Evidence map›Paper›PMID 35864373›Full record

ArticleInternal and emergency medicine2022

Frailty assessment in emergency medicine using the Clinical Frailty Scale: a scoping review.

Christophe Alain Fehlmann, Christian Hans Nickel, Emily Cino, Zinnia Al-Najjar, Nigèle Langlois, Debra Eagles

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Internal and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
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  6. Addressing Frailty in the Emergency Department: Early Outcomes of a Geriatric Rapid Access Clinic.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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  7. Article
  8. Review
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  10. Article
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  12. Article
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  15. Frailty and Cognitive Decline in Hospitalized Elderly Patients: Associations with Clinical and Laboratory Parameters.Medical science monitor : international medical journal of experimental and clinical research · 2025
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  17. Article
  18. Observational
  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christophe Alain FehlmannDivision of Emergency Medicine, Department of Acute Medicine, Geneva University Hospitals, Geneva, Switzerland. christophe.fehlmann@hcuge.ch.ORCID 0000-0002-4163-0338
Christian Hans NickelEmergency Department, University Hospital Basel, University of Basel, Basel, Switzerland.
Emily CinoFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Zinnia Al-NajjarFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Nigèle LangloisHealth Sciences Library, University of Ottawa, Ottawa, Canada.
Debra EaglesSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrailty is a common condition present in older Emergency Department (ED) patients that is associated with poor health outcomes. The Clinical Frailty Scale (CFS) is a tool that measures frailty on a scale from 1 (very fit) to 9 (terminally ill). The goal of this scoping review was to describe current use of the CFS in emergency medicine and to identify gaps in research.

methodsWe performed a systemic literature search to identify original research that used the CFS in emergency medicine. Several databases were searched from January 2005 to July 2021. Two independent reviewers completed screening, full text review and data abstraction, with a focus on study characteristics, CFS assessment (evaluators, timing and purpose), study outcomes and statistical methods.

resultsA total of 4818 unique citations were identified; 34 studies were included in the final analysis. Among them, 76% were published after 2018, mainly in Europe or North America (79%). Only two assessed CFS in the pre-hospital setting. The nine-point scale was used in 74% of the studies, and patient consent was required in 69% of them. The main reason to use CFS was as a main exposure (44%), a potential predictor (15%) or an outcome (15%). The most frequently studied outcomes were mortality and hospital admission.

conclusionThe use of CFS in emergency medicine research is drastically increasing. However, the reporting is not optimal and should be more standardized. Studies evaluating the impact of frailty assessment in the ED are needed. REGISTRATION: https://doi.org/10.17605/OSF.IO/W2F8N.

Indexed as

Emergency MedicineFrailtyAgedEmergency Service, HospitalFrail ElderlyGeriatric AssessmentHumansClinical Frailty ScaleEmergency medicineFrailtyGeriatricOlder patients

Identifiers

PMID35864373
PMCPMC9302874

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.