Reliability of the Clinical Frailty Scale in very elderly ICU patients: a prospective European study
| العنوان: | Reliability of the Clinical Frailty Scale in very elderly ICU patients: a prospective European study |
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| المؤلفون: | Flaatten, Hans, the VIP2 Study Group, [missing], Guidet, Bertrand, Andersen, Finn H., Artigas, Antonio, Cecconi, Maurizio, Boumendil, Ariane, Elhadi, Muhammed, Fjølner, Jesper, Joannidis, Michael, Jung, Christian, Leaver, Susannah, Marsh, Brian, Moreno, Rui, Oeyen, Sandra, Nalapko, Yuriy, Schefold, Joerg C., Szczeklik, Wojciech, Walther, Sten, Watson, Ximena, Zafeiridis, Tilemachos, de Lange, Dylan W. |
| المساهمون: | Gestionnaire, HAL Sorbonne Université 5, University of Bergen (UiB), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Norwegian University of Science and Technology [Trondheim] (NTNU), Norwegian University of Science and Technology (NTNU), Centro de Investigación Biomédica en Red Enfermedades Respiratorias (CIBERES), Humanitas Clinical and Research Center [Rozzano, Milan, Italy], Service de Réanimation Médicale [CHU Saint-Antoine], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU), University of Tripoli - University Al Fateh, Aarhus University Hospital, Innsbruck Medical University = Medizinische Universität Innsbruck (IMU), University Hospital Düsseldorf, St George's, University of London, University of Dublin, Instituto Universitário de Lisboa (ISCTE-IUL), Ghent University Hospital, European Wellness, University of Bern, Uniwersytet Jagielloński w Krakowie = Jagiellonian University (UJ), Linköping university hospital, University Hospital of Larissa, University Medical Center [Utrecht], Sorbonne Université (SU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Innsbruck Medical University [Austria] (IMU) |
| المصدر: | Annals of Intensive Care Annals of Intensive Care, 2021, 11 (22), ⟨10.1186/s13613-021-00815-7⟩ ANNALS OF INTENSIVE CARE Annals of Intensive Care, Vol 11, Iss 1, Pp 1-7 (2021) Flaatten, Hans; Guidet, Bertrand; Andersen, Finn H; Artigas, Antonio; Cecconi, Maurizio; Boumendil, Ariane; Elhadi, Muhammed; Fjølner, Jesper; Joannidis, Michael; Jung, Christian; Leaver, Susannah; Marsh, Brian; Moreno, Rui; Oeyen, Sandra; Nalapko, Yuriy; Schefold, Joerg C.; Szczeklik, Wojciech; Walther, Sten; Watson, Ximena; Zafeiridis, Tilemachos; ... (2021). Reliability of the Clinical Frailty Scale in very elderly ICU patients: a prospective European study. Annals of intensive care, 11(1), p. 22. Springer 10.1186/s13613-021-00815-7 <http://dx.doi.org/10.1186/s13613-021-00815-7Test> Annals of Intensive Care, SpringerOpen, 2021, 11 (22), ⟨10.1186/s13613-021-00815-7⟩ |
| بيانات النشر: | SpringerOpen, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Icu patients, medicine.medical_specialty, Anestesi och intensivvård, Octogenarians, health care facilities, manpower, and services, 610 Medicine & health, Critical Care and Intensive Care Medicine, 03 medical and health sciences, 0302 clinical medicine, Clinical frailty scale, Inter-rater variability, Intensive care, Anesthesiology, medicine, Medicine and Health Sciences, 030212 general & internal medicine, Reliability (statistics), Anesthesiology and Intensive Care, business.industry, Research, lcsh:Medical emergencies. Critical care. Intensive care. First aid, 030208 emergency & critical care medicine, lcsh:RC86-88.9, 3. Good health, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Scale (social sciences), Cohort, Physical therapy, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, business, Kappa |
| الوصف: | Purpose Frailty is a valuable predictor for outcome in elderly ICU patients, and has been suggested to be used in various decision-making processes prior to and during an ICU admission. There are many instruments developed to assess frailty, but few of them can be used in emergency situations. In this setting the clinical frailty scale (CFS) is frequently used. The present study is a sub-study within a larger outcome study of elderly ICU patients in Europe (the VIP-2 study) in order to document the reliability of the CFS. Materials and methods From the VIP-2 study, 129 ICUs in 20 countries participated in this sub-study. The patients were acute admissions ≥ 80 years of age and frailty was assessed at admission by two independent observers using the CFS. Information was obtained from the patient, if not feasible, from the family/caregivers or from hospital files. The profession of the rater and source of data were recorded along with the score. Interrater variability was calculated using linear weighted kappa analysis. Results 1923 pairs of assessors were included and background data of patients were similar to the whole cohort (n = 3920). We found a very high inter-rater agreement (weighted kappa 0.86), also in subgroup analyses. The agreement when comparing information from family or hospital records was better than using only direct patient information, and pairs of raters from same profession performed better than from different professions. Conclusions Overall, we documented a high reliability using CFS in this setting. This frailty score could be used more frequently in elderly ICU patients in order to create a more holistic and realistic impression of the patient´s condition prior to ICU admission. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2110-5820 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fb700c55d7aa3e3a6f8c540bc45eaef7Test https://hdl.handle.net/11250/2830384Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....fb700c55d7aa3e3a6f8c540bc45eaef7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21105820 |
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