Comparison of the CFS and the HFRS
Research type
Research Study
Full title
A comparison of the ability of the Clinical Frailty Scale and the Hospital Frailty Risk Score to predict adverse inpatient events and hospital readmission.
IRAS ID
259260
Contact name
Louise Lafortune
Contact email
Sponsor organisation
Cambridge University Hospital NHS Foundation Trust and University of Cambridge
Clinicaltrials.gov Identifier
Not applicable, Not applicable
Duration of Study in the UK
0 years, 4 months, 30 days
Research summary
Frailty is a condition characterised by increased vulnerability. Frail older adults are more at risk of experiencing negative outcomes such as care home admission and death.UK and international guidance emphasize the need to identify older adults with frailty as early as possible in an effort to minimise their risk of experiencing negative outcomes.
There is no gold standard tool to assess frailty. Many of the tools available are either too complicated to be completed in emergency departments or require information that is provided on discharge and therefore cannot be used to inform decisions about inpatient care. The Hospital Frailty Risk Score (HFRS) is a new frailty tool that uses automatically generated disease codes but has not been widely tested. In Addenbrooke’s hospital, all patients aged 75-years and over admitted as an emergency are given a Clinical Frailty Score (CFS) within the first 72-hours of admission. This study would like to compare the CFS and the HFRS using the disease codes available on discharge (HFRS_disch) and using disease codes available on admission (HFRS_adm) to see whether these tools identify the same people as frail and assess how well they identify frail older adults at risk of spending a prolonged period in hospital, dying in hospital, and being readmitted to hospital within 30-days of discharge.
We plan to do this by analysing information about the health state, admission, transfer and discharge for patients aged 75-years and over who had an emergency admission to Addenbrookes’ hospital between the 1st of December 2015 to the 30th of November 2018. None of the information provided will be identifiable i.e. members of the research team will be unable to identify individual patients. We expect the findings of this study will help early identification of frailty and facilitate the deployment of timely care to minimise the risk of experiencing negative outcomes.
REC name
N/A
REC reference
N/A