Frailty in an older inpatient population: using the clinical frailty scale to predict patient outcomes.
作者： David Basic , Chris Shanley
关键词: Hazard ratio 、 Multivariate analysis 、 Model development 、 Odds ratio 、 Gerontology 、 Medicine 、 Scale (social sciences) 、 Emergency department 、 Population 、 Nursing homes
摘要: Objective: To evaluate the impact of frailty, measured using Canadian Study Health and Aging Clinical Frailty Scale, on outcomes older people hospitalized with acute illness. Method: Consecutive patients were randomly allocated to a model development sample or validation sample. Multivariate analyses used in-hospital mortality, new nursing home placement, length stay. Variables selected in samples tested samples. Results: The mean age all 2,125 was 82.9 years. Most (93.6%) admitted through emergency department. predicted mortality (odds ratio [OR] = 2.97 [2.11, 4.17]), placement (OR 1.60 [1.14, 2.24]), hospital stay (hazard 0.87 [0.81, 0.93]). Discussion: is strong predictor adverse An increased awareness its may alert clinicians screen for frailty.
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