ArticleEuropean geriatric medicine2022
The Clinical Frailty Scale can be used retrospectively to assess the frailty of patients with hip fracture: a validation study.
Article in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- The Predictive Value of The 9-Point Clinical Frailty Scale on Outcomes in Older Adults with Hip Fracture: A Systematic Review.Journal of frailty, sarcopenia and falls · 2026Review
- Explainable Multimodal Machine Learning Predicts 90-Day Treatment Failure in Older Patients with Fragility Fractures of the Pelvis.Journal of clinical 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
- Mild to moderate frailty among older adults does not affect long-term quality of life or functional outcomes after colon cancer surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Observational
- Prevalence and outcomes of frailty in emergency laparotomy: a single-centre cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Article
- Trends and Guideline Adherence in Gabapentinoid Use among Geriatric Outpatients: A Retrospective Cross-Sectional Study at a Falls Clinic.Drugs & aging · 2026Article
- The Clinical Frailty Scale is a valid and independent predictor of one-year survival in patients sustaining a hip fracture : scottish Hip Fracture Audit data from 8,092 patients.Bone & joint open · 2025Article
- Article
- The effect of dexamethasone on the prevalence of delirium in older COVID-19 patients: a retrospective cohort study.European geriatric medicine · 2025Article
- Exploring Hyperkalemia Risk in Frail Older Patients Using RAAS Inhibitors.Drugs & aging · 2025Article
- SPING Block Analgesia in Non-Operative Management of Proximal Femur Fractures in Older Adults Living with Frailty: A Retrospective Cohort Study.Geriatrics (Basel, Switzerland) · 2025Article
- Blood based immune biomarkers associated with clinical frailty scale in older patients with melanoma receiving checkpoint inhibitor immunotherapy.Immunity & ageing : I & A · 2024Article
- Preparing for future pandemics: frailty associates with mortality in hospitalised older people during the entire COVID-19 pandemic, a Dutch multicentre cohort study.European geriatric medicine · 2024Article
- The clinical implications of using a low threshold for computed tomography scans in older patients presenting with a proximal femur fracture.European geriatric medicine · 2024Article
- Article
- Completion of the Emergency Department "Big 6" in Patients with an Acute Hip Fracture Is Associated with a Lower Mortality Risk and Shorter Length of Hospital Stay.Journal of clinical medicine · 2023Article
- Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeFrailty is a common clinical syndrome affecting hip fracture patients. Recognising and accurately assessing frailty status is important in clinical and research settings. The Rockwood Clinical Frailty Scale (CFS) is a commonly used instrument and demonstrates a strong correlation with mortality and length of hospital admission following hip fracture. What is not understood, however, is the validity of retrospectively assigned CFS scores in hip fracture patients. The aim of this study was to assess the validity of retrospective non-orthogeriatrician assigned CFS scores in hip fracture patients.
methodsHip fracture patients from a single major trauma centre were assessed and CFS scores were assigned prospectively by non-orthogeriatric clinicians (n = 57). A subset of these patients were also assigned a prospective CFS score by a specialist orthogeriatrician (n = 27). Two separate blinded observers (non-orthogeriatric clinicians) assigned CFS scores retrospectively using electronic patient records alone. Agreement and precision was examined using the Bland-Altman plot, accuracy was assessed using R
resultsSeventy percent of the cohort were female with an average age of 83. Agreement was high between prospective non-orthogeriatrician assigned CFS scores and retrospective non-orthogeriatrician assigned CFS scores, with a low bias (0.046) and good accuracy (R
conclusionsRetrospective CFS scores assigned by non-orthogeriatricians are a valid means of assessing frailty status in hip fracture patients. However, our results suggest a tendency for non-orthogeriatricians to marginally overestimate frailty status when assigning CFS scores retrospectively. LEVEL OF EVIDENCE: 3:
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