ArticleThe American journal of emergency medicine2019
Comparison of bedside screening methods for frailty assessment in older adult trauma patients in the emergency department.
Article in The American journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Does frailty status predict outcome in major trauma in older people? A systematic review and meta-analysis.Age and ageing · 2023Pooled it
- Muscle point-of-care ultrasound as a predictor of mortality in older adults with hip fracture.European geriatric medicine · 2026Observational
- A simplified clinical frailty scale predicts mortality in emergency department patients with acute dyspnea.GeroScience · 2026Article
- A cross-sectional study of the relationship between community dwelling older adults' self-perceived frailty and their electronic frailty index score.BMC geriatrics · 2026Article
- Point-of-Care Ultrasound-Based Assessment of Sarcopenia to Predict Revisits or Mortality in Older Adults at the Emergency Department: A Prospective Observational Study.Annals of geriatric medicine and research · 2026Observational
- Article
- Agreement Between Provider-Completed and Patient-Completed Preoperative Frailty Screening Using the Clinical Risk Analysis Index: Cross-Sectional Questionnaire Study.JMIR perioperative medicine · 2025Article
- Implementation of a geriatric care bundle for older adults with acute burns.Burns : journal of the International Society for Burn Injuries · 2024Article
- Skeletal Muscle Echo Intensity Values Differ Significantly across Ultrasound Parameter Settings.Life (Basel, Switzerland) · 2024Article
- Article
- Uncovering sarcopenia and frailty in older adults by using muscle ultrasound-A narrative review.Frontiers in medicine · 2024Review
- Point-of-care ultrasound in geriatrics: a national survey of VA medical centers.BMC geriatrics · 2023Observational
- Grip strength cut-points from the Swiss DO-HEALTH population.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023Article
- Association of Sonographic Sarcopenia and Falls in Older Adults Presenting to the Emergency Department.Journal of clinical medicine · 2023Article
- The Usefulness of Radiomics Methodology for Developing Descriptive and Prognostic Image-Based Phenotyping in the Aging Population: Results From a Small Feasibility Study.Frontiers in aging · 2022Article
- Feasibility and accuracy of ED frailty identification in older trauma patients: a prospective multi-centre study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Observational
- Application of ultrasound for muscle assessment in sarcopenia: 2020 SARCUS update.European geriatric medicine · 2021Review
- Patient Versus Physician Perceptions of Frailty: A Comparison of Clinical Frailty Scale Scores of Older Adults in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Article
- Validity of the Malnutrition Universal Screening Tool for Evaluation of Frailty Status in Older Hospitalised Patients.Gerontology & geriatric medicineArticle
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrailty is linked to poor outcomes in older patients. We prospectively compared the utility of the picture-based Clinical Frailty Scale (CFS9), clinical assessments, and ultrasound muscle measurements against the reference FRAIL scale in older adult trauma patients in the emergency department (ED).
methodsWe recruited a convenience sample of adults 65 yrs. or older with blunt trauma and injury severity scores <9. We queried subjects (or surrogates) on the FRAIL scale, and compared this to: physician-based and subject/surrogate-based CFS9; mid-upper arm circumference (MUAC) and grip strength; and ultrasound (US) measures of muscle thickness (limbs and abdominal wall). We derived optimal diagnostic thresholds and calculated performance metrics for each comparison using sensitivity, specificity, predictive values, and area under receiver operating characteristic curves (AUROC).
resultsFifteen of 65 patients were frail by FRAIL scale (23%). CFS9 performed well when assessed by subject/surrogate (AUROC 0.91 [95% CI 0.84-0.98] or physician (AUROC 0.77 [95% CI 0.63-0.91]. Optimal thresholds for both physician and subject/surrogate were CFS9 of 4 or greater. If both physician and subject/surrogate provided scores <4, sensitivity and negative predictive value were 90.0% (54.1-99.5%) and 95.0% (73.1-99.7%). Grip strength and MUAC were not predictors. US measures that combined biceps and quadriceps thickness showed an AUROC of 0.75 compared to the reference standard.
conclusionThe ED needs rapid, validated tools to screen for frailty. The CFS9 has excellent negative predictive value in ruling out frailty. Ultrasound of combined biceps and quadriceps has modest concordance as an alternative in trauma patients who cannot provide a history.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.