Validation and Reliability of Edmonton Frail Scale In Community - Dwelling Older Adults in Türkiye

Abstract

Objectives: This study aimed to demonstrate the validity and reliability of the Edmonton Frail Scale (EFS) among community-dwelling older adults in Türkiye. Methods: Participants who applied to the geriatrics outpatient clinic of a university hospital were included. The validity of the EFS was tested by its concordance with the Clinical Frailty Scale (CFS). Results: The median EFS score was 4.0 (IQR: 2.0-7.0), and the median CFS score was 3.0 (IQR: 3.0-4.0). There was substantial concordance between EFS and CFS (Cohen's kappa: 0.715, p<0.001). Furthermore, the EFS inter-rater and retest reliability values were excellent (Cohen's kappa: 0.846, p<0.001; Cohen's kappa: 1.0, p<0.001, respectively). Calculated based on the reference scale, the EFS specificity was 100.0%, and the sensitivity was 62.96%. Conclusion: The EFS is a valid and reliable scale for assessing frailty in community-dwelling older adults. Its widespread clinical use can help predict adverse health outcomes and enable timely interventions.

Keywords

• Aged
• frailty
• geriatric assessment

Edmonton Kırılganlık Ölçeği’nin Türkiye’de Toplumda Yaşayan Yaşlı Yetişkinlerde Geçerlik ve Güvenirliği

Öz

Amaç: Çalışmada Edmonton Kırılganlık Ölçeği’nin (EKÖ) Türkiye’de toplumda yaşayan yaşlı yetişkinlerde geçerlik ve güvenirliğinin gösterilmesi amaçlandı. Yöntem: Bir ünivesite hastanesi geriatri polikliniğine başvuran katılımcılar dahil edildi. Edmonton Kırılganlık Ölçeği’nin geçerliği Klinik Kırılganlık Skalası (KKS) ile uyumu ile test edildi. Bulgular: Ortanca EKÖ skoru 4.0 (Çeyrekler arası aralık (ÇAA): 2.0-7.0) ve ortanca KKS skoru 3.0 (ÇAA: 3.0-4.0) idi. Edmonton Kırılganlık Ölçeği ile KKS arasında önemli derecede uyum vardı (Cohen's kappa: 0.715, p<0.001). Edmonton Kırılganlık Ölçeği’nin gözlemciler arası ve test-tekrar test güvenirlikleri mükemmeldi (Cohen's kappa: 0.846, p<0.001; Cohen's kappa: 1.0, p<0.001, sırasıyla). Referans ölçeğe göre hesaplanan değerlerde, EKÖ’nün seçiciliği %100.0, duyarlılığı %62.96 olarak saptandı. Sonuç: Edmonton Kırılganlık Ölçeği, toplumda yaşayan yaşlı yetişkinlerde geçerli ve güvenilirdir. Klinikte yaygın olarak kullanımı olumsuz sağlık sonuçlarının öngörülmesine ve zamanında müdahelelerin yapılmasına yardımcı olabilir.

Anahtar Kelimeler

• Yaşlı
• kırılganlık
• geriatrik değerlendirme

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