A scoping review of the Clinical Frailty Scale
Background Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score rangin...
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| Vydané v: | BMC geriatrics Ročník 20; číslo 1; s. 393 - 18 |
|---|---|
| Hlavní autori: | , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
London
BioMed Central
07.10.2020
BioMed Central Ltd Springer Nature B.V BMC |
| Predmet: | |
| ISSN: | 1471-2318, 1471-2318 |
| On-line prístup: | Získať plný text |
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| Abstract | Background
Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS.
Methods
We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score.
Results
Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time.
Conclusions
This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population. |
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| AbstractList | Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS.
We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score.
Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time.
This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population. Background Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS. Methods We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score. Results Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time. Conclusions This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population. Background Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS. Methods We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score. Results Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time. Conclusions This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population. Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS. We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score. Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time. This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population. Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS.BACKGROUNDFrailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS.We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score.METHODSWe performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score.Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time.RESULTSOur search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time.This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population.CONCLUSIONSThis scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population. Background Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS. Methods We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score. Results Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time. Conclusions This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population. Keywords: Frailty, Aging, Frail elderly, Scoping review, Clinical Frailty Scale Abstract Background Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS. Methods We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score. Results Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time. Conclusions This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population. |
| ArticleNumber | 393 |
| Audience | Academic |
| Author | Church, Sophie Theou, Olga Rockwood, Kenneth Rogers, Emily |
| Author_xml | – sequence: 1 givenname: Sophie surname: Church fullname: Church, Sophie organization: Department of Medicine, Dalhousie University, Department of Psychiatry, Dalhousie University – sequence: 2 givenname: Emily surname: Rogers fullname: Rogers, Emily organization: Department of Medicine, Dalhousie University – sequence: 3 givenname: Kenneth surname: Rockwood fullname: Rockwood, Kenneth organization: Department of Medicine, Dalhousie University, Division of Geriatric Medicine, Queen Elizabeth II Health Sciences Centre, Nova Scotia Health – sequence: 4 givenname: Olga orcidid: 0000-0001-6460-782X surname: Theou fullname: Theou, Olga email: Olga.Theou@Dal.ca organization: Department of Medicine, Dalhousie University, Division of Geriatric Medicine, Queen Elizabeth II Health Sciences Centre, Nova Scotia Health, School of Physiotherapy, Dalhousie University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33028215$$D View this record in MEDLINE/PubMed |
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| References | RE Hubbard (1801_CR13) 2020; 49 K Rockwood (1801_CR3) 1994; 150 O Theou (1801_CR12) 2018; 18 O Theou (1801_CR2) 2012; 8 M Montero-Odasso (1801_CR14) 2020; 23 A Clegg (1801_CR4) 2013; 381 JE Morley (1801_CR5) 2013; 14 S Church (1801_CR19) 2019; 22 R Romero-Ortuno (1801_CR10) 2017; 12 M Singh (1801_CR8) 2014; 35 1801_CR17 K Rockwood (1801_CR18) 2020; 23 K Rockwood (1801_CR6) 2005; 173 1801_CR15 1801_CR1 SA Sternberg (1801_CR7) 2011; 59 E Chong (1801_CR16) 2020; 68 LW Kraiss (1801_CR11) 2015; 28 C Bohm (1801_CR9) 2015; 24 |
| References_xml | – volume: 381 start-page: 752 issue: 9868 year: 2013 ident: 1801_CR4 publication-title: Lancet doi: 10.1016/s0140-6736(12)62167-9 – ident: 1801_CR15 doi: 10.1093/ageing/afaa171 – volume: 14 start-page: 392 issue: 6 year: 2013 ident: 1801_CR5 publication-title: J Am Med Dir Assoc doi: 10.1016/j.jamda – volume: 173 start-page: 489 issue: 5 year: 2005 ident: 1801_CR6 publication-title: Can Med Assoc J doi: 10.1503/cmaj.050051 – volume: 59 start-page: 2129 issue: 11 year: 2011 ident: 1801_CR7 publication-title: J Am Geriatr Soc doi: 10.1111/j.1532-5415.2011.03597.x – ident: 1801_CR1 – volume: 18 start-page: 139 issue: 1 year: 2018 ident: 1801_CR12 publication-title: BMC Geriatr doi: 10.1186/s12877-018-0823-2 – volume: 23 start-page: 152 issue: 1 year: 2020 ident: 1801_CR14 publication-title: Can Geriatr J doi: 10.5770/cgj.23.452 – volume: 24 start-page: 498 issue: 6 year: 2015 ident: 1801_CR9 publication-title: Curr Opin Nephrol Hypertens doi: 10.1097/mnh.0000000000000163 – volume: 12 start-page: 83 issue: 2 year: 2017 ident: 1801_CR10 publication-title: J Hosp Med doi: 10.12788/jhm.2685 – volume: 150 start-page: 489 issue: 4 year: 1994 ident: 1801_CR3 publication-title: CMAJ – volume: 8 start-page: 261 issue: 3 year: 2012 ident: 1801_CR2 publication-title: Aging Health doi: 10.2217/ahe.12.8 – volume: 68 start-page: E30 issue: 6 year: 2020 ident: 1801_CR16 publication-title: J Am Geriatr Soc doi: 10.1111/jgs.16528 – volume: 35 start-page: 1726 issue: 26 year: 2014 ident: 1801_CR8 publication-title: Eur Heart J doi: 10.1093/eurheartj/ehu197 – volume: 22 start-page: 112 issue: 3 year: 2019 ident: 1801_CR19 publication-title: Can Geriatr J – volume: 23 start-page: 254 year: 2020 ident: 1801_CR18 publication-title: Can Geriatr J doi: 10.5770/cgj.23.463 – volume: 49 start-page: 499 issue: 4 year: 2020 ident: 1801_CR13 publication-title: Age Ageing doi: 10.1093/ageing/afaa095 – volume: 28 start-page: 141 issue: 2 year: 2015 ident: 1801_CR11 publication-title: Semin Vasc Surg doi: 10.1053/j.semvascsurg.2015.10.003 – ident: 1801_CR17 |
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Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a... Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a... Background Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a... Abstract Background Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale... |
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| SubjectTerms | Age Aged Aging Clinical Frailty Scale Cognition Comorbidity Demography Elderly Female Frail Elderly Frailty Frailty - diagnosis Frailty - epidemiology Geriatric Assessment - methods Geriatrics Geriatrics/Gerontology Health aspects Humans Medical research Medicine Medicine & Public Health Mortality nutrition and epidemiology Older people Physical Examination - methods Physical Examination - standards Public health Rehabilitation Research Article Scoping review Software Surveys and Questionnaires - standards |
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| Title | A scoping review of the Clinical Frailty Scale |
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