Akademik Veri Yönetim Sistemi
Virtual WCO-IOF-ESCEO 2020, Barcelona, İspanya, 20 - 22 Ağustos 2020, ss.320
Objective: The physical phenotype of frailty, described by Fried et. al, shows significant overlap with sarcopenia. EWGSOP2 recommends SARC-F questionnaire to screen for sarcopenia. Considering common features between both conditions, we aimed to investigate whether SARC-F questionnaire could also be a reliable tool to screen or evaluate frailty.
Methods: Community-dwelling older adults aged ≥65 y admitted to the geriatric outpatient clinic were enrolled to the study. Frailty was assessed by modified Fried scale and SARC-F questionnaire were performed to all participants.
Results: 447 patients were included (70.7% female, 29.3% male; mean age: 74.5±6.6 y. 93 (20.8%) were frail according to Fried index. SARC-F cut-off ≥1 had sensitivity 91.4% and specificity 44.9%. SARC-F cut-off ≥2 presented the best balance between sensitivity and specificity (sensitivity: 74.2% vs. specificity: 73.7%) to identify frailty (AUC=0.807; 95% Cl: 0.76-0.84, p<0.0001). SARC-F ≥4 had high specificity 92.6% with sensitivity 46.2%.
Conclusion: We suggest that SARC-F ≥1 point can be used to screen for frailty and SARC-F ≥4 to diagnose frailty. SARC-F may be used to evaluate frailty in usual geriatric practice.