Reproducibility of the Brazilian version of the Edmonton
               Frail Scale for elderly living in the community

Fabrício-Wehbe, Suzele Cristina Coelho; Cruz, Idiane Rosset; Haas, Vanderlei José; Diniz, Marina Aleixo; Dantas, Rosana Aparecida Spadoti; Rodrigues, Rosalina Aparecida Partezani

doi:10.1590/0104-1169.2933.2371

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 21 (06) • Nov-Dec 2013 • https://doi.org/10.1590/0104-1169.2933.2371 copy

Reproducibility of the Brazilian version of the Edmonton Frail Scale for elderly living in the community ¹ 1 Paper extracted from doctoral dissertation "Cross-Cultural Adapatation and Validation of the "Edmontn Frail Scale (EFS)" - elderly frailty scale", presented to Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

to verify the inter and intra-rater reproducibility of the Brazilian adapted version of the Edmonton Frail Scale (EFS) in an elderly group of residents.

METHOD:

in order to test the inter-rater reproducibility, two assessments were independently conducted by two researchers on the same day but at different times, in a sample of 103 elderly. Concerning the intra-rater reproducibility, the instrument was administered to 83 elderly (80.6% of the initial sample) by the same researcher in a time gap of 15 days between the two assessments.

RESULTS AND DISCUSSION:

in relation to the inter-rater test, the Kappa was 0.81 (CI 0.61-1.00) and the Intraclass Correlation Coefficient (ICC) corresponded to 0.87 (CI 0.82-0.91, p<0.001). In relation to the intra-rater test, the Kappa was 0.83 (CI 0.72-0.94) and the ICC 0.87 (CI 0.81-1.00, p<0.001).

CONCLUSION:

the results show that the EFS is reliable and can be used as a tool to improve geriatric nursing care in Brazil.

Frail Elderly; Nursing Methodology Validation; Validation Studies; Reproducibility of Results; Geriatric Nursing

Frailty Diagnosis T1	Frailty Diagnosis A1*
	No frailty		Visibly vulnerable		Mild		Moderate		Severe		Total
	N	%	N	%	N	%	N	%	N	%	N	%
No frailty	40	90.9	4	9.1	0	0.0	0	0.0	0	0.0	44	100
Visibly vulnerable	6	22.2	15	55.6	5	18.5	1	3.7	0	0.0	27	100
Light	1	6.3	5	31.3	9	56.3	1	6.3	0	0.0	16	100
Moderate	0	0.0	1	7.7	2	15.4	9	69.2	1	7.7	13	100
High	1	33.3	0	0.0	0	0.0	0	0.0	2	66.7	3	100
Total	48	46.6	25	24.3	16	15.5	11	10.7	3	2.9	103	100

Edmonton Frail Scale Total	Edmonton Frail Scale Items	Kappa	Reliability interval 95%
1.Cognition	Clock drawing test	0.77	0.62-0.91
2.General health status	How many times have you been hospitalized in the last 12 months?	0.87	0.52-1.00
3.General health status	Generally, how would you describe your health?	0.74	0.47-1.00
4.Functional Independence	In how many of the following activities do you require assistance with?	0.80	0.74-0.86
5.Social Support	When you need assistance, is there anyone you can rely on to attend to your needs?	0.87	0.65-1.00
6.Use of medication	Usually, do you use five or more different and prescribed medications (by a doctor)?	0.87	0.77-0.98
7.Use of medication	Do you sometimes forget to take your medication?	0.53	0.35-0.72
8.Nutrition	Have you been losing weight recently, in a way that your clothes have become looser?	0.95	0.88-1.00
9.Mood	Do you often feel sad or depressed?	0.59	0.42-0.75
10.Continence	Do you have trouble losing control your urine? (hold urine?)	0.82	0.70-0.93
11.Funcional Performance	Timed "get up and walk" test	0.76	0.58-0.94

Edmonton Frail Scale Total	Edmonton Frail Scale Items	Kappa	Reliability interval 95%
1.Cognition	Clock drawing test	0.74	0.59-0.89
2.General health status	How many times have you been hospitalized in the last 12 months?	0.76	0.28-1.00
3. General health status	Generally, how would you describe your health?	0.58	0.25-0.91
4.Functional independence	In how many of the following activities do you need assistance with?	0.91	0.87-0.95
5.Social Support	When you need assistance, is there anyone you can rely on to attend to your needs?	0.84	0.68-1.00
6.Use of medication	Usually, do you use five or more different and prescribed medications (by a doctor)?	0.68	0.50-0.86
7. Use of medication	Do you sometimes forget to take your medication?	0.64	0.45-0.83
8.Nutrition	Have you been losing weight recently, in a way that your clothes have become looser?	0.59	0.39-0.79
9.Mood	Do you often feel sad or depressed?	0.72	0.54-0.90
10.Continence	Do you have trouble losing control your urine? (hold urine?)	0.77	0.63-0.91
11.Funcional Performance	Timed "get up and walk" test	0.69	0.48-0.90

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Rosalina Aparecida Partezani Rodrigues Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Departamento de Enfermagem Geral e Especializada Avenida Bandeirantes, 3900 Bairro: Monte Alegre CEP: 14040-902, Ribeirão Preto, SP, Brasil E-mail: rosalina@eerp.usp.br