ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2022
The clinical frailty scale predicts 1-year mortality in emergency department patients aged 65 years and older.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06262815 (The Utility of Treatment With Nasogastric Tube Placement for Small Bowel Obstruction in Adult Patients in the Emergency Department; an Observational Multicenter Study), which is not on this map. Cited by 30 papers.
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The trial behind it
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.
The Utility of Treatment With Nasogastric Tube Placement for Small Bowel Obstruction in Adult Patients in the Emergency Department; an Observational Multicenter Study
Who cites it
30 citing papers in PubMed.
- Good Outcome Following Attempted Resuscitation Score and Clinical Frailty Scale for Estimating Long-Term Mortality: An Ancillary Study of the CLEAR Randomized Clinical Trial.JAMA network open · 2025Trial
- On-site physiotherapy in older emergency department patients following a fall: a randomized controlled trial.European geriatric medicine · 2025Trial
- Predictive ability of two frailty screening tools for older patients in an emergency department: a comparative study.Internal and emergency medicine · 2026Article
- Comparing Frailty and Traditional Risk Models in Predicting 6-Month Mortality After Hip Fracture in Older Adults: A Retrospective Study from a Single Center.Journal of clinical medicine · 2026Article
- A simplified clinical frailty scale predicts mortality in emergency department patients with acute dyspnea.GeroScience · 2026Article
- Type 1 diabetes, ageing and frailty: an underexplored intersection.Diabetologia · 2026Review
- Impact of pressure ulcers and frailty on long-term mortality: a prospective cohort study of hospitalized older adults.European geriatric medicine · 2026Article
- When the older patient meets the emergency department: paradigm shift for a super-aged Singapore.Singapore medical journal · 2026Article
- Frailty-Informed Decision Making During Acute Health Crises: A Competency-Based Framework for Person-Centered Care.Journal of clinical medicine · 2025Review
- Outcomes of Older Adults With Delirium Discharged From the Emergency Department.Annals of emergency medicine · 2025Article
- Considering frailty and meaningful outcomes in geriatric emergency care.Internal and emergency medicine · 2025Article
- Prognostic value of frailty across age groups in emergency department patients aged 65 and above.BMC geriatrics · 2025Article
- The Impact of Frailty on Functional Outcome in Neurointensive Care Patients.European journal of neurology · 2025Article
- Mortality Prediction of Biochemical Parameters in Patients Intubated in the Emergency Department.Cureus · 2024Article
- Addition of the clinical frailty scale to triage tools and early warning scores improves mortality prognostication at 30 days: A prospective observational multicenter study.Journal of the American College of Emergency Physicians open · 2024Article
- Comparative Clinical Characteristics of Frail Older Adults in the Emergency Department: Long-Term Care Hospital versus Community Residence.Journal of personalized medicine · 2024Article
- Frailty is associated with 30-day mortality: a multicentre study of Swedish emergency departments.Emergency medicine journal : EMJ · 2024Observational
- Frailty Explains Variation in Emergency Department Use for Older Veterans During the COVID-19 Pandemic.Journal of geriatric emergency medicine · 2024Article
- Predicting Outcomes in Frail Older Community-Dwellers in Western Australia: Results from the Community Assessment of Risk Screening and Treatment Strategies (CARTS) Programme.Healthcare (Basel, Switzerland) · 2024Article
- Association between Boarding of Frail Individuals in the Emergency Department and Mortality: A Systematic Review.Journal of clinical medicine · 2024Review
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo validate the Clinical Frailty Scale (CFS) for prediction of 1-year all-cause mortality in the emergency department (ED) and compare its performance to the Emergency Severity Index (ESI).
methodsProspective cohort study at the ED of a tertiary care center in Northwestern Switzerland. All patients aged ≥65 years were included from March 18 to May 20, 2019, after informed consent. Frailty status was assessed using CFS, excluding level 9 (palliative). Acuity level was assessed using ESI. Both CFS and ESI were adjusted for age, sex and presenting condition in multivariable logistic regression. Prognostic performance was assessed for discrimination and calibration separately. Estimates were internally validated by Bootstrapping. Restricted mean survival time (RMST) was determined for all levels of CFS.
resultsIn the final study population of 2191 patients, 1-year all-cause mortality was 17% (n = 372). RMST values ranged from 219 days for CFS 8 to 365 days for CFS 1. The adjusted CFS model had an area under receiver operating characteristic of 0.767 (95% confidence interval [CI]: 0.741-0.793), compared to 0.703 (95% CI: 0.673-0.732) for the adjusted ESI model.
conclusionThe CFS predicts 1-year all-cause mortality for older ED patients and predicts survival time in a graded manner. The CFS is superior to the ESI when adjusted for age, sex, and presenting condition.
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