Pdf validity and reliability of the edmonton frail scale. Validity and reliability of the edmonton frail scale ncbi. The electronic frailty index guidance notes the electronic frailty index efi helps identify and predict adverse outcomes for older patients in primary care it is therefore useful to plan at an individual and whole systems level information for the efi is collected using existing electronic health record. Darryl rolfson is a professor and specialist in geriatric medicine at the university of alberta in edmonton, alberta, canada. After a registrar assessment, the footofthe bed frailty assessment was independently repeated. Cronbachs alpha values were predefined as acceptable if it was 0. A number of candidate tools for screening are available including the frailty phenotype model itself fried et al. Getting started with the edmonton frail scale british geriatrics. Starting from the view that case management is a complex intervention occurring in multilayered realities, we conducted a realist evaluation of case management in belgium, where this type of intervention is new.
Before warfarin initiation, the use of clopidogrel and acetaminophen was more common in frail patients compared with nonfrail patients 25. Frailty and coprescribing of potentially interacting. Validity and reliability of the edmonton frail scale. Frail scale number % frailty index number % nonfrail 2073 96. The aim of this study was to evaluate the performance of edmonton frail scale efs on frailty assessment in association with multidimensional conditions assessed with specific screening tools and to explore the prevalence of frailty by gender. This is a pdf file of an unedited manuscript that has been accepted for publication. Patients and caregivers were recruited through the participating hcps or through posters in geriatric clinics where the participating hcp worked. Frailty has been proposed by geriatricians as an indicator of functional age. Frontiers the gap between clinical research and standard. Geriatric assessment in frail older patients in the emergency department. On the other hand, the edmonton frail scale efs assesses the. The frailty index was calculated using edmonton scoring index. Edmonton frail scale the efs table 1 is a validated tool to determine the patients level of frailty as a score ranging from 0 not frail to 17 very frail based on a series of basic questions or tasks that provides a global evaluation.
The main themes were 1 frailty assessment of patients pages 2 and 3 of additional file 1 and 2 awareness of the ease study and clinical frailty scale used in the ease study pages 4 and 5 of additional file 1. Comparative analysis of the association between 35 frailty. Improving surgical care and o p t implementation of an. Reported edmonton frail scale alberta health services.
The groningen frailty indicator gfi, the prisma7, polypharmacy, the clinical judgment of the general practitioner gp, the selfrated health of the older adult, the. Performance of edmonton frail scale on frailty assessment. The interviews were conducted in the homes of the elderly with the use of an instrument that contained the adapted version of the edmonton frail scale 16. Fit to printable area scales small pages up and large pages down to fit the paper. The edmonton frail scale efs was developed by rolfson et al. This is a standalone frailty assessment questionnaire program that will score and save the results to the patient record in vision.
Clinical frailty scale 1 very fit people who are robust, active, energetic and motivated. Resources for the cga based proactive primary care of the elderly. Reproducibility of the brazilian version of the edmonton. Reported edmonton frail scale hilmer aust j aging 2009 cognition. Assessment of frailty short validated assessments frail scale fatigue, resistance, ambulation, illness, loss of weight morley et al. Following this, patients were administered the reported edmonton frail scale refs questionnaire. Gait speed, the identification seniors at risk primary care isar pc and the interrai. The edmonton frail scale is a validated instrument designed for use in outpatient settings 6.
The efs was given to the patients to evaluate their frailty. It will also capture the form and save it as an image. Ninety four patients 49% had low frailty score and 88 patients 51% had a high. Utility of the edmonton frail scale in identifying frail elderly patients. The edmonton frail scaleefs was a valid measure of frailty compared to the clinical impression of geriatric specialists after their more. Both of them evaluated the frail status using the reported edmonton frail scale refs. Frailty status was assessed with the reported edmonton frail scale. If you do not see its contents the file may be temporarily unavailable at.
Comparison of 10 single and stepped methods to identify. A previous study compared the reliability of risk assessment tools in elderly emergency surgical patients to that of surgical expert opinion. Crosscultural adaptation and validity of the edmonton frail scale. Comparative analysis of the association between 35 frailty scores and cardiovascular events, cancer, and total mortality in an elderly general population in england. Seniors were eligible to participate if they were 65 years of age or older, and considered frail according to the clinical frailty scale or the edmonton frail scale.
Prognosis impact of frailty assessed by the edmonton frail. Review of risk assessment tools to predict morbidity and. Waikato aortic team we meet on every second friday 1100 1200 and discuss internal and external referrals. The fragility syndrome and risk of fall in the elderly. Free fulltext pdf articles from hundreds of disciplines, all in one place performance of edmonton frail scale on frailty assessment. In total, 151 patients 102 nonfrail and 49 frail were included. With how many of the following activities do you require help. A great advantage of this scale is that it has been validated not only in the elderly but also in middleaged individuals 56,57. Edmonton frail scale frail scale geriatric advisory panel international advisory panel nutrition health and ageing 2008 frailty.
This study aimed to assess the crosscultural adaptation of the edmonton frail scale efs and its validity in a brazilian elderly sample. Closed down nscp healthcare services in north somerset. Shrink to printable area resizes only large pages to fit the paper and prints small pages as they are. The edmonton frail scale efs,26 which is a validated frailty measure designed for specialist and nonspecialist use that records information on nine frailty domains cognition, general health, functional independence, social support, medication use, nutrition, mood, continence, functional performance. Use of the reported edmonton frail scale in the assessment. However, the edmonton frail scale has not been used in people living with hiv plhiv to date. Pdf use of the reported edmonton frail scale in the. As a service to our customers we are providing this early version of the manuscript. Edmonton symptom assessment system revised esas r 07903rev201508 no pain 012345678 9 10 worst possible pain no tiredness 012345678 9 10 worst possible tiredness lack of energy tiredness no drowsiness 012345678 9 10 worst possible drowsiness feeling sleepy drowsiness. Download pdf fulltext 2011 science press,all rights reseved. In addition to the clinical judgement of the gp, polypharmacy, prisma7, the groningen frailty indicator gfi and selfrated health of the patient, we compared the frailty index fi and the edmonton frail scale efs and 3 other tools used to identify older adults at risk for adverse health outcomes. Pdf on oct 1, 2006, darryl b rolfson and others published validity and reliability of the edmonton frail scale find, read and cite all the research you need on. The role of edmonton frailty scale and asa grade in the assessment.
1476 1213 1550 485 1323 1268 875 616 98 1390 317 484 856 905 1148 168 505 133 105 1326 929 792 1217 74 770 799 334 93 1030 714 337 6 1272