Ilya Losin, Ziad Arow, Ela Giladi, Ranin Hilu, Abid Assali, David Pereg, Alexander Omelchenko
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引用次数: 0
Abstract
Introduction: Frailty is a syndrome characterized by increased vulnerability to stressful events due to diminished metabolic, neuromuscular, and functional reserves. It has been associated with poor outcomes in patients with cardiovascular diseases. This study compares the eyeball test and the Fried test (considered the "gold standard") for frailty assessment in elderly patients in an electrophysiology clinic.
Methods: This prospective study included stable patients aged 75 years and older who were assessed in an electrophysiology clinic. Frailty assessment was conducted using both the Eyeball and Fried tests. Patients were first evaluated by an electrophysiologist who used the Eyeball test to grade frailty on a Fried-type scale (1-5, with frailty defined as a score ≥3). Subsequently, each patient underwent objective measurements of frailty using the Fried test.
Results: A total of 201 patients with a median age of 82 ± 7 years were included in the study, with 62% being males. According to the Fried test, 81 (40%) patients were classified as frail. The majority of frail patients were over 80 years old. The eyeball test demonstrated an 88.9% sensitivity and a 78.3% specificity in diagnosing frailty. Accordingly, positive and negative predictive values were 73.5% and 91.2%, respectively.
Conclusion: The eyeball test is highly accurate for ruling out frailty in elderly outpatients in an electrophysiology clinic. However, when frailty is suspected based on the eyeball test, an additional objective test, such as the Fried test, should be used to confirm the diagnosis.
期刊介绍：
In view of the ever-increasing fraction of elderly people, understanding the mechanisms of aging and age-related diseases has become a matter of urgent necessity. ''Gerontology'', the oldest journal in the field, responds to this need by drawing topical contributions from multiple disciplines to support the fundamental goals of extending active life and enhancing its quality. The range of papers is classified into four sections. In the Clinical Section, the aetiology, pathogenesis, prevention and treatment of agerelated diseases are discussed from a gerontological rather than a geriatric viewpoint. The Experimental Section contains up-to-date contributions from basic gerontological research. Papers dealing with behavioural development and related topics are placed in the Behavioural Science Section. Basic aspects of regeneration in different experimental biological systems as well as in the context of medical applications are dealt with in a special section that also contains information on technological advances for the elderly. Providing a primary source of high-quality papers covering all aspects of aging in humans and animals, ''Gerontology'' serves as an ideal information tool for all readers interested in the topic of aging from a broad perspective.
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