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社区居住的老年人衰弱:Gérontopôle 衰弱筛查工具土耳其语版本的信度和效度。

Frailty in community-dwelling older adults: reliability and validity of the Turkish version of the Gérontopôle frailty screening tool.

机构信息

Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.

出版信息

Turk J Med Sci. 2022 Dec;52(6):2004-2010. doi: 10.55730/1300-0144.5549. Epub 2022 Dec 21.

Abstract

BACKGROUND

Recognizing frailty had a great importance in countries with an increasing geriatric population. The study aims to evaluate the reliability and validation of the Gérontopôle frailty screening tool (GFST), which was developed to screen frailty in the community-dwelling older adults, for the Turkish population.

METHODS

In this crosssectional study, participants who applied to the geriatrics outpatient clinic of a university hospital were included. Comprehensive geriatric assessments of all patients were performed. The validity of the GFST was tested by its concordance with the FRAIL scale. Test-retest and interrater reliability analyses were made.

RESULTS

Ninety-six patients were included in the study. Sixty-one and five-tenths percent (n = 59) of them are females. The median age was 72.0 (IQR: 10.0). There was a moderate concordance between the GFST and the FRAIL scale (Cohen's kappa: 0.566, p < 0.001). The Gérontopôle frailty screening tool interrater and retest reliabilities were excellent (Cohen's kappa: 0.814, p < 0.001 and 1.0, p < 0.001; respectively). The sensitivity of the GFST determined according to the FRAIL scale is 69.39%, the specificity is 86.36%, the positive predictive value is 85.00%, and the negative predictive value is 71.70%.

DISCUSSION

The Gérontopôle frailty screening tool, which can be used by all healthcare professionals, is a valid and reliable tool for the Turkish geriatric population.

摘要

背景

在人口老龄化日益严重的国家,识别虚弱具有重要意义。本研究旨在评估专为社区居住的老年人设计的 Gérontopôle 虚弱筛查工具(GFST)的可靠性和有效性,该工具用于筛查土耳其老年人群的虚弱。

方法

在这项横断面研究中,纳入了向大学医院老年病门诊就诊的患者。对所有患者进行全面的老年评估。通过与 FRAIL 量表的一致性来测试 GFST 的有效性。进行了测试-重测和评分者间可靠性分析。

结果

本研究纳入了 96 名患者。其中 61.5%(n=59)为女性。中位年龄为 72.0(IQR:10.0)。GFST 与 FRAIL 量表之间存在中度一致性(Cohen's kappa:0.566,p<0.001)。Gérontopôle 虚弱筛查工具的评分者间和重测可靠性均为优秀(Cohen's kappa:0.814,p<0.001 和 1.0,p<0.001;分别)。根据 FRAIL 量表确定的 GFST 的灵敏度为 69.39%,特异性为 86.36%,阳性预测值为 85.00%,阴性预测值为 71.70%。

讨论

Gérontopôle 虚弱筛查工具可以由所有医疗保健专业人员使用,是土耳其老年人群中一种有效且可靠的工具。

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