Geriatric Emergency Medicine Fellowship Journal Club: Frailty

Volume 2 | Issue 4 | Article 2 - Journal Club

Sarah Keene, MD, PhD; Rebecca Fisher, MD
Full Text

Introduction

Frailty is a geriatric syndrome involving increased vulnerability to stressors such as injury or infection. Frail older adults have a higher likelihood of functional decline after an acute event.1 The Clinical Frailty Scale (CFS) is a 9-point scale developed to assess the frailty of older adult patients during their interactions with the health care system.2 It was originally validated in extended care facilities and among community-dwelling older adults and has been subsequently used in the in-patient setting.3,4 Emergency Department visits are independently associated with increased morbidity and functional decline in older adults.5,6 It is possible that this effect is more pronounced for those that are frail. This journal club looked at validation of the CFS in the Emergency Department and the application of frailty to geriatric patients with COVID-19.

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