Kasiukiewicz Agnieszka, Wojszel Zyta Beata
Department of Geriatrics, Medical University of Bialystok, 15-089 Bialystok, Poland.
Department of Geriatrics, Marian Zyndram Koscialkowski Hospital of the Ministry of Interior and Administration in Bialystok, 15-471 Bialystok, Poland.
J Clin Med. 2023 Dec 23;13(1):86. doi: 10.3390/jcm13010086.
The study aimed to assess the prevalence of the frailty syndrome in older patients hospitalized in the geriatric ward depending on the diagnostic criteria used, the feasibility of particular diagnostic scales in hospitalized patients, and their compatibility; 416 patients (81.2 ± 6.91 years) admitted to the Department of Geriatrics of Hospital of the Ministry of the Interior and Administration in Bialystok within eight months were included in the study. Four diagnostic scales were used to identify the frailty syndrome: Fried criteria, 7-point Clinical Frailty Scale (CFS), 40-item Frailty Index (FI), and FRAIL Scale. Depending on the scale, the prevalence of frailty syndrome varied from 26.8% (FRAIL Scale), 52.3% (Clinical Frailty Scale), and 58.1% (Fried criteria) up to 62.9% (Frailty Index). We observed the highest feasibility for CFS (100%) and the lowest for the Fried scale (79.8%). The highest level of agreement was found between the CFS and Frailty Index, with 80.3% consistent ratings (Cohen Kappa 0.6). Patients in the geriatric ward are characterized by a high prevalence of frailty, although it differs depending on the criteria. The most difficult to use in daily practice was the Fried scale, while the Clinical Frailty Scale was determined feasible in all patients.
该研究旨在根据所使用的诊断标准，评估老年病房中住院老年患者衰弱综合征的患病率、特定诊断量表在住院患者中的可行性及其兼容性；纳入了8个月内入住比亚韦斯托克内政和行政部医院老年病科的416名患者（81.2±6.91岁）。使用四种诊断量表来识别衰弱综合征：弗里德标准、7分临床衰弱量表（CFS）、40项衰弱指数（FI）和FRAIL量表。根据量表不同，衰弱综合征的患病率从26.8%（FRAIL量表）、52.3%（临床衰弱量表）和58.1%（弗里德标准）到62.9%（衰弱指数）不等。我们观察到CFS的可行性最高（100%），弗里德量表的可行性最低（79.8%）。CFS和衰弱指数之间的一致性水平最高，一致评级为80.3%（科恩kappa系数为0.6）。老年病房的患者衰弱患病率较高，尽管根据标准不同患病率有所差异。日常实践中最难使用的是弗里德量表，而临床衰弱量表在所有患者中都被确定为可行。
