ArticlePerioperative medicine (London, England)2022
Utility and reliability of the Clinical Frailty Scale in patients scheduled for major vascular surgery: a prospective, observational, multicentre observer-blinded study.
Article in Perioperative medicine (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03403673 (Clinical Frailty Scale Validation in Patients Scheduled for Vascular Surgery), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Clinical Frailty Scale Validation in Patients Scheduled for Vascular Surgery
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Frailty score and outcomes of patients undergoing vascular surgery and amputation: A systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2023Pooled it
- Translation, Cross-Cultural Adaptation and Validation of the Serbian Version of the Clinical Frailty Scale in Patients Undergoing Major Uro-Oncological Surgery.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Frail to Fail: More Support for Less Reserve-Can Clinical Frailty Scale Predict Path to Liberation?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Feasibility of preoperative patient self-assessed frailty: a single-centre pilot study.BJA open · 2026Article
- Addressing Frailty in Cardiology: Identifying Barriers Faced by Cardiologists and Health Care Professionals in Asia.JACC. Asia · 2025Article
- In search of a characterisation of frailty: applying exploratory factor analysis to ageing preoperative patients : Cross-sectional study.Perioperative medicine (London, England) · 2025Article
- Predictive Value of Ultrasound-Measured Quadriceps Depth and Frailty Status for Hypotension in Older Patients Undergoing Reverse Total Shoulder Arthroplasty in the Beach Chair Position under General Anesthesia.Journal of personalized medicine · 2024Article
- Decision making in the frail vascular surgery patient: A scoping review.Seminars in vascular surgery · 2024Article
- Interrater reliability of the Clinical Frailty Scale in the anesthesia preadmission clinic.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Frailty and Colorectal Surgery: Review and Concept of Cancer Frailty.Journal of clinical medicine · 2023Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundFrailty is a distinctive health state associated with a loss of physiological reserve that results in higher rates of perioperative complications and impaired return to pre-morbid functional status. It is prevalent in the vascular population; however routine assessment is not common despite national guidance to the contrary. We aimed to evaluate the reliability of the Clinical Frailty Scale in assessing frailty in the surgical vascular population.
methodsIn this prospective, observational, observer-blinded study, we compared assessment of frailty in patients scheduled for major vascular surgery attending the pre-operative assessment clinic using the Clinical Frailty Scale against the Edmonton Frailty Scale. The study investigator completed the Edmonton Frailty Scale assessment; this was compared to the Clinical Frailty Scale assessments performed by the pre-assessment consultant and pre-assessment nurse, who were blinded to the Edmonton Frailty Scale score. The inter-rater reliability of the Clinical Frailty Scale between the pre-assessment consultant and pre-assessment nurse was determined by comparing their frailty scores for each patient.
resultsNinety-seven patients were included in the analysis (median age 72 years, 84% male and 16% female). There was a moderate level of agreement between the Edmonton and Clinical Frailty Scale score for both consultants (87.6% agreement) and pre-assessment nurses (87.6% agreement). There was a substantial level of agreement between consultants and pre-assessment nurses for the Clinical Frailty Scale (89.7% agreement)
conclusionsThe Clinical Frailty Scale is a useful tool to assess frailty in the vascular surgical population. It is more practical than the Edmonton Frailty Scale: quick to complete, requires minimal training and can be used when physical disability is present.
trial registrationThe study was approved by the Wales Health and Care Research Ethics Service (REC reference 17/WA/0160, IRAS 201173).
trial registrationNCT03403673. Registered 19 January 2018, https://clinicaltrials.gov/ct2/show/NCT03403673.
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