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Comparison Between the Physical Performance Test and the Clinical Frailty Score in Adult Patients With Chronic Kidney Disease Treated by Haemodialysis

Authors :
Andrew Davenport FRCP
Source :
Gerontology and Geriatric Medicine, Vol 8 (2022)
Publication Year :
2022
Publisher :
SAGE Publishing, 2022.

Abstract

Elderly patients with chronic kidney disease treated by haemodialysis are at increased risk of malnutrition and cachexia, becoming frail, with associated greater mortality. The physical performance test (PPT), using nine tasks to assess multiple domains of physical function is robust and reproducible, but time consuming, whereas the clinical frailty score (CFS) is more rapid. We compared the results from independent blinded observers in 22 haemodialysis patients, 16 (72.7%) male, mean age 65 ± 12.5 years. The PPT and CFS scores were highly correlated (r = −0.88, p < .001), with a high level of agreement (kappa score 0.91) for classifying patients as frail. Both scores were strongly associated with serum creatinine (PPT r=0.76, CFS r=−0.86, p < .001), hand grip strength (PPT r = 0.68, p = .001 CFS r = 0.64, p = .002), lean body mass index (PPT r = 0.50, p = .02, CFS r = −0.46, p = .038). We found that the CFS performed favourably compared to the PPT for haemodialysis patients in identifying and screening patients for frailty.

Subjects

Subjects :
Geriatrics
RC952-954.6

Details

Language :
English
ISSN :
23337214
Volume :
8
Database :
Directory of Open Access Journals
Journal :
Gerontology and Geriatric Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.0ec4753c9f24297bbdc8ad441eb2e1e
Document Type :
article
Full Text :
https://doi.org/10.1177/23337214221085875