• J Aging Health · Jun 2015

    Frailty in an older inpatient population: using the clinical frailty scale to predict patient outcomes.

    • David Basic and Chris Shanley.
    • University of New South Wales, Australia david.basic@swsahs.nsw.gov.au.
    • J Aging Health. 2015 Jun 1;27(4):670-85.

    ObjectiveTo evaluate the impact of frailty, measured using the Canadian Study of Health and Aging Clinical Frailty Scale, on outcomes of older people hospitalized with acute illness.MethodConsecutive patients were randomly allocated to a model development sample or a model validation sample. Multivariate analyses were used to model in-hospital mortality, new nursing home placement, and length of stay. Variables selected in the development samples were tested in the validation samples.ResultsThe mean age of all 2,125 patients was 82.9 years. Most (93.6%) were admitted through the emergency department. Frailty predicted in-hospital mortality (odds ratio [OR] = 2.97 [2.11, 4.17]), new nursing home placement (OR = 1.60 [1.14, 2.24]), and length of hospital stay (hazard ratio = 0.87 [0.81, 0.93]).DiscussionFrailty is a strong predictor of adverse outcomes in older people hospitalized with acute illness. An increased awareness of its impact may alert clinicians to screen for frailty.© The Author(s) 2014.

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