Association of the clinical frailty scale with hospital outcomes

QJM : Monthly Journal of the Association of Physicians
S J WallisR Romero-Ortuno

Abstract

The clinical frailty scale (CFS) was validated as a predictor of adverse outcomes in community-dwelling older people. In our hospital, the use of the CFS in emergency admissions of people aged ≥ 75 years was introduced under the Commissioning for Quality and Innovation payment framework. We retrospectively studied the association of the CFS with patient characteristics and outcomes. Retrospective observational study in a large tertiary university National Health Service hospital in UK. The CFS was correlated with transfer to specialist Geriatric ward, length of stay (LOS), in-patient mortality and 30-day readmission rate. Between 1st August 2013 and 31st July 2014, there were 11 271 emergency admission episodes of people aged ≥ 75 years (all specialties), corresponding to 7532 unique patients (first admissions); of those, 5764 had the CFS measured by the admitting team (81% of them within 72 hr of admission). After adjustment for age, gender, Charlson comorbidity index and history of dementia and/or current cognitive concern, the CFS was an independent predictor of in-patient mortality [odds ratio (OR) = 1.60, 95% confidence interval (CI): 1.48 to 1.74, P < 0.001], transfer to Geriatric ward (OR = 1.33, 95% CI: 1.24 to 1.42, P ...Continue Reading

Associated Clinical Trials

May 7, 2021·Daniel Wilhelms, Daniel Wilhelms

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