Screening for frailty in older emergency patients and association with outcome

Lewis, Siobhan, Evans, Louis, Rainer, Timothy ORCID: https://orcid.org/0000-0003-3355-3237 and Hewitt, Jonathan ORCID: https://orcid.org/0000-0002-7924-1792 2020. Screening for frailty in older emergency patients and association with outcome. Geriatrics 5 (1) , 20. 10.3390/geriatrics5010020

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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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	MDPI AG
ISSN:	2308-3417
Date of First Compliant Deposit:	14 May 2021
Date of Acceptance:	10 March 2020
Last Modified:	04 May 2023 18:56
URI:	https://orca.cardiff.ac.uk/id/eprint/141327

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