Cross‐Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL‐Es
ABSTRACT Aims To adapt the Clinical Frailty Scale (CFS) into Spanish and assess its concordance with the Spanish version of the FRAIL scale (FRAIL‐Es) in the context of intensive care. Design Validation study of frailty assessment scales in critically ill patients. Methods The study was conducted in...
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Wiley
2025-02-01
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| Series: | Nursing Open |
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| Online Access: | https://doi.org/10.1002/nop2.70064 |
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| author | Susana Arias‐Rivera María Nieves Moro‐Tejedor Fernando Frutos‐Vivar Cristina Andreu‐Vázquez Israel John Thuissard‐Vasallo María Mar Sánchez‐Sánchez Raquel Sánchez‐Izquierdo Lorena Oteiza‐López Sonia López‐Cuenca Marta Checa‐López Raquel Jareño‐Collado Virginia López‐López Eva Isabel Sánchez‐Muñoz Luis Fernando Carrasco Rodríguez‐Rey María Jesús Frade‐Mera Irene Cortés‐Puch Rebeca Padilla‐Peinado Alejandro Huete‐García Amanda Lesmes‐González Aledo Federico Gordo‐Vidal Ana Rodríguez‐Merino Mónica Vázquez‐Calatayud Gloria Vázquez‐Grande Dolores Mateo Raquel Herrero‐Hernández Marta Raurell‐Torredà |
| author_facet | Susana Arias‐Rivera María Nieves Moro‐Tejedor Fernando Frutos‐Vivar Cristina Andreu‐Vázquez Israel John Thuissard‐Vasallo María Mar Sánchez‐Sánchez Raquel Sánchez‐Izquierdo Lorena Oteiza‐López Sonia López‐Cuenca Marta Checa‐López Raquel Jareño‐Collado Virginia López‐López Eva Isabel Sánchez‐Muñoz Luis Fernando Carrasco Rodríguez‐Rey María Jesús Frade‐Mera Irene Cortés‐Puch Rebeca Padilla‐Peinado Alejandro Huete‐García Amanda Lesmes‐González Aledo Federico Gordo‐Vidal Ana Rodríguez‐Merino Mónica Vázquez‐Calatayud Gloria Vázquez‐Grande Dolores Mateo Raquel Herrero‐Hernández Marta Raurell‐Torredà |
| author_sort | Susana Arias‐Rivera |
| collection | DOAJ |
| description | ABSTRACT Aims To adapt the Clinical Frailty Scale (CFS) into Spanish and assess its concordance with the Spanish version of the FRAIL scale (FRAIL‐Es) in the context of intensive care. Design Validation study of frailty assessment scales in critically ill patients. Methods The study was conducted in two phases. The first phase consisted of translating, culturally adapting, and validating the CFS into Spanish. The second phase consisted of a metric descriptive study to assess the concurrent criterion validity of the adapted CFS with FRAIL‐Es in a cohort of intensive care patients. Both scales were assessed upon admission to intensive care and at 3, 6, 9, and 12 months post‐hospital discharge. Analysis was performed using T‐Student/Mann–Whitney, chi‐squared and Cohen's Kappa tests. Results Successful adaptation of the CFS with minimal changes was achieved, demonstrating its applicability in the evaluated context. The pilot study indicated that CFS‐Es is easy to assess, but some subjectivity in interpretation was noted. CFS‐Es and FRAIL‐Es were applied to 212 patients, revealing variations in frailty prevalence. The concordance and correlation between the CFS and FRAIL scales are robust. These differences suggest that the choice of scale may impact the identification of frail patients. These results emphasise the importance of considering specific characteristics of each scale when assessing frailty in critically ill patients, providing valuable information for clinical implementation and research in this field. Patient or Public Contribution Assessing frailty upon admission can be helpful in the care of frail patients, allowing the development of specific care plans based on pre‐existing frailty. |
| format | Article |
| id | doaj-art-714d32d1448a4f7e9fe6cf42e86cc158 |
| institution | DOAJ |
| issn | 2054-1058 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj-art-714d32d1448a4f7e9fe6cf42e86cc1582025-08-20T02:45:07ZengWileyNursing Open2054-10582025-02-01122n/an/a10.1002/nop2.70064Cross‐Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL‐EsSusana Arias‐Rivera0María Nieves Moro‐Tejedor1Fernando Frutos‐Vivar2Cristina Andreu‐Vázquez3Israel John Thuissard‐Vasallo4María Mar Sánchez‐Sánchez5Raquel Sánchez‐Izquierdo6Lorena Oteiza‐López7Sonia López‐Cuenca8Marta Checa‐López9Raquel Jareño‐Collado10Virginia López‐López11Eva Isabel Sánchez‐Muñoz12Luis Fernando Carrasco Rodríguez‐Rey13María Jesús Frade‐Mera14Irene Cortés‐Puch15Rebeca Padilla‐Peinado16Alejandro Huete‐García17Amanda Lesmes‐González Aledo18Federico Gordo‐Vidal19Ana Rodríguez‐Merino20Mónica Vázquez‐Calatayud21Gloria Vázquez‐Grande22Dolores Mateo23Raquel Herrero‐Hernández24Marta Raurell‐Torredà25Doctoral program in Nursing and Health University of Barcelona Barcelona SpainNursing Research Support Unit General University Hospital, Gregorio Marañón Madrid SpainIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainDepartamento de Medicina Facultad de Ciencias Biomédicas y de la Salud, Universidad Europeade Madrid, Villaviciosa de Odó (Madrid) Madrid SpainDepartamento de Medicina Facultad de Ciencias Biomédicas y de la Salud, Universidad Europeade Madrid, Villaviciosa de Odó (Madrid) Madrid SpainIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainGeriatric Department Hospital Universitario de Getafe Getafe (Madrid) SpainIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainCritical Cardiology Care Unit Hospital Universitario 12 de Octubre Madrid SpainDepartment of Nursing Faculty of Nursing, Physiotherapy, and Podology, Complutense University of Madrid Madrid SpainDivision of Pulmonary Critical Care and Sleep Medicine, University of California Davis Medical Center Sarcamento EEUU USAIntensive Care Unit Hospital Virgen de la Salud Toloedo SpainIntensive Care Unit HM Hospitales Madrid SpainIntensive Care Unit Hospital Universitario 12 Octubre Madrid SpainIntensive Care Unit Hospital Universitario del Henares Coslada (Madrid) SpainRoyal Brompton and Harefield Hospital Trust London UKArea of Nursing Professional Development Clínica Universidad de Navarra Pamplona SpainSection of Critical Care Medicine Department of Medicine, University of Manitoba Winnipeg CanadaIntensive Care Unit Broomfield Hospital, Mid Essex NHS Foundation Trust, Chelmsford Essex UKIntensive Care Unit Hospital Universitario de Getafe Getafe (Madrid) SpainFacultad de Enfermería Universidad de Barcelona Barcelona SpainABSTRACT Aims To adapt the Clinical Frailty Scale (CFS) into Spanish and assess its concordance with the Spanish version of the FRAIL scale (FRAIL‐Es) in the context of intensive care. Design Validation study of frailty assessment scales in critically ill patients. Methods The study was conducted in two phases. The first phase consisted of translating, culturally adapting, and validating the CFS into Spanish. The second phase consisted of a metric descriptive study to assess the concurrent criterion validity of the adapted CFS with FRAIL‐Es in a cohort of intensive care patients. Both scales were assessed upon admission to intensive care and at 3, 6, 9, and 12 months post‐hospital discharge. Analysis was performed using T‐Student/Mann–Whitney, chi‐squared and Cohen's Kappa tests. Results Successful adaptation of the CFS with minimal changes was achieved, demonstrating its applicability in the evaluated context. The pilot study indicated that CFS‐Es is easy to assess, but some subjectivity in interpretation was noted. CFS‐Es and FRAIL‐Es were applied to 212 patients, revealing variations in frailty prevalence. The concordance and correlation between the CFS and FRAIL scales are robust. These differences suggest that the choice of scale may impact the identification of frail patients. These results emphasise the importance of considering specific characteristics of each scale when assessing frailty in critically ill patients, providing valuable information for clinical implementation and research in this field. Patient or Public Contribution Assessing frailty upon admission can be helpful in the care of frail patients, allowing the development of specific care plans based on pre‐existing frailty.https://doi.org/10.1002/nop2.70064cross‐cultural comparisonfrailtyintensive care unitsvalidation studies |
| spellingShingle | Susana Arias‐Rivera María Nieves Moro‐Tejedor Fernando Frutos‐Vivar Cristina Andreu‐Vázquez Israel John Thuissard‐Vasallo María Mar Sánchez‐Sánchez Raquel Sánchez‐Izquierdo Lorena Oteiza‐López Sonia López‐Cuenca Marta Checa‐López Raquel Jareño‐Collado Virginia López‐López Eva Isabel Sánchez‐Muñoz Luis Fernando Carrasco Rodríguez‐Rey María Jesús Frade‐Mera Irene Cortés‐Puch Rebeca Padilla‐Peinado Alejandro Huete‐García Amanda Lesmes‐González Aledo Federico Gordo‐Vidal Ana Rodríguez‐Merino Mónica Vázquez‐Calatayud Gloria Vázquez‐Grande Dolores Mateo Raquel Herrero‐Hernández Marta Raurell‐Torredà Cross‐Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL‐Es Nursing Open cross‐cultural comparison frailty intensive care units validation studies |
| title | Cross‐Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL‐Es |
| title_full | Cross‐Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL‐Es |
| title_fullStr | Cross‐Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL‐Es |
| title_full_unstemmed | Cross‐Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL‐Es |
| title_short | Cross‐Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL‐Es |
| title_sort | cross cultural adaptation of the clinical frailty scale for critically ill patients in spain and concurrent validity with frail es |
| topic | cross‐cultural comparison frailty intensive care units validation studies |
| url | https://doi.org/10.1002/nop2.70064 |
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