FRAIL量表对社区糖尿病老年人衰弱筛查的诊断准确性：一项横断面研究。

Diagnostic accuracy of the FRAIL scale for frailty screening in community-dwelling older adults with diabetes: A cross-sectional study.

作者信息

Zeng Lin, Kong Ling-Na, Fang Qin, Wang Wen-Xin, Fan Ji-Li, Zhang Xiang-Qiu-Yu, Yu Yan-Hong, Yuan Shu-Ting

机构信息

Department of Cardiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, PR China; School of Nursing, Chongqing Medical University, Chongqing 400016, PR China.

School of Nursing, Chongqing Medical University, Chongqing 400016, PR China.

出版信息

Geriatr Nurs. 2023 Jul-Aug;52:115-120. doi: 10.1016/j.gerinurse.2023.05.011. Epub 2023 Jun 6.

DOI:10.1016/j.gerinurse.2023.05.011

PMID:37290216

Abstract

There is limited evidence on the diagnostic accuracy of the FRAIL scale in community-dwelling older adults with diabetes. This study aimed to validate the diagnostic accuracy and determine the optimal cutoff point of the FRAIL scale in community-dwelling older adults with diabetes using the Fried Frailty Phenotype as the reference standard. A total of 489 community-dwelling older adults with diabetes aged 60 or above were recruited in this cross-sectional study. The FRAIL scale showed good diagnostic accuracy for frailty screening. The optimal cutoff point for frailty screening in older adults with diabetes was 2. The agreement between the FRAIL scale and the Fried Frailty Phenotype was substantial. The FRAIL scale classified more participants as frail (29.24%) than the Fried Frailty Phenotype (22.09%). These findings provide evidence that the FRAIL scale is a valid tool that can be applied to community-dwelling older adults with diabetes.

摘要

关于FRAIL量表在社区居住的老年糖尿病患者中的诊断准确性，证据有限。本研究旨在以Fried衰弱表型为参考标准，验证FRAIL量表在社区居住的老年糖尿病患者中的诊断准确性，并确定其最佳截断点。在这项横断面研究中，共招募了489名60岁及以上的社区居住老年糖尿病患者。FRAIL量表在衰弱筛查方面显示出良好的诊断准确性。糖尿病老年患者衰弱筛查的最佳截断点为2。FRAIL量表与Fried衰弱表型之间的一致性较高。FRAIL量表将更多参与者分类为衰弱（29.24%），高于Fried衰弱表型（22.09%）。这些发现提供了证据，表明FRAIL量表是一种可应用于社区居住老年糖尿病患者的有效工具。