Association of the clinical frailty scale with hospital outcomes.

摘要: Background : the clinical frailty scale (CFS) was validated as a predictor of adverse outcomes in community-dwelling older people. In our hospital, use CFS emergency admissions people aged ≥ 75 years introduced under Commissioning for Quality and Innovation payment framework. Aim: we retrospectively studied association with patient characteristics outcomes. Design: retrospective observational study large tertiary university National Health Service hospital UK. Methods: correlated transfer to specialist Geriatric ward, length stay (LOS), in-patient mortality 30-day readmission rate. Results: between 1st August 2013 31st July 2014, there were 11 271 admission episodes (all specialties), corresponding 7532 unique patients (first admissions); those, 5764 had measured by admitting team (81% them within 72 hr admission). After adjustment age, gender, Charlson comorbidity index history dementia and/or current cognitive concern, an independent [odds ratio (OR) = 1.60, 95% confidence interval (CI): 1.48 1.74, P  < 0.001], ward (OR = 1.33, CI: 1.24 1.42,  < 0.001) LOS 10 days (OR = 1.19, 1.14 1.23,  < 0.001). The not multivariate readmission. Conclusions: may help predict target geriatric resources hospital. Usual metrics such should take into account measurable complexity.