Validating a Standardised Approach in Administration of the Clinical Frailty Scale in Hospitalised Older Adults
| Autor: | Chong, E., Chia, J. Q., Law, F., Chew, J., Chan, M., Wee Shiong Lim |
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| Předmět: |
Aged
80 and over Male Observer Variation Frailty Frail Elderly Reproducibility of Results General Medicine Severity of Illness Index Hospitalization Logistic Models ROC Curve Predictive Value of Tests Area Under Curve Humans Female Geriatric Assessment Algorithms Aged Follow-Up Studies Retrospective Studies |
| Zdroj: | Scopus-Elsevier Europe PubMed Central |
| Popis: | Introduction: We developed a Clinical Frailty Scale algorithm (CFS-A) to minimise inter-rater variability and to facilitate wider application across clinical settings. We compared the agreement, diagnostic performance and predictive utility of CFS-A against standard CFS. Materials and Methods: We retrospectively analysed data of 210 hospitalised older adults (mean age, 89.4 years). Two independent raters assessed frailty using CFS-A. Agreement between CFS-A raters and with previously completed CFS was determined using Cohen’s Kappa. Area under receiver operator characteristic curves (AUC) for both measures were compared against the Frailty Index (FI). Independent associations between these measures and adverse outcomes were examined using logistic regression. Results: Frailty prevalence were 81% in CFS and 96% in CFS-A. Inter-rater agreement between CFS-A raters was excellent (kappa 0.90, P |
| Databáze: | OpenAIRE |
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