The Clinical Frailty Scale: Do Staff Agree?
The term frailty is being increasingly used by clinicians, however there is no strict consensus on the best screening method. The expectation in England is that all older patients should have the Clinical Frailty Scale (CFS) completed on admission. This will frequently rely on junior medical staff a...
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2020-06-01
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doaj-a0fde71dc7834ce69af53187a9e871d32020-11-25T03:46:24ZengMDPI AGGeriatrics2308-34172020-06-015404010.3390/geriatrics5020040The Clinical Frailty Scale: Do Staff Agree?Rebekah L. Young0David G. Smithard1Newham University Hospital, Bart’s Health NHS Trust, London E13 8SL, UKQueen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, London SE18 4QH, UKThe term frailty is being increasingly used by clinicians, however there is no strict consensus on the best screening method. The expectation in England is that all older patients should have the Clinical Frailty Scale (CFS) completed on admission. This will frequently rely on junior medical staff and nurses, raising the question as to whether there is consistency. We asked 124 members of a multidisciplinary team (consultants, junior doctors, nurses, and allied health professionals; physiotherapists, occupational therapists, dietitians, speech and language therapists) to complete the CFS for seven case scenarios. The majority of the participants, 91/124 (72%), were trainee medical staff, 16 were senior medical staff, 12 were allied health professions, and 6 were nurses. There was broad agreement both between the professions and within the professions, with median CFS scores varying by a maximum of only one point, except in case scenario G, where there was a two-point difference between the most junior trainees (FY1) and the nursing staff. No difference (using the Mann–Whitney U test) was found between the different staff groups, with the median scores and range of scores being similar. This study has confirmed there is agreement between different staff members when calculating the CFS with no specific preceding training.https://www.mdpi.com/2308-3417/5/2/40frailtyclinical frailty score |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rebekah L. Young David G. Smithard |
spellingShingle |
Rebekah L. Young David G. Smithard The Clinical Frailty Scale: Do Staff Agree? Geriatrics frailty clinical frailty score |
author_facet |
Rebekah L. Young David G. Smithard |
author_sort |
Rebekah L. Young |
title |
The Clinical Frailty Scale: Do Staff Agree? |
title_short |
The Clinical Frailty Scale: Do Staff Agree? |
title_full |
The Clinical Frailty Scale: Do Staff Agree? |
title_fullStr |
The Clinical Frailty Scale: Do Staff Agree? |
title_full_unstemmed |
The Clinical Frailty Scale: Do Staff Agree? |
title_sort |
clinical frailty scale: do staff agree? |
publisher |
MDPI AG |
series |
Geriatrics |
issn |
2308-3417 |
publishDate |
2020-06-01 |
description |
The term frailty is being increasingly used by clinicians, however there is no strict consensus on the best screening method. The expectation in England is that all older patients should have the Clinical Frailty Scale (CFS) completed on admission. This will frequently rely on junior medical staff and nurses, raising the question as to whether there is consistency. We asked 124 members of a multidisciplinary team (consultants, junior doctors, nurses, and allied health professionals; physiotherapists, occupational therapists, dietitians, speech and language therapists) to complete the CFS for seven case scenarios. The majority of the participants, 91/124 (72%), were trainee medical staff, 16 were senior medical staff, 12 were allied health professions, and 6 were nurses. There was broad agreement both between the professions and within the professions, with median CFS scores varying by a maximum of only one point, except in case scenario G, where there was a two-point difference between the most junior trainees (FY1) and the nursing staff. No difference (using the Mann–Whitney U test) was found between the different staff groups, with the median scores and range of scores being similar. This study has confirmed there is agreement between different staff members when calculating the CFS with no specific preceding training. |
topic |
frailty clinical frailty score |
url |
https://www.mdpi.com/2308-3417/5/2/40 |
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