Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients

Detalhes bibliográficos
Autor(a) principal: Castro, Maria de Lurdes
Data de Publicação: 2023
Outros Autores: Alves, Marta, Martins, Ana, Luísa Papoila, Ana, Botelho, Amalia, Fragata, José
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/150478
Resumo: Funding text To Dr. Darryl Rolfson for his assistance throughout this work. To Dr. Isabel Fragata, former Anesthesiology Head of Department at Centro Hospitalar Universitário Lisboa Central, for her encouragement and support. To all the members of the panel for EFS Portuguese translation final version: Professor José Fragata, Professor Maria-Amália Botelho, Professor Pedro Pires Coelho, Dr. Isabel Fragata, Dr. Helena Barrios, Dr. Ângela Sá, Dr. Miguel Ferreira and Dr. César Magro. To Sandra André, from the Administrative Bureau in Cardiothoracic University Clinic at Centro Hospitalar Universitário Lisboa Central.
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spelling Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patientsCardiac surgeryEdmonton Frail Scale Portuguese versionFrailty screeningReproducibilityValidityFunding text To Dr. Darryl Rolfson for his assistance throughout this work. To Dr. Isabel Fragata, former Anesthesiology Head of Department at Centro Hospitalar Universitário Lisboa Central, for her encouragement and support. To all the members of the panel for EFS Portuguese translation final version: Professor José Fragata, Professor Maria-Amália Botelho, Professor Pedro Pires Coelho, Dr. Isabel Fragata, Dr. Helena Barrios, Dr. Ângela Sá, Dr. Miguel Ferreira and Dr. César Magro. To Sandra André, from the Administrative Bureau in Cardiothoracic University Clinic at Centro Hospitalar Universitário Lisboa Central.INTRODUCTION: Frailty is a multidimensional syndrome characterized by the loss of functional reserve, associated with higher mortality and less functional survival in cardiac surgery patients. The Edmonton Frail Scale (EFS) is a comprehensive tool devised for brief frailty detection. To the best of our knowledge, there are no culturally adapted and validated frailty screening tools that enable the identification of vulnerability domains suited for use in the preoperative setting in Portugal. This was the motivation for this study. OBJECTIVES: To assess the validity and reproducibility of the Portuguese version of the EFS. METHODS: Prospective observational study, in a sample of elective cardiac surgery patients. The Edmonton Frail Scale (EFS) translation and backtranslation were performed. Demographic and clinical data were collected, and the translated EFS translated, Geriatric Depression Scale, and Mini Mental State Examination Portuguese versions, Katz and Clinical Frailty Scales were administered. To assess validity Mann-Whitney test, Spearman's correlation coefficient, marginal homogeneity test and Kappa coefficient were employed. Reproducibility was assessed estimating kappa coefficient for the frailty diagnosis and the 11 EFS items. Intra-class correlation coefficients and the corresponding 95% confidence interval were estimated using linear mixed effects model. RESULTS: The EFS Portuguese version revealed construct validity for frailty identification, as well as criterion validity for cognition and mood domains. Reproducibility was demonstrated, with k=0.62 (95% confidence interval (CI) 0.42-0.82) and intraclass correlation (ICC)=0.94 (95% CI 0.89-0.97) in inter-observer test and k=0.48 (95% CI 0.26-0.70) and ICC=0.85 (95% CI 0.72-0.92) in intra-observer test. CONCLUSIONS: The EFS Portuguese version is valid and reproducible for use, suiting pre-operative frailty screening in a cardiac surgery setting.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNCastro, Maria de LurdesAlves, MartaMartins, AnaLuísa Papoila, AnaBotelho, AmaliaFragata, José2023-03-13T22:25:55Z2023-042023-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/150478eng0304-4750PURE: 54535778https://doi.org/10.1016/j.repc.2022.03.009info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:32:26Zoai:run.unl.pt:10362/150478Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:54:08.206609Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
title Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
spellingShingle Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
Castro, Maria de Lurdes
Cardiac surgery
Edmonton Frail Scale Portuguese version
Frailty screening
Reproducibility
Validity
title_short Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
title_full Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
title_fullStr Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
title_full_unstemmed Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
title_sort Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
author Castro, Maria de Lurdes
author_facet Castro, Maria de Lurdes
Alves, Marta
Martins, Ana
Luísa Papoila, Ana
Botelho, Amalia
Fragata, José
author_role author
author2 Alves, Marta
Martins, Ana
Luísa Papoila, Ana
Botelho, Amalia
Fragata, José
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Castro, Maria de Lurdes
Alves, Marta
Martins, Ana
Luísa Papoila, Ana
Botelho, Amalia
Fragata, José
dc.subject.por.fl_str_mv Cardiac surgery
Edmonton Frail Scale Portuguese version
Frailty screening
Reproducibility
Validity
topic Cardiac surgery
Edmonton Frail Scale Portuguese version
Frailty screening
Reproducibility
Validity
description Funding text To Dr. Darryl Rolfson for his assistance throughout this work. To Dr. Isabel Fragata, former Anesthesiology Head of Department at Centro Hospitalar Universitário Lisboa Central, for her encouragement and support. To all the members of the panel for EFS Portuguese translation final version: Professor José Fragata, Professor Maria-Amália Botelho, Professor Pedro Pires Coelho, Dr. Isabel Fragata, Dr. Helena Barrios, Dr. Ângela Sá, Dr. Miguel Ferreira and Dr. César Magro. To Sandra André, from the Administrative Bureau in Cardiothoracic University Clinic at Centro Hospitalar Universitário Lisboa Central.
publishDate 2023
dc.date.none.fl_str_mv 2023-03-13T22:25:55Z
2023-04
2023-04-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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url http://hdl.handle.net/10362/150478
dc.language.iso.fl_str_mv eng
language eng
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PURE: 54535778
https://doi.org/10.1016/j.repc.2022.03.009
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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