作者
Zayan Mahmooth, Elizabeth Carpenter, Edward Lin, Marianne Foster, Carla Haack, Jyotirmay Sharma, Dipan Patel, Juan Sarmiento, John Sweeney, Wendy Greene, David Elwood
发表日期
2020/10/1
期刊
The American Journal of Surgery
卷号
220
期号
4
页码范围
1058-1063
出版商
Elsevier
简介
Background
We compared the Emergency General Surgery Specific Frailty Index (EGSFI), Risk Analysis Index (RAI-C) and the Katz Index (KI) at assessing frailty in acute care surgery (ACS).
Methods
A prospective cohort of ACS patients was stratified into frail or non-frail by the EGSFI, RAI-C and KI. The agreement between scales were compared.
Results
Of 272 eligible patients, 72, 75, and 56 were categorized as frail by the EGSFI, RAI-C, and KI respectively. There was weak to no agreement between instruments and consensus among all three scales was 59.4%.
Conclusion
Between 21 and 28% of patients seen in this ACS cohort were categorized as frail using the EGSFI, RAI-C and KI. These frailty tools have different measures of what constitutes frailty and there was poor agreement between them. Only the KI definition of frailty was associated with a longer LOS. The KI may be more useful for assessing ACS …
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Z Mahmooth, E Carpenter, E Lin, M Foster, C Haack… - The American Journal of Surgery, 2020