The Implementation of Frailty Assessment Tools in the Acute Care Setting: A Scoping Review.
Background: Frailty is a syndrome of increased vulnerability to health stressors that is associated with adverse health outcomes. There is no universally accepted method of measuring frailty, and choosing among the many tools is often confusing for clinicians. Moreover, the acute care setting presen...
| Publicado en: | Journal of the American Geriatrics Society Vol. 73; no. 8; pp. 2571 - 2579 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Aug2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=187636592&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 187636592 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Aug2025 vid: 73 iid: 8 pid: 480 pub: Wiley-Blackwell artinfo: ui: 187636592 10.1111/jgs.19438 ppf: 2571 ppct: 8 formats: tig: atl: The Implementation of Frailty Assessment Tools in the Acute Care Setting: A Scoping Review. aug: au: Hothi, Harneet Paolone, Arianna R. Pezeshki, Matteen Griffith, Lauren E. Kennedy, Courtney C. Leong, Darryl P. Marcucci, Maura Papaioannou, Alexandra Lee, Justin affil: Temerty Faculty of Medicine, University of Toronto, Toronto, Canada Centre for Integrated Care, St. Joseph's Health System, Hamilton, Canada Department of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton Ontario,, Canada McMaster Institute for Research on Aging, McMaster University, Hamilton Ontario,, Canada Department of Medicine, Division of Geriatrics, McMaster University, Hamilton Ontario,, Canada GERAS Centre for Aging Research, Hamilton Health Sciences, Hamilton Ontario,, Canada Department of Medicine, Division of Cardiology, McMaster University, Hamilton Ontario,, Canada Population Health Research Institute, McMaster University, Hamilton Ontario,, Canada Clinical Epidemiology and Research Centre (CERC), Humanitas University and IRCCS Humanitas Research Hospital, Milan, Italy su: Elder care Occupational adaptation Critical care medicine Medical information storage & retrieval systems Frail elderly CINAHL database Descriptive statistics Systematic reviews MEDLINE Geriatric assessment sug: subj: Elder care Occupational adaptation Critical care medicine Continuing Care Retirement Communities Medical information storage & retrieval systems Frail elderly CINAHL database Descriptive statistics Systematic reviews MEDLINE Geriatric assessment keyword: acute care frailty frailty assessment acute care frailty frailty assessment ab: Background: Frailty is a syndrome of increased vulnerability to health stressors that is associated with adverse health outcomes. There is no universally accepted method of measuring frailty, and choosing among the many tools is often confusing for clinicians. Moreover, the acute care setting presents unique challenges to the operationalization of frailty measurement, and implementation into daily clinical practice has been variable. The objective of this scoping review was to map out and synthesize how frailty is being measured and used in the acute care setting. Methods: We used Arksey and O'Malley's methodological framework for scoping reviews. We searched MEDLINE, EMBASE, CINAHL, SCOPUS, and Google Scholar for primary studies assessing frailty in the acute care setting from inception to May 2023. Results: Our search resulted in 8834 articles, of which 2554 met inclusion criteria. Most articles (75%) were published in the last 5 years. The top three most frequently used methods of frailty measurement were the Frailty Index (41.0%), the Clinical Frailty Scale (23.3%), and the Fried Frailty Phenotype (9.3%). More than one frailty assessment tool was used in 11.2% of studies. While 99.6% of studies measured frailty assessment to evaluate the association of frailty with adverse outcomes or the validity of specific frailty tools, only 0.4% measured frailty to prospectively adapt healthcare provision. Conclusion: There is an abundance of evidence demonstrating that frailty in acute care is associated with adverse health outcomes, with relatively scarce evidence on the effect of frailty assessment on prospectively adapting care. Future research focusing on the prospective management of frailty in acute care is needed. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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