The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS)
<b>Background:</b> Different scales are being used to measure frailty. This study examined the convergent validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS). <b>Method:</b> The cross-sectional study recruited patients from three regional comm...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-11-01
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| Series: | Geriatrics |
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| Online Access: | https://www.mdpi.com/2308-3417/5/4/88 |
| _version_ | 1797548460804669440 |
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| author | Antoinette Broad Ben Carter Sara Mckelvie Jonathan Hewitt |
| author_facet | Antoinette Broad Ben Carter Sara Mckelvie Jonathan Hewitt |
| author_sort | Antoinette Broad |
| collection | DOAJ |
| description | <b>Background:</b> Different scales are being used to measure frailty. This study examined the convergent validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS). <b>Method:</b> The cross-sectional study recruited patients from three regional community nursing teams in the South East of England. The CFS was rated at recruitment, and the eFI was extracted from electronic health records (EHRs). A McNemar test of paired data was used to compare discordant pairs between the eFI and the CFS, and an exact McNemar Odds Ratio (OR) was calculated. <b>Findings:</b> Of 265 eligible patients consented, 150 (57%) were female, with a mean age of 85.6 years (SD = 7.8), and 78% were 80 years and older. Using the CFS, 68% were estimated to be moderate to severely frail, compared to 91% using the eFI. The eFI recorded a greater degree of frailty than the CFS (OR = 5.43, 95%CI 3.05 to 10.40; <i>p</i> < 0.001). This increased to 7.8 times more likely in men, and 9.5 times in those aged over 80 years. <b>Conclusions:</b> This study found that the eFI overestimates the frailty status of community dwelling older people. Overestimating frailty may impact on the demand of resources required for further management and treatment of those identified as being frail. |
| first_indexed | 2024-03-10T14:59:39Z |
| format | Article |
| id | doaj.art-35c6375cd0a44996941710813b4b232a |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-10T14:59:39Z |
| publishDate | 2020-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-35c6375cd0a44996941710813b4b232a2023-11-20T20:14:01ZengMDPI AGGeriatrics2308-34172020-11-01548810.3390/geriatrics5040088The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS)Antoinette Broad0Ben Carter1Sara Mckelvie2Jonathan Hewitt3Community Services, Oxford Health NHS Foundation Trust, Oxford OX3 7JX, UKDepartment of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AF, UKEmergency Medical Unit, Oxford Health NHS Foundation Trust, Oxford OX3 7JX, UKDivision of Population Medicine, Cardiff University, Penarth CF64 2XX, UK<b>Background:</b> Different scales are being used to measure frailty. This study examined the convergent validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS). <b>Method:</b> The cross-sectional study recruited patients from three regional community nursing teams in the South East of England. The CFS was rated at recruitment, and the eFI was extracted from electronic health records (EHRs). A McNemar test of paired data was used to compare discordant pairs between the eFI and the CFS, and an exact McNemar Odds Ratio (OR) was calculated. <b>Findings:</b> Of 265 eligible patients consented, 150 (57%) were female, with a mean age of 85.6 years (SD = 7.8), and 78% were 80 years and older. Using the CFS, 68% were estimated to be moderate to severely frail, compared to 91% using the eFI. The eFI recorded a greater degree of frailty than the CFS (OR = 5.43, 95%CI 3.05 to 10.40; <i>p</i> < 0.001). This increased to 7.8 times more likely in men, and 9.5 times in those aged over 80 years. <b>Conclusions:</b> This study found that the eFI overestimates the frailty status of community dwelling older people. Overestimating frailty may impact on the demand of resources required for further management and treatment of those identified as being frail.https://www.mdpi.com/2308-3417/5/4/88clinical Frailty Scaleelectronic Frailty Indexcommunity |
| spellingShingle | Antoinette Broad Ben Carter Sara Mckelvie Jonathan Hewitt The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS) Geriatrics clinical Frailty Scale electronic Frailty Index community |
| title | The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS) |
| title_full | The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS) |
| title_fullStr | The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS) |
| title_full_unstemmed | The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS) |
| title_short | The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS) |
| title_sort | convergent validity of the electronic frailty index efi with the clinical frailty scale cfs |
| topic | clinical Frailty Scale electronic Frailty Index community |
| url | https://www.mdpi.com/2308-3417/5/4/88 |
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