Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Sun, Dec 1, 2024
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Volume 13, Issue 2 (Spring 2022)
Caspian J Intern Med 2022, 13(2): 425-430 |
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Zulfiqar A. Creation of a new frailty scale in primary care: the Zulfiqar frailty scale.. Caspian J Intern Med 2022; 13 (2) :425-430
URL: http://caspjim.com/article-1-2618-en.html
URL: http://caspjim.com/article-1-2618-en.html
Internal Medicine Unit, Clinique Médicale B, University Hospital of Strasbourg, 67000 Strasbourg, France , abzulfiqar@gmail.com
Abstract: (2000 Views)
Background: 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.
Methods: 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.
Results: 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%.
Conclusion: 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.
Methods: 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.
Results: 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%.
Conclusion: 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.
Type of Study: Original Article |
Subject:
statistics
Received: 2020/11/26 | Accepted: 2022/02/20 | Published: 2022/02/13
Received: 2020/11/26 | Accepted: 2022/02/20 | Published: 2022/02/13
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