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

Year 2024, Volume: 10 Issue: 2, 344 - 350, 01.05.2024

Serdar Ceylan , Merve Güner , Arzu Okyar Baş , Burcu Balam Doğu , Meltem Gülhan Halil , Mustafa Cankurtaran , Cafer Balcı

https://doi.org/10.53394/akd.1295329

Abstract

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.

Keywords

Yaşlı, kırılganlık, geriatrik değerlendirme

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

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