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1/4 Clinical Frailty Scale at Emergency Department triage https://pubmed.ncbi.nlm.nih.gov/33172880/ Good study, cautionary tale, and a useful spur to do more, especially with the #frailty stakes in COVID-19. Shrier et al/ Sussex usefully evaluated agreement and
2/4 predictive value of baseline (2 wks prior) CFS in older (median 82 years) ED patients admitted to hospital. ED CFS was recorded at nursing triage. Ward CFS by doctor doing “clerking in an independent frailty assessment”: collateral histories, more patient info + greater /3
3/4 frailty expertise. Ward CFS higher: median 5 vs 4 in ED. 4801 (56%) of CFS pairs within ±1 CFS dichotomized as frail ≥5 non-frail (aargh, but not rare). Ward CFS higher, AUC (0.7) close to published work. Real-world issues: many raters, little triage time, more info after/4
4/4 admission, many raters. Not confident to rate as frail (= lower triage CFS) Plus like reports (Surkan M et al Can Geriatr J 2020;23:235-241 PMC7458598) motivating @olga_theou and me to offer more. More data soon. Interest in studying the CFS app, ± new algorithm? FIN
