Validation of the revised 9-scale clinical frailty scale (CFS) in Greek language

Vrettos, Ioannis; Voukelatou, Panagiota; Panayiotou, Stefani; Kyvetos, Andreas; Kalliakmanis, Andreas; Makrilakis, Konstantinos; Sfikakis, Petros P.; Niakas, Dimitris

doi:10.1186/s12877-021-02318-3

Cited by 14 publications

(17 citation statements)

References 56 publications

(60 reference statements)

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“…16 Correlation between the CFS and the Barthel index was found in the CFS Greek validity study in Greece. 17 In the CFS French validity study in France, similar to our study, CFS was applied twice with an interval of 2 weeks, and a correlation was found between test and retest. 18 CFS appears to be more favorable than Edmonton in that it can produce outcomes in less time and does not require patients to conduct activities such as clocking or walking.…”

Section: Discussionsupporting

confidence: 79%

Validation of the Clinical Frailty Scale version 2.0 in Turkish older patients

AŞIK

Kılınç²,

Kurşun³

et al. 2022

Geriatrics Gerontology Int

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Aim Frailty is a syndrome that affects certain older adults more than others, and it has physical, cognitive, psychological, social and environmental aspects. The aim of our study was to determine the validity and reliability of the Clinical Frailty Scale (CFS) version 2.0 in Turkish. In total, 204 older adults aged ≥65 years took part in this study. Methods The necessary permissions were obtained from Rockwood et al. The Turkish version of CFS version 2.0 had been appropriately translated through translation to the back‐translation process. A questionnaire was used to investigate certain descriptive features, as well as the newly edited Turkish translation of CFS version 2.0, the Turkish version of the FRAIL Scale and the Turkish version of the Edmonton Frail Scale. Results The age range was 65–95 years. In a Pearson correlation analysis, a positive link was discovered between FRAIL and CFS (r = 0.761 and P = 0.000) as well as CFS and Edmonton (r = 0.895 and P = 0.000). Conclusion The Turkish translation of CFS version 2.0 has been determined to be suitable, valid and reliable for use in frailty screening in outpatient clinics. Geriatr Gerontol Int 2022; 22: 730–735.

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Section: Discussionsupporting

confidence: 79%

Validation of the Clinical Frailty Scale version 2.0 in Turkish older patients

AŞIK

Kılınç²,

Kurşun³

et al. 2022

Geriatrics Gerontology Int

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“…Frailty was assessed using the revised nine-scale Clinical Frailty Scale (CFS) [ 17 ], which was translated and validated in Greek [ 18 ]. The CFS is a judgment-based frailty tool that summarizes the overall level of fitness or frailty of an older adult to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill) [ 17 ].…”

Section: Methodsmentioning

confidence: 99%

The Indirect Effect of the Frailty of Dependent Elderly People Needing Hospitalization on Their Informal Caregivers' Anxiety

Vrettos¹,

Anagnostopoulos²,

Voukelatou³

et al. 2022

Cureus

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Background A high prevalence of anxiety symptoms has been identified among the caregivers of disabled older people. The aim of the study was to explore the relationships between objective burden (intensity of care and burdensome characteristics of the care recipient, like frailty status), caregiver characteristics, subjective burden, and anxiety in a sample of informal caregivers caring for hospitalized elderly patients. Methods In this cross-sectional study, patients' and their informal caregivers' characteristics were recorded for 311 patient-caregiver dyads. Subjective caregiver burden and caregivers' anxiety were assessed by using the Zarit Burden Interview and the Hospital Anxiety and Depression Scale (HADS), respectively. Correlation coefficients and path analysis were used to examine the relationship between variables. Caregivers' anxiety was considered as the outcome variable. Caregivers' subjective burden was entered as a mediator between caregiver characteristics-objective burden and anxiety. An objective burden was measured based on the care needs of the dependent elderly (frailty status, cognitive impairment, comorbidity, independence in activities of daily living, behavioral problems, hours spent on caregiving, and duration of caregiving). Results Abnormal anxiety symptoms (HADS score 11-21) were reported by 92 caregivers (29.6%). Borderline cases (HADS score 8-10) were 66 caregivers (21.2%). A mild, moderate, or severe subjective burden was recorded for 113 (36.3%), 100 (32.2%), and 26 (8.4%) caregivers, respectively. The female gender of the caregiver, the spousal relationship with the patient, and the subjective burden were directly related to higher levels of caregivers' anxiety. A subjective burden was found to be a significant mediator in the relationship between duration of caregiving, patients' frailty status, caregiver gender, patients' comorbidity, and caregivers' anxiety. Conclusion Among the risk factors for caregivers' anxiety, the frailty status of the patient is probably the only modifiable factor via interventions targeting frailty reversion or reduction.

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“…Frailty was assessed using the Greek version of the revised 9-point Clinical Frailty Scale (CFS) [16,[17][18][19]. The 7-point Global Deterioration Scale (GDS) was used for the evaluation of cognitive status, activities of daily living were evaluated by using Barthel Index (BI) and, for the measurement of comorbidity, the Charlson Comorbidity Index (CCI) was used [20][21][22].…”

Section: Sample Tools and Data Collectionmentioning

confidence: 99%

Factors Associated With Mortality in Elderly Hospitalized Patients at Admission

Vrettos¹,

Voukelatou²,

Panayiotou³

et al. 2022

Cureus

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BackgroundSeveral factors have been associated with mortality prediction among older inpatients. The objective of this study was to assess the factors associated with mortality in hospitalized elderly patients. MethodsA total of 353 consecutively admitted elderly patients (47.9% women), with a median age of 83 years (interquartile range 75.00-88.00), were enrolled in the study and patient characteristics were recorded. Comorbidities were assessed using Charlson Comorbidity Index (CCI), activities of daily living by Barthel Index (BI), frailty was assessed using the Clinical Frailty Scale (CFS), cognition by Global Deterioration Scale (GDS) and symptom severity at admission by quick Sequential Organ Function Assessment (qSOFA) score. CFS, GDS and BI were estimated for the premorbid patients' status. Parametric and non-parametric tests and binary logistic regression analysis were applied to identify the factors associated with mortality. A receiver operating characteristic (ROC) curve was used to analyse the prognostic value of CFS and qSOFA. ResultsIn total, 55 patients (15.6%) died during hospitalization. In regression analysis, the factors associated with mortality were the qSOFA score at admission (p=0.001, odds ratio [OR]=1.895, 95% confidence interval [CI] 1.282-2.802) and the premorbid CFS score (p=0.001, OR=1.549, 95% CI 1.1204-1.994). The classifiers both have almost similar area under the curve (AUC) scores, with CFS performing slightly better. More specifically, both CFS (AUC 0.79, 95% CI 0.73-0.85, p=0.001) and qSOFA (AUC 0.75, 95% CI 0.67-0.83, p<0.001) showed almost the same accuracy for predicting inpatients' mortality. ConclusionThis study strengthens the perception of premorbid frailty and disease severity at admission as factors closely related to mortality in hospitalized elderly patients. Simple measures such as CFS and qSOFA score may help identify, in the emergency department, elderly patients at risk, in order to provide timely interventions.

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Validation of the revised 9-scale clinical frailty scale (CFS) in Greek language

Cited by 14 publications

References 56 publications

Validation of the Clinical Frailty Scale version 2.0 in Turkish older patients

Validation of the Clinical Frailty Scale version 2.0 in Turkish older patients

The Indirect Effect of the Frailty of Dependent Elderly People Needing Hospitalization on Their Informal Caregivers' Anxiety

Factors Associated With Mortality in Elderly Hospitalized Patients at Admission

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