ArticleNursing open2025
Cross-Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL-Es.
Article in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interplay between frailty and cardiometabolic disorders: from pathophysiology to clinical implications.Cardiovascular diabetology · 2025Pooled it
- Correction to 'Cross-Cultural Adaptation of the Clinical Frailty Scale for Critically Ill Patients in Spain and Concurrent Validity With FRAIL-Es'.Nursing open · 2026Article
- Development and multi-cohort validation of a machine learning-based simplified frailty assessment tool for clinical risk prediction.Journal of translational medicine · 2025Article
Corrections and comments
- Erratum issued
Authors and funding
26 authors.
Funding
Abstract
aimsTo adapt the Clinical Frailty Scale (CFS) into Spanish and assess its concordance with the Spanish version of the FRAIL scale (FRAIL-Es) in the context of intensive care.
designValidation study of frailty assessment scales in critically ill patients.
methodsThe study was conducted in two phases. The first phase consisted of translating, culturally adapting, and validating the CFS into Spanish. The second phase consisted of a metric descriptive study to assess the concurrent criterion validity of the adapted CFS with FRAIL-Es in a cohort of intensive care patients. Both scales were assessed upon admission to intensive care and at 3, 6, 9, and 12 months post-hospital discharge. Analysis was performed using T-Student/Mann-Whitney, chi-squared and Cohen's Kappa tests.
resultsSuccessful adaptation of the CFS with minimal changes was achieved, demonstrating its applicability in the evaluated context. The pilot study indicated that CFS-Es is easy to assess, but some subjectivity in interpretation was noted. CFS-Es and FRAIL-Es were applied to 212 patients, revealing variations in frailty prevalence. The concordance and correlation between the CFS and FRAIL scales are robust. These differences suggest that the choice of scale may impact the identification of frail patients. These results emphasise the importance of considering specific characteristics of each scale when assessing frailty in critically ill patients, providing valuable information for clinical implementation and research in this field. PATIENT OR PUBLIC CONTRIBUTION: Assessing frailty upon admission can be helpful in the care of frail patients, allowing the development of specific care plans based on pre-existing frailty.
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