Effects of Clinical Frailty Scale Score on Adverse Outcomes and Length of Emergency Department Stay Before Intensive Care Unit Admission
Authors: Ekrem Taha Sert, Kamil Kokulu, Hüseyin Mutlu, Betül Cigdem Yortanlı
Published in: Journal of Emergency Medicine, 2023 September 10
Conclusions:
- The study identified the CFS score as a predictive factor for both the length of ED stay and adverse outcomes.
- Therefore, evaluating patients with the CFS can offer insights into the expected length of ED stay and the potential for adverse outcomes.
Methods:
- A prospective observational study design was employed.
- Included were patients aged 65 and older who were admitted to the ICU from March 1, 2021, to December 31, 2022.
- Patients were categorized into four groups based on their CFS scores.
- The study utilized logistic regression analysis to understand the effect of frailty severity on ED length of stay and clinical outcomes.
Results:
- Out of 920 patients:
- 25.4% were nonfrail.
- 26.2% had mild frailty.
- 25.9% had moderate frailty.
- 22.5% had severe frailty.
- Length of ED stay was significantly longer for patients with moderate (OR 2.13; 95% CI 1.63-2.90) and severe frailty (OR 3.32; 95% CI 1.92-3.87), but not significantly longer for those with mild frailty (OR 1.65; 95% CI 1.21-2.45) when compared to nonfrail patients.
- ICU mortality rates were significantly higher in mildly, moderately, or severely frail patients compared to nonfrail patients.
Sert, E.T., Kokulu, K., Mutlu, H. and Yortanlı, B.C., 2023. Effects of Clinical Frailty Scale Score on Adverse Outcomes and Length of Emergency Department Stay Before Intensive Care Unit Admission. The Journal of Emergency Medicine.