Key result
The FRAIL scale was the most valid frailty screening tool in the emergency department, improving the C-statistic for 28-day mortality prediction from 0.786 to 0.854.
Why the study?
Does the FRAIL scale (FS) improve prediction of adverse outcomes compared to FSQ and CFS in older adults in the emergency department?
Population
317 older adults aged ≥65 years attending the emergency department
Comparison
Frailty screening using the FRAIL scale (FS) vs Frailty screening using the frailty screening…
Design
Cohort
Follow-up
Up to 90 days
Authors
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FS may best predict 28-day mortality among three scales in older ED adults; leaves open which tool to adopt routinely pending validation.
Cohort (n=317)
Does the FRAIL scale (FS) improve prediction of adverse outcomes compared to FSQ and CFS in older adults in the emergency department?
Effect estimate: C-statistic 0.854 (95% CI 0.802-0.907)
The FRAIL scale is the most valid tool among three tested frailty scales for predicting 28-day mortality in older adults in the emergency department.
Shang et al. (2022) conducted a cohort in older adults in the emergency department (n=317). Frailty screening (FRAIL scale, FSQ, CFS) vs. Basic risk factor model was evaluated on all-cause 28-day mortality (C-statistic 0.854, 95% CI 0.802-0.907). The FRAIL scale was the most valid frailty screening tool in the emergency department, improving the C-statistic for 28-day mortality prediction from 0.786 to 0.854.
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