P-733: Is frailty possible to assess in geriatric hospitalized patients? The feasibility and compatibility of commonly used diagnostic criteria of frailty syndrome in everyday clinical practice

摘要

Introduction: We assessed the prevalence of frailty syndrome in older patients hospitalized in the geriatric ward depending on the diagnostic criteria, feasibility of particular scales and compatibility between them. Methods: Patients consecutively admitted to the geriatric ward were included to the study. Four diagnostic scales were used to identify frailty syndrome: Fried criteria, 7-point Clinical Frailty Scale (CFS), 40-item Frailty Index (FI) and FRAIL Scale. The compatibility of the scales was determined using Cohen's Kappa statistics. Results: 416 patients (mean age 81.2 ± 6.91 years) were admitted to the Department of Geriatrics in the period of the study. Depending on the scale used, the prevalence of frailty syndrome among the study population varied from 26.8% (FRAIL), 52.3% (CFS), 58.1% (Fried criteria) up to 62.9% (FI). CFS could be performed in 100% of the studied population, FI in 95.2%, FRAIL Scale in 89.7% and Fried scale in 79.8%. The highest level of agreement was found between CFS and Fried scale, with 70.2% of consistent ratings (Cohen Kappa 0.49). The FI and Fried scales (68.9%) and FI and CFS (68.7%) were also well-compatible. Conclusions: Patients of the geriatric ward are characterized by a high prevalence of frailty syndrome. The highest frequency was found when the FI was used, and the lowest—in the case of the FRAIL scale. The scales showed satisfactory agreement. The feasibility of particular diagnostic scales was high, however, the most difficult to use was the Fried scale, while CFS was possible to determine in all patients.