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

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

Pages : 344-350

Doi:10.53394/akd.1295329

View : 34 | Download : 64

Publication Date : 2024-05-01

Article Type : Research Paper

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 : Yaşlı, kırılganlık, geriatrik değerlendirme