[Assessment of two frailty scales for the preoperative period].
Fragilidad: en busca de herramientas de evaluación preoperatoria.
Journal
Revista medica de Chile
ISSN: 0717-6163
Titre abrégé: Rev Med Chil
Pays: Chile
ID NLM: 0404312
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
03
09
2019
accepted:
09
03
2020
entrez:
31
7
2020
pubmed:
31
7
2020
medline:
22
9
2020
Statut:
ppublish
Résumé
In the perioperative context, a frailty evaluation scale must consider certain characteristics such as validation, execution speed, simplicity, the capacity to measure multiple dimensions and not being dependent on a cognitive or physical test that could not be performed prior to surgery. The test should select patients that could benefit from interventions aimed to improve their postoperative outcomes. To validate two frailty evaluation scales for the perioperative period. The Risk Analysis Index with local modifications (RAI-M) were applied to 201 patients aged 73 ± 7 years (49% women) and the Edmonton frailty scale were applied in 151 patients aged 73 ± 7 years (49% women) in the preoperative period. Their results were compared with the Rockwood frailty index. The Edmonton frail scale showed adequate psychometric properties and assessed multiple dimensions through 8 of the 11 original questions, achieving a discrimination power over 80% compared to the Rockwood Index. The RAI- M, demonstrated solid psychometric properties with a tool that examines 4 dimensions of frailty through 15 questions and reviewing the presence of 11 medical comorbidities. This scale had a discrimination power greater than 85% and it was significantly associated with prolongation of the planned hospital stay and mortality. RAI-M is a short and easily administered scale, useful to detect frailty in the preoperative period.
Sections du résumé
BACKGROUND
BACKGROUND
In the perioperative context, a frailty evaluation scale must consider certain characteristics such as validation, execution speed, simplicity, the capacity to measure multiple dimensions and not being dependent on a cognitive or physical test that could not be performed prior to surgery. The test should select patients that could benefit from interventions aimed to improve their postoperative outcomes.
AIM
OBJECTIVE
To validate two frailty evaluation scales for the perioperative period.
MATERIAL AND METHODS
METHODS
The Risk Analysis Index with local modifications (RAI-M) were applied to 201 patients aged 73 ± 7 years (49% women) and the Edmonton frailty scale were applied in 151 patients aged 73 ± 7 years (49% women) in the preoperative period. Their results were compared with the Rockwood frailty index.
RESULTS
RESULTS
The Edmonton frail scale showed adequate psychometric properties and assessed multiple dimensions through 8 of the 11 original questions, achieving a discrimination power over 80% compared to the Rockwood Index. The RAI- M, demonstrated solid psychometric properties with a tool that examines 4 dimensions of frailty through 15 questions and reviewing the presence of 11 medical comorbidities. This scale had a discrimination power greater than 85% and it was significantly associated with prolongation of the planned hospital stay and mortality.
CONCLUSIONS
CONCLUSIONS
RAI-M is a short and easily administered scale, useful to detect frailty in the preoperative period.
Identifiants
pubmed: 32730375
pii: S0034-98872020000300311
doi: 10.4067/S0034-98872020000300311
pii:
doi:
Types de publication
Journal Article
Langues
spa
Sous-ensembles de citation
IM