Clinical frailty scale for assessment of frailty and level of care in elderly patients
The Clinical Frailty Scale is used to summarize the overall level of fitness or frailty of an older adult. The original tool was introduced in the second clinical examination of the Canadian Study of Health and Aging (CSHA) and included seven-point scale. Since 2007, the instrument has been modified to contain nine-point scale ranging from the assessment very vital to terminally ill.
What systematic reviews and primary studies are there investigating the use of Clinical Frailty Scale (CFS) to assess frailty and level of care in elderly patients?
Identified studies
Five systematic review (1–5) with high risk of bias and 41 primary studies (6–46) were found relevant for the question. The primary studies were not assessed for risk of bias.
References
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- Chong E, Ho E, Baldevarona-Llego J, Chan M, Wu L, Tay L. Frailty and Risk of Adverse Outcomes in Hospitalized Older Adults: A Comparison of Different Frailty Measures. J Am Med Dir Assoc 2017;18:638 e7-638 e11.
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- Davies J, Whitlock J, Gutmanis I, Kane SL. Inter-Rater Reliability of the Retrospectively Assigned Clinical Frailty Scale Score in a Geriatric Outreach Population. Can Geriatr J 2018;21:1-5.
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- Fronczek J, Polok K, Nowak-Kózka I, Wludarczyk A, Górka J, Czuczwar M, et al. Frailty increases mortality among patients = 80 years old treated in Polish ICUs. Anaesthesiology Intensive Therapy 2018;50:245-51.
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- Islam A, Muir-Hunter SW, Speechley M, Montero-Odasso M. Facilitating Frailty Identification: Comparison of two methods among community-dwelling order adults. J Frailty Aging 2014;3:216-21.
- Juma S, Taabazuing M-M, Montero-Odasso M. Clinical Frailty Scale in an acute medicine unit: a simple tool that predicts length of stay. Canadian Geriatrics Journal 2016;19:34-9.
- Langlais E, Nesseler N, Le Pabic E, Frasca D, Launey Y, Seguin P. Does the clinical frailty score improve the accuracy of the SOFA score in predicting hospital mortality in elderly critically ill patients? A prospective observational study. J Crit Care 2018;46:67-72.
- Leahy-Warren P, O'Caoimh R, FitzGerald C, Cochrane A, Svendrovski A, Cronin U, et al. Components of the Risk Instrument for Screening in the Community (RISC) that correlate with public health nurses' perception of risk. J Frailty Aging 2015;4:149-54.
- Lewis ET, Dent E, Alkhouri H, Kellett J, Williamson M, Asha S, et al. Which frailty scale for patients admitted via Emergency Department? A cohort study. Arch Gerontol Geriatr 2019;80:104-114.
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- Muessig JM, Nia AM, Masyuk M, Lauten A, Sacher AL, Brenner T, et al. Clinical Frailty Scale (CFS) reliably stratifies octogenarians in German ICUs: a multicentre prospective cohort study. BMC Geriatr 2018;18:162.
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- Ritt M, Bollheimer LC, Sieber CC, Gassmann KG. Prediction of one-year mortality by five different frailty instruments: A comparative study in hospitalized geriatric patients. Arch Gerontol Geriatr 2016;66:66-72.
- Ritt M, Ritt JI, Sieber CC, Gassmann KG. Comparing the predictive accuracy of frailty, comorbidity, and disability for mortality: a 1-year follow-up in patients hospitalized in geriatric wards. Clin Interv Aging 2017;12:293-304.
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- Romero-Ortuno R, Wallis S, Biram R, Keevil V. Clinical frailty adds to acute illness severity in predicting mortality in hospitalized older adults: An observational study. Eur J Intern Med 2016;35:24-34.
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- Wallis SJ, Wall J, Biram RW, Romero-Ortuno R. Association of the clinical frailty scale with hospital outcomes. QJM 2015;108:943-9.
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- Darvall JN, Greentree K, Braat MS, Story DA, Lim WK. Contributors to frailty in critical illness: Multi-dimensional analysis of the Clinical Frailty Scale. J Crit Care 2019;52:193-9.
Literature search
The search result, usually found at the end of the documentation, forms the list of abstracts | ||
Search terms | Items found | |
Intervention: | ||
1. | "clinical frailty scale"[Title/Abstract] | 216 |
Final | 1. | 216 |
/exp = Includes terms found below this term in the EMTREE hierarchy; ’ ’ = Citation Marks; searches for an exact phrase | ||
Search terms | Items found | |
Intervention: | ||
1. | ('clinical frailty scale'/exp OR 'clinical frailty scale') AND [embase]/lim | 436 |
Final | 1 | 436 |
The search result, usually found at the end of the documentation, forms the list of abstracts AB = Abstract; TI = Title; “ “ = Citation Marks; searches for an exact phrase |
|||
Search terms | Items found | ||
Intervention: | |||
1. | TI "clinical frailty scale" OR AB "clinical frailty scale" | 136 | |
Final | 1 | 136 |
Search terms | Items found | |
The search result, usually found at the end of the documentation, forms the list of abstracts | ||
Intervention: | ||
1. | “clinical frailty scale” AND systematic review | 53 |
Final | 1 | 53 |
Project group
Christel Hellberg, Sara Fundell and Miriam Entesarian Matsson at SBU.