Operationalization of the Clinical Frailty Scale in Korean Community-Dwelling Older People
BackgroundThe Clinical Frailty Scale (CFS) is a simple measure of global fitness validated in various populations in real-world settings. In this study, we aimed to assess the characteristics and validities of the CFS in community-dwelling older people in Korea, with the original classification tree...
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| Format: | Article |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.880511/full |
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| author | Hee-Won Jung Ji Yeon Baek Il-Young Jang Eunju Lee |
| author_facet | Hee-Won Jung Ji Yeon Baek Il-Young Jang Eunju Lee |
| author_sort | Hee-Won Jung |
| collection | DOAJ |
| description | BackgroundThe Clinical Frailty Scale (CFS) is a simple measure of global fitness validated in various populations in real-world settings. In this study, we aimed to assess the characteristics and validities of the CFS in community-dwelling older people in Korea, with the original classification tree (oCFS) and a culturally modified tree (mCFS).MethodsThe comprehensive geriatric assessment records of 1,064 individuals of the Aging Study of the Pyeongchang Rural Area were used for this study. For mCFS, we considered the dependency of the food preparations and household chores not to be deficits in the male population. The frailty index was used as a reference for construct validity. We used a composite outcome of death and institutionalization for outcome validity.ResultsThe correlation coefficients with frailty index were higher in mCFS (.535) than in oCFS (.468). The mean frailty index was lower in individuals reclassified by mCFS (5 to 4) than people who stayed in mCFS 5. The classification coefficient of mCFS was significantly higher than that of oCFS (p <0.001) in determining people with frailty (frailty index.25 or higher). Trends of a higher incidence of the composite outcome were observed in both higher oCFS and mCFS, in which oCFS and mCFS did not differ significantly in predicting the risk of the outcome.ConclusionThe classification tree of CFS could be culturally adopted in a community-dwelling population of Korea and considered valid in detecting the vulnerable population. |
| first_indexed | 2024-04-13T21:44:26Z |
| format | Article |
| id | doaj.art-6653d6ccd2134ebb845e932cde5657ec |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-13T21:44:26Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-6653d6ccd2134ebb845e932cde5657ec2022-12-22T02:28:39ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-06-01910.3389/fmed.2022.880511880511Operationalization of the Clinical Frailty Scale in Korean Community-Dwelling Older PeopleHee-Won JungJi Yeon BaekIl-Young JangEunju LeeBackgroundThe Clinical Frailty Scale (CFS) is a simple measure of global fitness validated in various populations in real-world settings. In this study, we aimed to assess the characteristics and validities of the CFS in community-dwelling older people in Korea, with the original classification tree (oCFS) and a culturally modified tree (mCFS).MethodsThe comprehensive geriatric assessment records of 1,064 individuals of the Aging Study of the Pyeongchang Rural Area were used for this study. For mCFS, we considered the dependency of the food preparations and household chores not to be deficits in the male population. The frailty index was used as a reference for construct validity. We used a composite outcome of death and institutionalization for outcome validity.ResultsThe correlation coefficients with frailty index were higher in mCFS (.535) than in oCFS (.468). The mean frailty index was lower in individuals reclassified by mCFS (5 to 4) than people who stayed in mCFS 5. The classification coefficient of mCFS was significantly higher than that of oCFS (p <0.001) in determining people with frailty (frailty index.25 or higher). Trends of a higher incidence of the composite outcome were observed in both higher oCFS and mCFS, in which oCFS and mCFS did not differ significantly in predicting the risk of the outcome.ConclusionThe classification tree of CFS could be culturally adopted in a community-dwelling population of Korea and considered valid in detecting the vulnerable population.https://www.frontiersin.org/articles/10.3389/fmed.2022.880511/fullclinical frailty scalecultureclassificationAsianolder adults |
| spellingShingle | Hee-Won Jung Ji Yeon Baek Il-Young Jang Eunju Lee Operationalization of the Clinical Frailty Scale in Korean Community-Dwelling Older People Frontiers in Medicine clinical frailty scale culture classification Asian older adults |
| title | Operationalization of the Clinical Frailty Scale in Korean Community-Dwelling Older People |
| title_full | Operationalization of the Clinical Frailty Scale in Korean Community-Dwelling Older People |
| title_fullStr | Operationalization of the Clinical Frailty Scale in Korean Community-Dwelling Older People |
| title_full_unstemmed | Operationalization of the Clinical Frailty Scale in Korean Community-Dwelling Older People |
| title_short | Operationalization of the Clinical Frailty Scale in Korean Community-Dwelling Older People |
| title_sort | operationalization of the clinical frailty scale in korean community dwelling older people |
| topic | clinical frailty scale culture classification Asian older adults |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.880511/full |
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