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    Comparison of frailty screening tools in predicting length of stay and disability in older patients on internal medicine inpatient wards transferred from the emergency department: A retrospective observational study
    (Lippincott Williams and Wilkins, 2025) Kocak, Fatma Ozge Kayhan; Şama, Musa Gürsu; Fehimoǧlu, Hüseyin Caner; Emekdaş, Bariş; Akyol, Murat
    The aim of this study is to compare frailty screening tools in predicting length of stay (LOS) in older patients on internal medicine inpatient wards transferred from the emergency department (ED). This cross-sectional retrospective study involving 186 subjects aged 65 years or older was conducted at tertiary hospital internal medicine inpatient wards transferred from the ED from September to November 2023. Frailty was defined by the Clinical Frailty Scale (CFS), the identification of Seniors At Risk Tool and the Triage Risk-Screening Tool (TRST). Dependency was defined by Katz Index of Independence in activities of daily living (ADL) and the Lawton instrumental ADL. The presence of frailty according to the CSF and TRST was associated with a long LOS (coefficient of regression β = 0.2 with P<.05). But, in binary logistic regression analysis, there was no association between long LOS and frailty scales. All frailty tools were statistically significant predictors for disability (P < .001). Our findings suggest that, among the tools evaluated, the CFS may be the most robust predictor of both LOS and functional dependency, although its predictive power for actual disability remains limited. Future studies should focus on refining these tools for greater accuracy in predicting functional outcomes and should examine how factors such as polypharmacy and comorbidities impact frailty and hospital outcomes. Additionally, longitudinal studies are needed to establish causative relationships between frailty, LOS, and functional decline. © 2025 the Author(s).
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    The Impact of Geography and Occupation on the Perspective of the Good Death Among the Healthcare Professionals: A Cross-sectional Study
    (Galenos Publ House, 2024) Kocak, Fatma Ozge Kayhan; Cavdar, Sibel; Aygor, Hulya Eskiizmirli; Ozcaylak, Sueleyman; Saylan, Ertan; Sahin, Sevnaz; Yildirim, Yasemin
    Objective: The aim of this study was to investigate the perspective of good death and related factors among healthcare professionals (HCPs), as well as to compare the perspective of good death regarding to live region and occupation. Materials and Methods: This cross-sectional study was performed one hundred ninety-five HCPs. The good death scale (GDS) was used to assess the perspective of HCPs on the concept of good death. Results: A total of 195 HCPs were included in this study. One hundred twenty-four (63.6%) participants were women. Ninety-eight (50.3%) and 95 (48.7%) of the participants were registered nurses and were living in the east, respectively. Seventy-five (38.5%) of the participants had 11 years or more of professional experience, and 132 (67.7%) of them grew up in the region where they worked. The mean score of all participants in GDS was 57.5 +/- 6.3, and the mean scores of the sub-dimensions were 30.9 +/- 3.8 for the psychosocial and spiritual sub-dimension, 10 +/- 1.9 for the personal control sub-dimension and 16.6 +/- 2.4 for the clinical sub-dimension. In multiple linear regression, living in the east, being a nurse, being a woman, and taking education on good death were positively related to the GDS score of the HCPs. Conclusion: Given the growing importance of good death, it is increasingly important to clarify the definitions and constantly raise awareness by providing appropriate education. In this study, the small number of participants and the inhomogeneous distribution of the sample by age, gender, occupation, and region could lead to potential biases and concerns about generalizability. It is recommended to conduct research using a scale to assess nurses' and doctors' perceptions of death in a more homogeneous and larger group.