TY - JOUR
T1 - Predicting intensive care and hospital outcome with the Dalhousie Clinical Frailty Scale: a pilot assessment
AU - Fisher, Charles J
AU - Karalapillai, Dharshi C
AU - Bailey, Michael John
AU - Glassford, Neil John
AU - Bellomo, Rinaldo
AU - Jones, Daryl Andrew
PY - 2015
Y1 - 2015
N2 - Frailty may help to predict intensive care unit (ICU) patient outcome. The Dalhousie Clinical Frailty Scale (DCFS) is validated to assess frailty in ambulatory settings but has not been investigated in Australian ICUs. We conducted a prospective three-month study of patients admitted to a tertiary level ICU. Within 24 hours of ICU admission, the next of kin or nurse in charge assigned a DCFS score to the patient. Data were obtained to assess the association between frailty and patient outcome. The DCFS score was completed in 205 of 348 (59 ) of eligible patient admissions. The mean DCFS score was 3.2 (?1.6). Overall frailty (DCFS >4) occurred in 28 of 205 patients (13 , confidence interval 9 to 17 ), 13 of 93 (15 , confidence interval 10 to 25 ) in patients aged >65 years and 5 of 11 (45 , confidence interval 21 to 71 ) in those >85 years. Patients with chronic liver disease (P
AB - Frailty may help to predict intensive care unit (ICU) patient outcome. The Dalhousie Clinical Frailty Scale (DCFS) is validated to assess frailty in ambulatory settings but has not been investigated in Australian ICUs. We conducted a prospective three-month study of patients admitted to a tertiary level ICU. Within 24 hours of ICU admission, the next of kin or nurse in charge assigned a DCFS score to the patient. Data were obtained to assess the association between frailty and patient outcome. The DCFS score was completed in 205 of 348 (59 ) of eligible patient admissions. The mean DCFS score was 3.2 (?1.6). Overall frailty (DCFS >4) occurred in 28 of 205 patients (13 , confidence interval 9 to 17 ), 13 of 93 (15 , confidence interval 10 to 25 ) in patients aged >65 years and 5 of 11 (45 , confidence interval 21 to 71 ) in those >85 years. Patients with chronic liver disease (P
UR - http://www.mdlinx.com/anesthesiology/medical-news-article/2015/05/11/intensive-care/6120487/
M3 - Article
VL - 43
SP - 361
EP - 368
JO - Anaesthesia and Intensive Care
JF - Anaesthesia and Intensive Care
SN - 0310-057X
IS - 3
ER -