Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience

Journal of frailty, sarcopenia and falls

J Frailty Sarcopenia Falls. 2022 Jun 1;7(2):95-100. doi: 10.22540/JFSF-07-095. eCollection 2022 Jun.

ABSTRACT

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.

PMID:35775090 | PMC:PMC9175280 | DOI:10.22540/JFSF-07-095

Authors

Owen Thorpe
Elva McCabe
Elena Marie Herrero
William Ormiston Doyle
Aoife Dillon
Lucinda Edge
Sinéad Flynn
Anna Mullen
Aisling Davis
Aoife Molamphy
Anna Kirwan
Robert Briggs
Amanda H Lavan
Darragh Shields
Geraldine McMahon
Arthur Hennessy
Una Kennedy
Paul Staunton
Emer Kidney
Sarah-Jane Yeung
Deirdre Glynn
Frances Horgan
Conal Cunningham
Roman Romero-Ortuno