Reproducibility and validity of the Portuguese Edmonton Frail Scale version in cardiac surgery patients
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
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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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 |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/150478 |
url |
http://hdl.handle.net/10362/150478 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0304-4750 PURE: 54535778 https://doi.org/10.1016/j.repc.2022.03.009 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799138131124944896 |