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

Basit Öğe Kaydı
dc.contributor.authorKocak, Fatma Ozge Kayhan
dc.contributor.authorŞama, Musa Gürsu
dc.contributor.authorFehimoǧlu, Hüseyin Caner
dc.contributor.authorEmekdaş, Bariş
dc.contributor.authorAkyol, Murat
dc.date.accessioned2025-03-20T09:44:57Z
dc.date.available2025-03-20T09:44:57Z
dc.date.issued2025
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractThe 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).
dc.identifier.doi10.1097/MD.0000000000041635
dc.identifier.issn0025-7974
dc.identifier.issue8
dc.identifier.pmid39993093
dc.identifier.scopus2-s2.0-85218914059
dc.identifier.scopusqualityQ2
dc.identifier.startpagee41635
dc.identifier.urihttps://doi.org/10.1097/MD.0000000000041635
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2089
dc.identifier.volume104
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams and Wilkins
dc.relation.ispartofMedicine (United States)
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250319
dc.subjectdisability
dc.subjectemergency department
dc.subjectfrailty tool
dc.subjectinternal medicine inpatient
dc.subjectlength of stay
dc.titleComparison 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
dc.typeArticle

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu