Comparison between FRAIL Scale and Clinical Frailty Scale in predicting hospitalization in hemodialysis patients
dc.contributor.author | Barbosa, Elisabete Mouzinho Soares [UNESP] | |
dc.contributor.author | Pereira, Amanda Gomes [UNESP] | |
dc.contributor.author | Mori, Vitória [UNESP] | |
dc.contributor.author | da Silva Neves, Renan [UNESP] | |
dc.contributor.author | Vieira, Nayane Maria [UNESP] | |
dc.contributor.author | Silva, Maryanne Zilli Canedo [UNESP] | |
dc.contributor.author | Seki, Marcos Mitsuo [UNESP] | |
dc.contributor.author | Rodrigues, Hellen Christina Neves | |
dc.contributor.author | Costa, Nara Aline | |
dc.contributor.author | Ponce, Daniela [UNESP] | |
dc.contributor.author | Balbi, André Luís [UNESP] | |
dc.contributor.author | Zornoff, Leonardo Antonio Mamede [UNESP] | |
dc.contributor.author | Azevedo, Paula Schmidt [UNESP] | |
dc.contributor.author | Polegato, Bertha Furlan [UNESP] | |
dc.contributor.author | de Paiva, Sérgio Alberto Rupp [UNESP] | |
dc.contributor.author | Minicucci, Marcos Ferreira [UNESP] | |
dc.contributor.author | de Souza Dorna, Mariana [UNESP] | |
dc.contributor.institution | Universidade Estadual Paulista (UNESP) | |
dc.contributor.institution | Universidade Federal de Goiás (UFG) | |
dc.date.accessioned | 2023-07-29T13:33:57Z | |
dc.date.available | 2023-07-29T13:33:57Z | |
dc.date.issued | 2023-04-01 | |
dc.description.abstract | Background: To assess the prevalence of frailty by the Clinical Frailty Scale (CFS) and the 5-item FRAIL scale and their association with hospitalization in hemodialysis (HD) patients. Methods: This was a prospective observational study. We included patients of both genders ≥ 18 years old in HD treatment for at least 3 months. Demographic, clinical, and routine laboratory data were retrieved from the medical charts. Two different frailty assessment tools were used, the CFS and the FRAIL scale. Participants were followed up for 9 months and hospitalizations for all causes were evaluated. A Venn diagram was constructed to show the overlap of possible frailty and pre-frailty. Cox regression was used to identify the association between frailty and hospitalization. The significance level was 5%. Results: A total of 137 subjects were included in the analysis. The median age was 61 (52–67) years and 60% were male. The hospitalization rate and mortality in 9 months were 22.6% and 7.29%, respectively. Regarding frailty, the overall prevalence was 13.8% assessed by CFS and 36.5% according to the FRAIL scale. In the Cox regression, frailty by FRAIL scale was associated with a 2.8-fold increase in the risk of hospitalization (OR = 2.880; 95% CI = 1.361–6.096; p = 0.006), but frailty assessed by the CFS was not associated with the need for hospitalization. Conclusion: In HD patients, the FRAIL scale proved to be an easy-to-apply tool, identifying a high prevalence of frailty and being a predictor of hospital admission. Graphical abstract: [Figure not available: see fulltext.]. | en |
dc.description.affiliation | Department of Internal Medicine Botucatu Medical School São Paulo State University (UNESP), São Paulo | |
dc.description.affiliation | Faculty of Nutrition Universidade Federal de Goiás (UFG), Street 227 Block 68 s/n, East University Sector, Goiás | |
dc.description.affiliationUnesp | Department of Internal Medicine Botucatu Medical School São Paulo State University (UNESP), São Paulo | |
dc.description.sponsorship | Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) | |
dc.description.sponsorship | Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) | |
dc.description.sponsorshipId | FAPESP: (FAPESP ‐ 2019/22232-7) | |
dc.format.extent | 687-693 | |
dc.identifier | http://dx.doi.org/10.1007/s40620-022-01532-5 | |
dc.identifier.citation | Journal of Nephrology, v. 36, n. 3, p. 687-693, 2023. | |
dc.identifier.doi | 10.1007/s40620-022-01532-5 | |
dc.identifier.issn | 1724-6059 | |
dc.identifier.issn | 1121-8428 | |
dc.identifier.scopus | 2-s2.0-85144672812 | |
dc.identifier.uri | http://hdl.handle.net/11449/248082 | |
dc.language.iso | eng | |
dc.relation.ispartof | Journal of Nephrology | |
dc.source | Scopus | |
dc.subject | Frailty | |
dc.subject | Hemodialysis | |
dc.subject | Hospitalization | |
dc.subject | Scales | |
dc.title | Comparison between FRAIL Scale and Clinical Frailty Scale in predicting hospitalization in hemodialysis patients | en |
dc.type | Artigo | |
unesp.author.orcid | 0000-0001-8159-1209[9] | |
unesp.campus | Universidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu | pt |
unesp.department | Clínica Médica - FMB | pt |