Comparison of bedside screening methods for frailty assessment in older adult trauma patients in the emergency department

Frailty is linked to poor outcomes in older patients. We prospectively compared the utility of the picture-based Clinical Frailty Scale (CFS9), clinical assessments, and ultrasound muscle measurements against the reference FRAIL scale in older adult trauma patients in the emergency department (ED)....

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Veröffentlicht in:	The American journal of emergency medicine 2019-01, Vol.37 (1), p.12-18
Hauptverfasser:	Shah, Sachita P., Penn, Kevin, Kaplan, Stephen J., Vrablik, Michael, Jablonowski, Karl, Pham, Tam N., Reed, May J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal wall Adults Age Aged Area Under Curve Arm Arm circumference Assessment Chronic fatigue syndrome Emergency medical care Emergency medical services Emergency Service, Hospital Female Frailty Frailty - diagnosis Frailty - mortality Frailty - physiopathology Geriatric Assessment - methods Geriatrics Grip strength Health Status Indicators Hospitals Humans Injuries Injury Severity Score Male Medical screening Mortality Muscles Muscular Atrophy - diagnostic imaging Muscular Atrophy - physiopathology Older patient Older people Patients Point-of-Care Systems Population Predictive Value of Tests Prospective Studies Quadriceps muscle Sarcopenia Thresholds Trauma Ultrasonic imaging Ultrasonography Ultrasound Wounds, Nonpenetrating - physiopathology
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Beschreibung
Zusammenfassung:	Frailty is linked to poor outcomes in older patients. We prospectively compared the utility of the picture-based Clinical Frailty Scale (CFS9), clinical assessments, and ultrasound muscle measurements against the reference FRAIL scale in older adult trauma patients in the emergency department (ED). We recruited a convenience sample of adults 65 yrs. or older with blunt trauma and injury severity scores
ISSN:	0735-6757 1532-8171
DOI:	10.1016/j.ajem.2018.04.028