ArticleBMC geriatrics2022
Frailty assessment and acute frailty service provision in the UK: results of a national 'day of care' survey.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed.
- Perceptions of frailty pathway implementation in an acute setting among healthcare professionals: a qualitative study using the CFIR 2.0.BMC geriatrics · 2026Article
- Being screened for frailty in the emergency department: the voice of patients in an exploratory qualitative study.BMC geriatrics · 2026Article
- Article
- Pilot study evaluating frailty-focused care for hospitalised patients with chronic obstructive pulmonary disease.BMJ open quality · 2025Article
- Systemic Strategies to Prevent Nonbeneficial Treatments Near the End of Life.JAMA network open · 2025Article
- The influence between frailty, sarcopenia and physical status on mortality in patients undergoing emergency laparotomy.World journal of emergency surgery : WJES · 2025Article
- Article
- Acute frailty services: results of a national day of care survey.BMC geriatrics · 2024Article
- Identifying and Managing Frailty: A Survey of UK Healthcare Professionals.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Frailty assessment tools in the emergency department: A geriatric emergency department guidelines 2.0 scoping review.Journal of the American College of Emergency Physicians open · 2024Article
- Care pathways in older patients seen in a multidisciplinary same day emergency care (SDEC) unit.Age and ageing · 2024Article
- Multimorbidity and adverse outcomes following emergency department attendance: population based cohort study.BMJ medicine · 2024Article
- An Early Supported Discharge (ESD) Model of Care for Older Adults Admitted to Hospital: A Descriptive Cohort Study.Clinical interventions in aging · 2024Article
- The impact of frailty and geriatric syndromes on metrics of acute care performance: results of a national day of care survey.EClinicalMedicine · 2023Article
- Frailty assessment as part of transplant listing: yes, no or maybe?Clinical kidney journal · 2023Review
- The role of frailty in advanced HF and cardiac transplantation.Frontiers in cardiovascular medicine · 2023Review
- Possible futures of acute medical care in the NHS: a multispecialty approach.Future healthcare journal · 2022Article
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7 authors.
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Abstract
backgroundThe incorporation of acute frailty services into the acute care pathway is increasingly common. The prevalence and impact of acute frailty services in the UK are currently unclear.
methodsThe Society for Acute Medicine Benchmarking Audit (SAMBA) is a day of care survey undertaken annually within the UK. SAMBA 2019 (SAMBA19) took place on Thursday 27th June 2019. A questionnaire was used to collect hospital and patient-level data on the structure and organisation of acute care delivery. SAMBA19 sought to establish the frequency of frailty assessment tool use and describe acute frailty services nationally. Hospitals were classified based on the presence of acute frailty services and metrics of performance compared.
resultsA total of 3218 patients aged ≥70 admitted to 129 hospitals were recorded in SAMBA19. The use of frailty assessment tools was reported in 80 (62.0%) hospitals. The proportion of patients assessed for the presence of frailty in individual hospitals ranged from 2.2 to 100%. Bedded Acute Frailty Units were reported in 65 (50.3%) hospitals. There was significant variation in admission rates between hospitals. This was not explained by the presence of a frailty screening policy or presence of a dedicated frailty unit.
conclusionTwo fifths of participating UK hospitals did not have a routine frailty screening policy: where this existed, rates of assessment for frailty were variable and most at-risk patients were not assessed. Responses to positive results were poorly defined. The provision of acute frailty services is variable throughout the UK. Improvement is needed for the aspirations of national policy to be fully realised.
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