What question did this study set out to answer?

To determine whether emergency physicians and older adults differ in their ratings on the Clinical Frailty Scale and whether these scores correlate with emergency department disposition.

July 2, 2019Academic Emergency MedicineOpen Access

Patient Versus Physician Perceptions of Frailty: A Comparison of Clinical Frailty Scale Scores of Older Adults in the Emergency Department

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Authors

SDScott M. DresdenNorthwestern University TPTimothy F. Platts‐MillsPilates of Marin DKDeepika KandasamyUniversity of North Carolina at Chapel Hill

Discussion

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Implication

Cross-sectional survey shows moderate agreement between physician and patient frailty ratings in older emergency department attendees, highlighting systematic differences in health perception.

Key Points

To determine whether emergency physicians and older adults differ in their ratings on the Clinical Frailty Scale and whether these scores correlate with emergency department disposition.
Conducted a cross-sectional survey of community-dwelling older adults aged 65 and older across two US emergency departments (N=266) from July 2016 to April 2017.
Collected frailty ratings using the 9-point Clinical Frailty Scale (CFS) independently reported by patients and assigned by treating emergency physicians.
Evaluated inter-rater agreement using weighted Cohen's kappa and evaluated differences across clinical, social, and disposition variables using the Wilcoxon rank-sum test.
Agreement between patient-reported and physician-assigned CFS scores was moderate overall (weighted κ = 0.43; site 1 κ = 0.36, site 2 κ = 0.56), with patients selecting CFS scores 1–2 more often and physicians assigning scores of 3 or 6–8 more frequently.
Physician-assigned CFS scores were significantly associated with planned hospital admission or transfer to a rehabilitation facility (median CFS: home = 3, admission = 4, facility = 5.5; p = 0.014), whereas patient-reported CFS scores showed no significant association with disposition (p = 0.08).

Cite This Study

Dresden et al. (2019) studied this question.

synapsesocial.com/papers/6aa3f434e0a56e090ff43948 https://doi.org/10.1111/acem.13825

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Implication

Cross-sectional survey shows moderate agreement between physician and patient frailty ratings in older emergency department attendees, highlighting systematic differences in health perception.

Patient Versus Physician Perceptions of Frailty: A Comparison of Clinical Frailty Scale Scores of Older Adults in the Emergency Department

Discussion

Member takes

Implication

Key Points

Cite This Study

Patient Versus Physician Perceptions of Frailty: A Comparison of Clinical Frailty Scale Scores of Older Adults in the Emergency Department

Discussion

Member takes

Implication

Key Points

Cite This Study

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