
结论
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。
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