Journal article

Accuracy of the Clinical Frailty Scale for perioperative frailty screening: a prospective observational study

Jai N Darvall, Joel Loth, Tony Bose, Sabine Braat, Anurika De Silva, David A Story, Wen K Lim

Canadian Journal of Anesthesia/Journal canadien d'anesthésie | SPRINGER | Published : 2020

Abstract

PURPOSE: Perioperative frailty increases postoperative complications, mortality, and new functional dependence. Despite this, routine perioperative frailty screening is not widespread. We aimed to assess the accuracy of the Clinical Frailty Scale (CFS) as a screening tool prior to anesthesia, and to determine which health domains are affected by frailty. METHODS: In a prospective, single-centre observational study, we enrolled 218 patients aged ≥ 65 yr undergoing elective and emergency surgery. The screening performance of the CFS was compared with the Edmonton Frail Scale, including the effect in individual frailty domains, and outcomes including discharge location and mortality. RESULTS: T..

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Grants

Funding Acknowledgements

This work was supported by an emerging researcher scholarship from the Australian and New Zealand College of Anaesthetists.