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- Publisher Website: 10.3390/GERIATRICS5010020
- Scopus: eid_2-s2.0-85084120524
- PMID: 32204573
- WOS: WOS:000523741100003
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Article: Screening for frailty in older emergency patients and association with outcome
Title | Screening for frailty in older emergency patients and association with outcome |
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Authors | |
Keywords | Asthenia Geriatrics Emergencies Frailty |
Issue Date | 2020 |
Citation | Geriatrics, 2020, v. 5, n. 1, article no. 20 How to Cite? |
Abstract | Older people have a high incidence of adverse outcomes after urgent care presentation. Identifying high-risk older patients early is key to targeting interventions at those patients most likely to benefit. This study used the Frailsafe three-point screening questions amongst older Emergency Department (ED) attendees. Consecutive unplanned ED attendances in patients aged 75 were assessed for Frailsafe status. The primary outcome was mortality at 180 days. A Frailsafe screen was completed in 356 patients, of whom 194/356 (54.5%) were Frailsafe positive. The mean age was 85.8 for Frailsafe screen positive and 82.2 for Frailsafe screen negative patients (p < 0.001). A positive Frailsafe screen was a predictor of death within 180 days of presentation to the ED and remained so after adjustment (AOR = 3.23, 95% CI 1.45-7.19, p = 0.004). A positive Frailsafe screen was an independent predictor of a new care home admission at 180 days (AOR = 8.95, 95% CI 2.01-39.83, p = 0.004). A positive Frailsafe screen was also predictive of a number of secondary outcomes, such as length of stay of >28 days (AOR 3.42, 95% CI 1.41-8.31, p = 0.007) and re-attendance within 30 days of discharge after admission (OR = 2.73, 95% CI 1.27-5.88, p = 0.01). Frailsafe screen results independently predict a range of outcomes amongst older ED attendees. |
Persistent Identifier | http://hdl.handle.net/10722/292156 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Lewis, Siobhan | - |
dc.contributor.author | Evans, Louis | - |
dc.contributor.author | Rainer, Timothy | - |
dc.contributor.author | Hewitt, Jonathan | - |
dc.date.accessioned | 2020-11-17T14:55:53Z | - |
dc.date.available | 2020-11-17T14:55:53Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Geriatrics, 2020, v. 5, n. 1, article no. 20 | - |
dc.identifier.uri | http://hdl.handle.net/10722/292156 | - |
dc.description.abstract | Older people have a high incidence of adverse outcomes after urgent care presentation. Identifying high-risk older patients early is key to targeting interventions at those patients most likely to benefit. This study used the Frailsafe three-point screening questions amongst older Emergency Department (ED) attendees. Consecutive unplanned ED attendances in patients aged 75 were assessed for Frailsafe status. The primary outcome was mortality at 180 days. A Frailsafe screen was completed in 356 patients, of whom 194/356 (54.5%) were Frailsafe positive. The mean age was 85.8 for Frailsafe screen positive and 82.2 for Frailsafe screen negative patients (p < 0.001). A positive Frailsafe screen was a predictor of death within 180 days of presentation to the ED and remained so after adjustment (AOR = 3.23, 95% CI 1.45-7.19, p = 0.004). A positive Frailsafe screen was an independent predictor of a new care home admission at 180 days (AOR = 8.95, 95% CI 2.01-39.83, p = 0.004). A positive Frailsafe screen was also predictive of a number of secondary outcomes, such as length of stay of >28 days (AOR 3.42, 95% CI 1.41-8.31, p = 0.007) and re-attendance within 30 days of discharge after admission (OR = 2.73, 95% CI 1.27-5.88, p = 0.01). Frailsafe screen results independently predict a range of outcomes amongst older ED attendees. | - |
dc.language | eng | - |
dc.relation.ispartof | Geriatrics | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Asthenia | - |
dc.subject | Geriatrics | - |
dc.subject | Emergencies | - |
dc.subject | Frailty | - |
dc.title | Screening for frailty in older emergency patients and association with outcome | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.3390/GERIATRICS5010020 | - |
dc.identifier.pmid | 32204573 | - |
dc.identifier.pmcid | PMC7151304 | - |
dc.identifier.scopus | eid_2-s2.0-85084120524 | - |
dc.identifier.volume | 5 | - |
dc.identifier.issue | 1 | - |
dc.identifier.spage | article no. 20 | - |
dc.identifier.epage | article no. 20 | - |
dc.identifier.eissn | 2308-3417 | - |
dc.identifier.isi | WOS:000523741100003 | - |
dc.identifier.issnl | 2308-3417 | - |