The role of edmonton frailty scale and asa grade in the assessment. Pdf validity and reliability of the edmonton frail scale. The electronic frailty index guidance notes the electronic frailty index efi helps identify and predict adverse outcomes for older patients in primary care it is therefore useful to plan at an individual and whole systems level information for the efi is collected using existing electronic health record. Gait speed, the identification seniors at risk primary care isar pc and the interrai.
Edmonton symptom assessment system revised esas r 07903rev201508 no pain 012345678 9 10 worst possible pain no tiredness 012345678 9 10 worst possible tiredness lack of energy tiredness no drowsiness 012345678 9 10 worst possible drowsiness feeling sleepy drowsiness. The groningen frailty indicator gfi, the prisma7, polypharmacy, the clinical judgment of the general practitioner gp, the selfrated health of the older adult, the. However, the edmonton frail scale has not been used in people living with hiv plhiv to date. Free fulltext pdf articles from hundreds of disciplines, all in one place performance of edmonton frail scale on frailty assessment. On the other hand, the edmonton frail scale efs assesses the. Shrink to printable area resizes only large pages to fit the paper and prints small pages as they are. Validity and reliability of the edmonton frail scale. The edmonton frail scale is a validated instrument designed for use in outpatient settings 6. The fragility syndrome and risk of fall in the elderly. Cronbachs alpha values were predefined as acceptable if it was 0. The frailty index was calculated using edmonton scoring index. In addition to the clinical judgement of the gp, polypharmacy, prisma7, the groningen frailty indicator gfi and selfrated health of the patient, we compared the frailty index fi and the edmonton frail scale efs and 3 other tools used to identify older adults at risk for adverse health outcomes.
Geriatric assessment in frail older patients in the emergency department. Before warfarin initiation, the use of clopidogrel and acetaminophen was more common in frail patients compared with nonfrail patients 25. Frailty in elderly populations can be defined as a clinical state in which there is an increase in an individuals vulnerability for developing increased dependency andor mortality when exposed to a stressor. Fit to printable area scales small pages up and large pages down to fit the paper. Getting started with the edmonton frail scale british geriatrics. Download pdf fulltext 2011 science press,all rights reseved. Reproducibility of the brazilian version of the edmonton. Frail scale number % frailty index number % nonfrail 2073 96.
The edmonton frail scale efs,26 which is a validated frailty measure designed for specialist and nonspecialist use that records information on nine frailty domains cognition, general health, functional independence, social support, medication use, nutrition, mood, continence, functional performance. The main themes were 1 frailty assessment of patients pages 2 and 3 of additional file 1 and 2 awareness of the ease study and clinical frailty scale used in the ease study pages 4 and 5 of additional file 1. In total, 151 patients 102 nonfrail and 49 frail were included. A previous study compared the reliability of risk assessment tools in elderly emergency surgical patients to that of surgical expert opinion. Comparative analysis of the association between 35 frailty.
As a service to our customers we are providing this early version of the manuscript. Clinical frailty scale 1 very fit people who are robust, active, energetic and motivated. Both of them evaluated the frail status using the reported edmonton frail scale refs. Reported edmonton frail scale alberta health services. Frailty and coprescribing of potentially interacting. Pdf on oct 1, 2006, darryl b rolfson and others published validity and reliability of the edmonton frail scale find, read and cite all the research you need on. Pdf use of the reported edmonton frail scale in the. Frontiers the gap between clinical research and standard. Frailty status was assessed with the reported edmonton frail scale.
With how many of the following activities do you require help. The efs was given to the patients to evaluate their frailty. Edmonton frail scale frail scale geriatric advisory panel international advisory panel nutrition health and ageing 2008 frailty. Seniors were eligible to participate if they were 65 years of age or older, and considered frail according to the clinical frailty scale or the edmonton frail scale. Assessment of frailty short validated assessments frail scale fatigue, resistance, ambulation, illness, loss of weight morley et al. Crosscultural adaptation and validity of the edmonton frail scale. Improving surgical care and o p t implementation of an. Edmonton frail scale the efs table 1 is a validated tool to determine the patients level of frailty as a score ranging from 0 not frail to 17 very frail based on a series of basic questions or tasks that provides a global evaluation.
This is a standalone frailty assessment questionnaire program that will score and save the results to the patient record in vision. Comparison of 10 single and stepped methods to identify. Use of the reported edmonton frail scale in the assessment. It will also capture the form and save it as an image. Validity and reliability of the edmonton frail scale ncbi.
A great advantage of this scale is that it has been validated not only in the elderly but also in middleaged individuals 56,57. Prognosis impact of frailty assessed by the edmonton frail. This is a pdf file of an unedited manuscript that has been accepted for publication. A number of candidate tools for screening are available including the frailty phenotype model itself fried et al. The edmonton frail scale efs was developed by rolfson et al. Waikato aortic team we meet on every second friday 1100 1200 and discuss internal and external referrals. Following this, patients were administered the reported edmonton frail scale refs questionnaire. Starting from the view that case management is a complex intervention occurring in multilayered realities, we conducted a realist evaluation of case management in belgium, where this type of intervention is new. Reported edmonton frail scale hilmer aust j aging 2009 cognition. Patients and caregivers were recruited through the participating hcps or through posters in geriatric clinics where the participating hcp worked. Closed down nscp healthcare services in north somerset. Comparative analysis of the association between 35 frailty scores and cardiovascular events, cancer, and total mortality in an elderly general population in england. Resources for the cga based proactive primary care of the elderly. Utility of the edmonton frail scale in identifying frail elderly patients.
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