Questionnaire-based approach valid for identifying frailty

April 11, 2017

(HealthDay)—A questionnaire-based approach seems to be valid for identifying adults in the intensive care unit with a frailty phenotype, according to a study published online March 30 in the Annals of the American Thoracic Society.

Aluko A. Hope, M.D., from the Albert Einstein College of Medicine in Bronx, N.Y., and colleagues conducted an observational cohort study involving 95 adults admitted to a medical or surgical . Patients or surrogates were asked about demographics, frailty markers, and pre-hospital disability status. The Clinical Frailty Scale (CFS) was completed by physicians.

The researchers found that patients with frailty markers were older (P < 0.001) and were more likely to be judged as frail by the CFS (P = 0.001). The CFS identified 36.7 percent of 49 patients with at least three frailty markers as not frail. There were no significant correlations for malnutrition and fatigue or low energy with other frailty correlates. The likelihood of dying or reporting increased disability at follow-up was increased for survivors with more frailty markers. For prediction of death or increased disability at six months, a frailty phenotype defined by three or more of seven frailty markers performed similarly to CFS (adjusted odds ratio, 3.3 versus 3.8 for CFS).

"Asking patients or surrogates about frailty markers may be a valid approach to identifying critically ill adults with a phenotype associated with increased risk of adverse outcomes," the authors write.

Explore further: Higher anabolic hormone levels predict lower risk of worsening frailty in men

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Higher anabolic hormone levels predict lower risk of worsening frailty in men

April 3, 2017
A new study suggests that middle-age and elderly men are less likely to develop worsening frailty if they have high levels of certain anabolic hormones, which are muscle- and bone-building hormones. The study results will ...

Screening for both malnutrition and frailty needed to enhance health of aging populations

March 21, 2017
By 2035 one in four Canadians will be 65 years old or older, an age group prone to malnutrition and frailty. A new literature review published today in Applied Physiology, Nutrition, and Metabolism describes the similarities ...

Older surgery patients should be screened for frailty: study

October 7, 2016
(HealthDay)—Screening older surgery patients for frailty could improve their outcomes and chances for survival, researchers say.

Use of frailty screening initiative before surgery associated with reduced risk of death

November 30, 2016
In a study published online by JAMA Surgery, Daniel E. Hall, M.D., M.Div., M.H.Sc., of the Veterans Affairs Pittsburgh Healthcare System and University of Pittsburgh, and colleagues examined the effect of a Frailty Screening ...

Review: Frailty status may predict outcome after cardiac surgery

August 24, 2016
(HealthDay)—Frailty status may be able to predict outcome in older adults undergoing cardiac surgical procedures, although the quality of evidence is variable, according to a review published online Aug. 23 in the Annals ...

Frailty may increase complication risk following urologic surgery

January 19, 2016
For patients undergoing urologic surgery, frailty may increase their risk of experiencing complications after surgery.

Recommended for you

Accurate measurements of sodium intake confirm relationship with mortality

June 21, 2018
Eating foods high in salt is known to contribute to high blood pressure, but does that linear relationship extend to increased risk of cardiovascular disease and death? Recent cohort studies have contested that relationship, ...

Fans of yoga therapy have yet to win over doctors

June 21, 2018
Yoga practitioners often tout the unique health benefits of the ancient discipline—from relieving stress and pain to improving vascular health—but most doctors remain sceptical in the absence of hard proof.

Fruit and vegetables linked to changes in skin colour, new research finds

June 21, 2018
Skin colour in young Caucasian men is strongly linked to high levels of fruit and vegetable consumption, new research by Curtin University has found.

What a pain: The iPad neck plagues women more

June 20, 2018
Is your iPad being a literal pain in the neck?

Medicaid work requirements and health savings accounts may impact people's coverage

June 20, 2018
Current experimental approaches in Medicaid programs—including requirements to pay premiums, contribute to health savings accounts, or to work—may lead to unintended consequences for patient coverage and access, such ...

Introduction of alcohol found to adversely impact fertility rates in hunter-gatherer community

June 19, 2018
Fernando Ramirez Rozzi, a research director with the French National Centre for Scientific Research has found that the introduction of alcohol to a Baka pygmy hunter-gatherer society caused fertility rates to fall. In his ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.