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. 2023 May 11:2023:6660984.
doi: 10.1155/2023/6660984. eCollection 2023.

Comparison of Two Frailty Assessment Methods and Their Association with Functionality in Subjects with Exacerbation of COPD

Andrea Akemi Morita  1 , Rafaela Furlan Munhoz  2 , Giovana Labegalini Guzzi  1 , Vanessa Suziane Probst  1
Affiliations

Comparison of Two Frailty Assessment Methods and Their Association with Functionality in Subjects with Exacerbation of COPD

Andrea Akemi Morita et al. Curr Gerontol Geriatr Res. .

Abstract

Objectives: To verify the prevalence of frailty in patients hospitalized with acute exacerbation of COPD; to compare two frailty assessment methods: Edmonton Scale and the Fried Frailty Phenotype, and to associate frailty with functioning in these patients.

Methods: Patients hospitalized due to an acute exacerbation of COPD were included. The assessment of pulmonary function, frailty, and functioning was performed. Frailty assessment was performed by the Edmonton Scale and Fried Frailty Phenotype. Individuals were classified into "frail," "pre-frail" and "non-frail." Functioning was evaluated by the one sit-to-stand test.

Results: Thirty-five individuals were included (17 male, 69 ± 9 years; FEV1/FVC 47 ± 10%; FEV1 34 (24-52) % predicted). Participants scored 3 (3-4) points on the Edmonton Scale and 7 (5-9) points on the Fried Frailty Phenotype. According to the Fried model, 17% were considered prefrail and 83% frail and in the Edmonton scale, 20% were classified as nonfrail, 29% prefrail, and 51% frail. There was a positive moderate correlation between the two methods (r = 0.42; p=0.011); however, there was no agreement between them (p=0.20). This probably occurs because they assess the same construct, i.e., frailty; however, they are different in their components. There was a negative and moderate correlation between the Fried Frailty Phenotype and functioning (r = -0.43; p=0.009).

Conclusion: Most hospitalized individuals with exacerbated COPD with severe and very severe airflow limitation are frail and the assessment methods correlate, but there is no agreement. Additionally, there is association between frailty and functioning in this population.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Frailty classification according to Fried Frailty Phenotype and Edmonton Scale frailty scale.
Figure 2
Figure 2
Correlation between Edmonton Scale and Fried Frailty Phenotype (r = 0.42; p=0.011).
Figure 3
Figure 3
Correlation between score in Fried Frailty Phenotype and number of repetitions in the sit-to-stand test (a) (p=0.009) and FEV1% predicted (b) (p > 0.05).
Figure 4
Figure 4
Correlation between score in Edmonton Frailty Scale and number of repetitions in the sit-to-stand test (a) and FEV1% predicted (b) (p > 0.05 for all).
See this image and copyright information in PMC

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