ArticleCanadian geriatrics journal : CGJ2020
Interrater Reliability of the Clinical Frailty Scale by Geriatrician and Intensivist in Patients Admitted to the Intensive Care Unit.
Article in Canadian geriatrics journal : CGJ, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Integrating frailty and acute illness severity scoring for risk stratification in acute geriatric care: Review and practical guide.World journal of critical care medicine · 2026Review
- Comparison of the Predictive Value of CRP/Albumin, CRP/Prealbumin, and the Clinical Frailty Scale for Mortality in Geriatric Intensive Care Patients.Saudi medical journal · 2026Article
- [The geriatric syndrome frailty in the context of readmission to the intensive care unit : Study protocol of a mixed-methods study].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- Acceptability and feasibility of the Zulfiqar Frailty Scale (ZFS) in primary care: a cross-sectional survey.Journal of medicine and life · 2026Article
- Prevalence of New Frailty at Hospital Discharge in Severe COVID-19 Survivors and Its Associated Factors.Tuberculosis and respiratory diseases · 2025Article
- Agreement and predictive value of the clinical frailty scale in hospitalized older patients.European geriatric medicine · 2024Article
- COVID-19-Associated Outcomes of Critical Illness in Patients with Frailty: a Cohort Study.Canadian geriatrics journal : CGJ · 2024Article
- Article
- Machine learning-based gait analysis to predict clinical frailty scale in elderly patients with heart failure.European heart journal. Digital health · 2024Article
- Comparison of a multidomain frailty index from routine health data with the hospital frailty risk score in older patients in an Australian hospital.Australasian journal on ageing · 2023Article
- The Clinical Frailty Scale for mortality prediction of old acutely admitted intensive care patients: a meta-analysis of individual patient-level data.Annals of intensive care · 2023Article
- Better but Not Well: Disability, Frailty, and Cognitive Impairment One Year after COVID-19 Critical Illness.Annals of the American Thoracic Society · 2023Article
- Development of an Electronic Frailty Index for Hospitalized Older Adults in Sweden.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Zulfiqar Frailty Scale (ZFS): Concordance Study with the Clinical Frailty Scale (CFS).Medicines (Basel, Switzerland) · 2022Article
- Long-term recovery after critical illness in older adults.Current opinion in critical care · 2022Review
- Performance of the APOP-screener for predicting in-hospital mortality in older COVID-19 patients: a retrospective study.BMC geriatrics · 2022Article
- Association of Frailty, Organ Support, and Long-Term Survival in Critically Ill Patients With COVID-19.Critical care explorations · 2022Article
- Premorbid Clinical Frailty Score and 30-day mortality among older adults in the emergency department.Journal of the American College of Emergency Physicians open · 2022Article
- Article
- Association between Clinical Frailty Scale score and hospital mortality in adult patients with COVID-19 (COMET): an international, multicentre, retrospective, observational cohort study.The lancet. Healthy longevity · 2021Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Clinical Frailty Scale (CFS) is a commonly used frailty measure in intensive care unit (ICU) settings. We are interested in the test characteristics, especially interrater reliability, of the CFS in ICU by comparing the scores of intensivists to geriatricians.
methodsWe conducted a prospective cohort study on a convenience sample of newly admitted patients to an ICU in Edmonton, Canada. An intensivist and a resident in Geriatric Medicine (GM) independently assigned a CFS score on 158 adults within 72 hours of admission. A specialist in Geriatric Medicine assigned a CFS score independently of 20 of the 158 patients to assess agreement between the two raters trained in geriatrics. Predictive validity was captured using mortality and length of stay.
resultsAgreement on CFS score was fair for intensivists vs. GM resident (kappa 0.32) and for intensivists vs. GM specialist (0.29), but substantial for GM resident vs. staff (0.79). Despite this, the CFS remained prognostically relevant, regardless of rater background. Frailty (CFS ≥ 5) as assessed by either intensivist or GM resident was a strong predictor of in-hospital mortality (odds ratio [OR] 3.6; 95% CI, 1.6-8.4,
conclusionsThe interrater reliability of the CFS in ICU settings is fair for intensivists vs. geriatricians.
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