Zulfiqar Abrar-Ahmad
Internal Medicine Unit, Clinique Médicale B, University Hospital of Strasbourg, 67000 Strasbourg, France.
Caspian J Intern Med. 2022 Spring;13(2):425-430. doi: 10.22088/cjim.13.2.425.
Preventing dependency is a public health objective. We want to evaluate the ability of the "Zulfiqar Frailty Scale" (ZFS) tool to detect frailty as defined by Fried's criteria among a group of patients aged 75 and older.
Prospective study conducted in Poitou-Charentes (France) for 12 months on patients aged 75 and over and considered autonomous in terms of the ADL scale. To be eligible, the patients could not reside in a nursing home and needed an ADL score of 4 or higher.
Among the group of 200 patients (with a mean age of 81.4 years, +/- 4.82), the prevalence of frailty according to Fried's criteria was 32.5%. The prevalence of frailty according to the "Zulfiqar Frailty Scale" tool was 35.0% and all items except home confinement were significantly associated with frailty. With this tool, the threshold for identifying frailty was 3 out of 6 criteria. It was quick (average completion time of 2 minutes and 2 seconds) with a sensitivity score of 88.0% and a negative predictive value of 91.0%.
The "Zulfiqar Frailty Scale" tool measures frailty just as effectively as Fried's criteria, with sensitivity and negative predictive values no lower than the latter.
预防失能是一项公共卫生目标。我们希望评估“祖尔菲卡尔衰弱量表”（ZFS）工具在一组75岁及以上患者中检测符合弗里德标准定义的衰弱的能力。
在法国普瓦图-夏朗德进行了为期12个月的前瞻性研究，研究对象为75岁及以上且在日常生活活动量表方面被认为具有自理能力的患者。符合条件的患者不能居住在养老院，且日常生活活动评分需为4分或更高。
在200名患者组（平均年龄81.4岁，±4.82）中，根据弗里德标准，衰弱患病率为32.5%。根据“祖尔菲卡尔衰弱量表”工具，衰弱患病率为35.0%，除居家限制外的所有项目均与衰弱显著相关。使用该工具，识别衰弱的阈值为6项标准中的3项。该工具使用快速（平均完成时间为2分2秒），灵敏度评分为88.0%，阴性预测值为91.0%。
“祖尔菲卡尔衰弱量表”工具在测量衰弱方面与弗里德标准同样有效，其灵敏度和阴性预测值不低于后者。
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