Cross-cultural adaptation of the FRAIL scale for critically ill patients in Spain.
Susana Arias-Rivera, María Nieves Moro-Tejedor, Marta Raurell-Torredà and 22 others
PMID 37775964WHAT IT FOUND
A Spanish FRAIL scale for ICU patients was created and pilot tested.
It took 6 minutes to complete using patient or family information plus records. Original authors judged the wording good, but no outcome prediction was tested.
Key findings
01The FRAIL scale was translated and culturally adapted for Spanish ICU patients, and the back-translated wording was judged good by the original authors.
02In the pilot, 10 health practitioners applied the first Spanish version to 30 ICU patients and used the comments to create a second version.
03The adapted scale took a median 6 minutes to apply, including patient or family interview and review of medical records.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The pilot included only 30 ICU patients and 10 practitioners, so it cannot show how the scale performs in routine ICU use. The reported results are item ratings and application time, not tests of whether the scale predicts patient outcomes. Health practitioners were unfamiliar with the scale and not frailty experts, which could affect relevance ratings. Some practitioners considered fatigue, resistance and ambulation less relevant in patients younger than 65, so use in younger ICU patients is not clarified.
Declared interests
The work was supported by the Ministry of Economy and Competitiveness ISCIII-FIS grant PI20/01231. The authors declare no conflict of interest.
The easy way to misread this
Do not treat FRAIL-Spain as a tested predictor of ICU mortality, length of stay or recovery. This paper translated and pilot tested the scale in 30 ICU patients and did not assess whether it predicts outcomes or changes care.