Assessing frailty in the acute medical admission of elderly patients

The Journal of the Royal College of Physicians of Edinburgh
M T OoS F Ho

Abstract

Managing acute admission of frail older patients is a challenge in hospitals. Length of inpatient stay, inpatient mortality and the 90-day readmission rate are significant in this group of patients. The Comprehensive Geriatric Assessment (CGA), a multidisciplinary diagnostic and treatment process, is the best approach for identifying medical conditions, mental health, functional capacity and social circumstances in acute geriatric care. A review of the records of older patients aged 75 and over, acutely admitted to a district general hospital in England from 15 March 2012 to 16 April 2012 was conducted. We developed a frailty assessment tool and applied it to these patients, in order to determine who would be classified as frail. We then established if the patients meeting this criteria were then correctly assessed using the CGA. All patient data were processed and analysed using a statistical package for data analysis. A total of 232 patients with a mean age of 84.25 ± 5.8 years were included. Out of these, 129 patients (55.6%) fulfilled the frailty criteria as determined with our frailty-assessment tool; 80.6% presented with lack of mobility over 24 hours, 69.8% were admitted with falls, 47.3% had known dementia or delirium a...Continue Reading

Citations

Dec 4, 2016·Biological Research for Nursing·Deborah A LekanHeather E Whitson
Jun 15, 2018·BMC Geriatrics·Olga TheouKenneth Rockwood
Feb 1, 2018·Future Healthcare Journal·Raymond HyattJoanne Taylor
Oct 29, 2015·Journal of the American Geriatrics Society·Talal F AliUNKNOWN Acute Care and Emergency Surgery ACES Group
Aug 6, 2019·Aging Clinical and Experimental Research·Irene MansuttiUNKNOWN ESAMED team

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