Effects of Clinical Frailty Scale Score on Adverse Outcomes and Length of Emergency Department Stay Before Intensive Care Unit Admission

dc.contributor.authorSert, Ekrem Taha
dc.contributor.authorKokulu, Kamil
dc.contributor.authorMutlu, Hüseyin
dc.contributor.authorYortanlı, Betül Çiğdem
dc.date.accessioned2024-05-08T07:21:15Z
dc.date.available2024-05-08T07:21:15Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractBackground: Older adults living with frailty who require treatment in hospitals are increasingly seen in emergency departments (EDs). Objective: This study investigated the effects of frailty severity according to the Clinical Frailty Scale (CFS) on adverse outcomes and length of stay in the ED before intensive care unit (ICU) admission. Methods: We conducted this prospective observational study with patients 65 years or older and admitted to the ICU from March 1, 2021 to December 31, 2022. We divided the patients into four groups according to their CFS scores. We determined the effects of frailty severity on length of ED stay and clinical outcomes using logistic regression analysis. Results: Of the 920 patients included in the study, 25.4% were nonfrail, 26.2% had mild frailty, 25.9% had moderate frailty, and 22.5% had severe frailty. In the regression analysis, compared with those who were nonfrail, the length of ED stay was significantly longer for those with moderate frailty (odds ratio [OR] 2.13; 95% confidence interval [CI] 1.63-2.90) or severe frailty (OR 3.32; 95% CI 1.92-3.87), but the result was not significant for those with mild frailty (OR 1.65; 95% CI 1.21-2.45). ICU mortality was significantly higher among patients with mild, moderate, or severe frailty than among those who were nonfrail. Conclusions: We found CFS score to be a predictor of length of ED stay and adverse outcomes. Accordingly, CFS evaluation can provide an idea of the length of ED stay and the likelihood of adverse outcomes.
dc.identifier.doi10.1016/j.jemermed.2023.08.020
dc.identifier.endpagee19en_US
dc.identifier.issue1en_US
dc.identifier.scopusqualityN/A
dc.identifier.startpagee10en_US
dc.identifier.urihttps:/dx.doi.org10.1016/j.jemermed.2023.08.020
dc.identifier.urihttps://hdl.handle.net/20.500.12451/11797
dc.identifier.volume66en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofThe Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectClinical Frailty Scale
dc.subjectEmergency Department
dc.subjectLength of Sta Emergency Department;
dc.subjectLİngth of Stay
dc.subjectLength of Stay
dc.titleEffects of Clinical Frailty Scale Score on Adverse Outcomes and Length of Emergency Department Stay Before Intensive Care Unit Admission
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
sert-ekrem taha-2024.pdf
Boyut:
630.57 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama: