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Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience
We evaluated predictors of the Clinical Frailty Scale (CFS) scored by an interdisciplinary team (Home FIRsT) performing comprehensive geriatric assessment (CGA) in our Emergency Department (ED). This was a retrospective observational study (service evaluation) utilising ED-based CGA data routinely c...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
HYLONOME PUBLICATIONS
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175280/ https://www.ncbi.nlm.nih.gov/pubmed/35775090 http://dx.doi.org/10.22540/JFSF-07-095 |
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author | Thorpe, Owen McCabe, Elva Herrero, Elena Marie Doyle, William Ormiston Dillon, Aoife Edge, Lucinda Flynn, Sinéad Mullen, Anna Davis, Aisling Molamphy, Aoife Kirwan, Anna Briggs, Robert Lavan, Amanda H. Shields, Darragh McMahon, Geraldine Hennessy, Arthur Kennedy, Una Staunton, Paul Kidney, Emer Yeung, Sarah-Jane Glynn, Deirdre Horgan, Frances Cunningham, Conal Romero-Ortuno, Roman |
author_facet | Thorpe, Owen McCabe, Elva Herrero, Elena Marie Doyle, William Ormiston Dillon, Aoife Edge, Lucinda Flynn, Sinéad Mullen, Anna Davis, Aisling Molamphy, Aoife Kirwan, Anna Briggs, Robert Lavan, Amanda H. Shields, Darragh McMahon, Geraldine Hennessy, Arthur Kennedy, Una Staunton, Paul Kidney, Emer Yeung, Sarah-Jane Glynn, Deirdre Horgan, Frances Cunningham, Conal Romero-Ortuno, Roman |
author_sort | Thorpe, Owen |
collection | PubMed |
description | We evaluated predictors of the Clinical Frailty Scale (CFS) scored by an interdisciplinary team (Home FIRsT) performing comprehensive geriatric assessment (CGA) in our Emergency Department (ED). This was a retrospective observational study (service evaluation) utilising ED-based CGA data routinely collected by Home FIRsT between January and October 2020. A linear regression model was computed to establish independent predictors of CFS. This was complemented by a classification and regression tree (CRT) to evaluate the main predictors. There were 799 Home FIRsT episodes, of which 740 were unique patients. The CFS was scored on 658 (89%) (median 4, range 1-8; mean age 81 years, 61% women). Independent predictors of higher CFS were older age (p<0.001), history of dementia (p<0.001), mobility (p≤0.007), disability (p<0.001), and higher acuity of illness (p=0.009). Disability and mobility were the main classifiers in the CRT. Results suggest appropriate CFS scoring informed by functional baseline. |
format | Online Article Text |
id | pubmed-9175280 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | HYLONOME PUBLICATIONS |
record_format | MEDLINE/PubMed |
spelling | pubmed-91752802022-06-29 Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience Thorpe, Owen McCabe, Elva Herrero, Elena Marie Doyle, William Ormiston Dillon, Aoife Edge, Lucinda Flynn, Sinéad Mullen, Anna Davis, Aisling Molamphy, Aoife Kirwan, Anna Briggs, Robert Lavan, Amanda H. Shields, Darragh McMahon, Geraldine Hennessy, Arthur Kennedy, Una Staunton, Paul Kidney, Emer Yeung, Sarah-Jane Glynn, Deirdre Horgan, Frances Cunningham, Conal Romero-Ortuno, Roman J Frailty Sarcopenia Falls Short Communication We evaluated predictors of the Clinical Frailty Scale (CFS) scored by an interdisciplinary team (Home FIRsT) performing comprehensive geriatric assessment (CGA) in our Emergency Department (ED). This was a retrospective observational study (service evaluation) utilising ED-based CGA data routinely collected by Home FIRsT between January and October 2020. A linear regression model was computed to establish independent predictors of CFS. This was complemented by a classification and regression tree (CRT) to evaluate the main predictors. There were 799 Home FIRsT episodes, of which 740 were unique patients. The CFS was scored on 658 (89%) (median 4, range 1-8; mean age 81 years, 61% women). Independent predictors of higher CFS were older age (p<0.001), history of dementia (p<0.001), mobility (p≤0.007), disability (p<0.001), and higher acuity of illness (p=0.009). Disability and mobility were the main classifiers in the CRT. Results suggest appropriate CFS scoring informed by functional baseline. HYLONOME PUBLICATIONS 2022-06-01 /pmc/articles/PMC9175280/ /pubmed/35775090 http://dx.doi.org/10.22540/JFSF-07-095 Text en Copyright: © 2022 Hylonome Publications https://creativecommons.org/licenses/by-nc-sa/4.0/All published work is licensed under Creative Commons Attribution NonCommercial - ShareAlike 4.0 International |
spellingShingle | Short Communication Thorpe, Owen McCabe, Elva Herrero, Elena Marie Doyle, William Ormiston Dillon, Aoife Edge, Lucinda Flynn, Sinéad Mullen, Anna Davis, Aisling Molamphy, Aoife Kirwan, Anna Briggs, Robert Lavan, Amanda H. Shields, Darragh McMahon, Geraldine Hennessy, Arthur Kennedy, Una Staunton, Paul Kidney, Emer Yeung, Sarah-Jane Glynn, Deirdre Horgan, Frances Cunningham, Conal Romero-Ortuno, Roman Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience |
title | Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience |
title_full | Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience |
title_fullStr | Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience |
title_full_unstemmed | Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience |
title_short | Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience |
title_sort | scoring the clinical frailty scale in the emergency department: the home first experience |
topic | Short Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175280/ https://www.ncbi.nlm.nih.gov/pubmed/35775090 http://dx.doi.org/10.22540/JFSF-07-095 |
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