广西医科大学学报2026，Vol.43Issue(3)：391-401,11.DOI:10.16190/j.cnki.45-1211/r.2026.03.009
基于双量表评估的内科住院老年患者衰弱状况及结局预测价值对比
Comparative analysis of frailty status and predictive value for outcomes in elderly medical in-patients based on dual-scale assessment
摘要
Abstract
Objective:To analyze the frailty status and its influencing factors in elderly inpatients and compare the predictive value of the fatigue,resistance,ambulation,illnesses,and loss of weight(FRAIL)scale and the Ed-monton frail scale(EFS)for adverse outcomes.Methods:Based on a prospective cohort study design,467 el-derly medical inpatients were enrolled from the First Affiliated Hospital of Guangxi Medical University.Frailty status was assessed using the FRAIL scale and EFS.Influencing factors were identified through univariate and multivariate logistic regression analyses.Receiver operating characteristic(ROC)curves were used to evaluate the predictive efficacy of both scales for functional decline(decline in Katz index),full-time care needs,and mor-tality at 3 months post-discharge.Results:The incidence of frailty was 60.81%(284/467).Independent risk fac-tors included divorce/widowhood(OR=7.75-8.10),low income(OR=2.62-17.46),frequent hospitalization(OR=0.94-2.38),polypharmacy(OR=1.55),at nutritional risk(OR=14.62),decreased muscle strength(OR=0.35),high fall risk(OR=3.16)frequent falls(OR=2.26),and insufficient sleep(OR=0.58)(all P＜0.05).The FRAIL scale demonstrated moderate predictive efficacy for full-time care needs(AUC=0.636,cutoff=3.5),while the EFS showed high predictive efficacy for mortality risk(AUC=0.755,cutoff=5.5 points).Both scales exhibited limited predictive value for functional decline(AUC≤0.579).Conclusion:Frailty status of elderly medical inpatients is influenced by multidimensional factors.The FRAIL scale is suitable for the rapid screening of care needs,while the EFS is more effective for predicting mortality risk.In clinical practice,appropriate tools should be selected ac-cording to the purpose of assessments to optimize frailty management by integrating dynamic monitoring.关键词
住院患者/衰弱/衰弱筛查量表/埃德蒙顿衰弱评估量表/死亡风险/照护需求/快速筛查/结局预测Key words
inpatients/frailty/FRAIL scale/Edmonton frail scale/mortality risk/care needs/rapid screening/outcome prediction分类
医药卫生引用本文复制引用
衡清漪,谭远俏,王露秀,张乐,凌瑛..基于双量表评估的内科住院老年患者衰弱状况及结局预测价值对比[J].广西医科大学学报,2026,43(3):391-401,11.基金项目
广西自然科学基金资助项目(2025GXNSFAA069514) （2025GXNSFAA069514）
