The ability of frailty to predict outcomes in older people attending an acute medical unit
Conroy, S.; Dowsing, T.
Acute Medicine 12(2): 74-76
2013
ISSN/ISBN: 1747-4892 PMID: 23732130 Document Number: 15229
This study assessed the role of frailty assessment in the AMU. Patients were assessed for frailty and their outcomes ascertained at 90 days. The Canadian Study on Health and Aging Clinical Frailty Scale categorised 29% of patients as moderately-severely frail. Frailty did not differentially identify those likely to be discharged within one day, nor with long stays. Mortality at 90 days was 32%; frailty was associated with the risk of dying, odds ratio 1.4. 21% of patients were readmitted at 30 days, and 33% at 90 days, but frailty was not predictive. Moderate-severe frailty in people aged 70+ was common and was predictive of higher mortality, but did not appear to predict admission, length of stay or readmission.
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